PS-2020a / part16

DICOM PS3.16 2020a - Content Mapping Resource​

Page 321​

Type:​

Non-Extensible​

Order:​

Significant​

Root:​

No​

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​

Condition​

Value Set​

Type​

Constraint​

1​

CODE​

EV (111015, DCM,​

1​

M​

DCID6101“Chest​

"Composite Feature")​

Finding or​

Feature”​

2​

>​

HAS CONCEPT​CODE​

EV (112023, DCM,​

1​

U​

DCID6102“Chest​

MOD​

"Composite Feature​

FindingorFeature​

Modifier")​

Modifier”​

3​

>​

HAS CONCEPT​TEXT​

EV (112050, DCM,​

1​

U​

MOD​

"Anatomic Identifier")​

4​

>​

HAS CONCEPT​CODE​

EV (112003, DCM,​

1​

MC​ Shall be present IFF​

DCID6100“Chest​

MOD​

"Associated Chest​

value of row 1 is​

Component​

Component")​

(112005, DCM,​

Categories”​

"Radiographic​

anatomy")​

5​

>​

HAS CONCEPT​CODE​

EV (112037, DCM,​

1​

UC​ May be present IFF​

DCID 6139​

MOD​

"Non-lesion Modifier")​

value of row 1 is​

“Non-lesion​

(111102, DCM,​

Modifiers”​

"Non-lesion")​

6​

>​

HAS CONCEPT​CODE​

EV (112038, DCM,​

1​

UC​ May be present IFF​

DCID 6115​

MOD​

"Osseous Modifier")​

value of row 2 is from​ “Osseous​

DCID 6114 “Osseous​ Anatomy​

Anatomy Finding or​

Modifiers”​

Feature”​

7​

>​

HAS CONCEPT​CODE​

EV (111056, DCM,​

1​

M​

DCID 6034​

MOD​

"Rendering Intent")​

“Intended Use of​

CAD Output”​

8​

>​

HAS OBS​

INCLUDE​DTID 4108 “Tracking​

1​

U​

CONTEXT​

Identifier”​

9​

>​

HAS OBS​

CODE​

EV (112016, DCM,​

1​

U​

DCID 6145​

CONTEXT​

"Baseline Category")​

“Baseline​

Category”​

10​

>​

HAS OBS​

INCLUDE​DTID 4022 “CAD​

1​

MC​ Shall be present IFF​

CONTEXT​

Observation Context”​

thisfeatureisduplicated​

from a different report​

than its parent.​

11​

>​

HAS OBS​

INCLUDE​DTID 4019 “Algorithm​

1​

M​

CONTEXT​

Identification”​

12​

>​

HAS​

INCLUDE​DTID 4103 “Chest CAD​

1​

M​

PROPERTIES​

Composite Feature Body”​

Page 322​

DICOM PS3.16 2020a - Content Mapping Resource​

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​

Condition​

Value Set​

Type​

Constraint​

13​

>​

INFERRED​

INCLUDE​DTID 4102 “Chest CAD​

1-n​

MC​ At least two items shall​

FROM​

Composite Feature”​

be present: two of row​

13, two of row 14, or​

one of each.​

14​

>​

INFERRED​

INCLUDE​DTID 4104 “Chest CAD​

1-n​

MC​ At least two items shall​

FROM​

Single Image Finding”​

be present: two of row​

13, two of row 14, or​

one of each.​

Anatomic Identifier​

An identifier of an anatomic feature when a multiplicity of features of that type may be present, such as​

"Rib 1", "Rib 2" or thoracic vertebrae "T1" or "T2".​

Rendering Intent​

This Content Item constrains the SCP receiving the Chest CAD SR IOD in its use of the contents of this​

Template and its Target Content Items. Chest CAD devices may opt to use data marked "Not for​

Presentation" or "Presentation Optional" as input to subsequent chest CAD processing steps. Refer to​

Section O.2 “Structured Reporting Storage SOP Class SCU and SCP Behavior” in PS3.4.​

Type:​

Non-Extensible​

Order:​

Significant​

Root:​

No​

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,"Scope​

1​

M​

DCID 6036 “Scope of​

of Feature")​

Feature”​

3​

NUM​

EV (111011, DCM,​

1​

U​

UNITS = EV (%, UCUM,​

"Certainty of feature")​

"Percent")​

Value = 0 - 100​

4​

INCLUDE​ DTID 4107 “Chest CAD​

1​

U​

Geometry”​

5​

INCLUDE​ DTID 1400 “Linear​

1-n​

U​

Measurement”​

6​

INCLUDE​ DTID 1401 “Area​

1-n​

U​

Measurement”​

7​

INCLUDE​ DTID 1402 “Volume​

1-n​

U​

Measurement”​

8​

INCLUDE​ DTID 4105 “Chest CAD​

1​

U​

Descriptors”​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 323​

NL​ Rel with​

VT​

Concept Name​

VM​

Req​ Condition​

Value Set Constraint​

Parent​

Type​

9​

NUM​

DCID 6133 “Chest​

1-n​

UC​ May be present​

Quantitative Temporal​

IFF the value of​

Difference Type”​

row 1 is (111153,​

DCM, "Target​

content items are​

related​

temporally")​

10​ >​ R-INFERRED​NUM​

2​

U​

The referenced numeric​

FROM​

values shall have the​

same Concept Name.​

Their UNITS shall be the​

same as row 9​

11​

CODE​

EV (111049, DCM,​

1-n​

UC​ May be present​ DCID 6134 “Chest​

"Qualitative Difference")​

onlyifthevalueof​Qualitative Temporal​

row 1 is (111153,​Difference Type”​

DCM, "Target​

content items are​

related​

temporally")​

12​ >​ HAS​

TEXT​

EV (111021, DCM,​

1​

U​

PROPERTIES​

"Description of Change")​

13​ >​ R-INFERRED​CODE​

2​

M​

The referenced Content​

FROM​

Itemsshallhavethesame​

Concept Name and their​

codevaluesshallbefrom​

the same context group.​

Content Item Descriptions​

Certainty of Feature​

The certainty of the CAD device that the feature analyzed and classified by the CODE, as specified​

in the Composite Feature parent Template, is in fact that type of feature.​

Volume Measurement​

If dimensions for a volume are to be stated in terms of length, width, and depth, then one shall use​

3 instances of TID 1400 “Linear Measurement”.​

Row 9​

Values ≤ 0 are allowed. The two referenced numeric values are Target Content Items of the first​

generation Composite Feature or Single Image Finding children of this composite feature. Given the​

equation, A - B, the value representing A shall be referenced first.​

Qualitative Difference​

The two referenced code values are Target Content Items of the first generation Composite Feature​

or Single Image Finding children of this composite feature.​

Type:​

Non-Extensible​

Order:​

Significant​

Root:​

No​

NL​Rel with Parent​ VT​

Concept Name​

VM​ Req​

Condition​

Value Set Constraint​

Type​

1​

CODE​

EV (111059, DCM,​

1​

M​

DCID 6101 “Chest​

"Single Image​

Finding or Feature”​

Finding")​

2​

>​

HAS CONCEPT​CODE​

EV (112024, DCM,​

1​

U​

DCID 6102 “Chest​

MOD​

"Single Image Finding​

Finding or Feature​

Modifier")​

Modifier”​

3​

>​

HAS CONCEPT​TEXT​

EV (112050, DCM,​

1​

U​

MOD​

"Anatomic Identifier")​

4​

>​

HAS CONCEPT​CODE​

EV (112003, DCM,​

1​

MC​ Shall be present IFF​

DCID 6100 “Chest​

MOD​

"Associated Chest​

value of row 1 is​

Component Categories”​

Component")​

(112005, DCM,​

"Radiographic​

anatomy")​

5​

>​

HAS CONCEPT​CODE​

EV (112037, DCM,​

1​

UC​ May be present IFF​

DCID 6139 “Non-lesion​

MOD​

"Non-lesion Modifier")​

value of row 1 is​

Modifiers”​

(111102, DCM,​

"Non-lesion")​

6​

>​

HAS CONCEPT​CODE​

EV (111056, DCM,​

1​

M​

DCID 6034 “Intended​

MOD​

"Rendering Intent")​

Use of CAD Output”​

7​

>>​

HAS​

NUM​

EV (111071, DCM,​

1​

UC​ IFF value of row 6 is​

UNITS = DT ({1:n},​

PROPERTIES​

"CAD Operating​

(111151, DCM,​

UCUM, "range: 1:n"),​

Point")​

"PresentationOptional")​wherenisthemaximum​

and row 1 of TID 4023​specifiedinRow1ofTID​

“CAD Operating Points”​4023 “CAD Operating​

is present for the finding​Points” for the finding​

identified in row 1​

identifiedinrow1.Value​

is restricted to being an​

integer​

8​

>​

HAS OBS​

INCLUDE​DTID 4108 “Tracking​

1​

U​

CONTEXT​

Identifier”​

9​

>​

HAS OBS​

CODE​

EV (112016, DCM,​

1​

U​

DCID 6145 “Baseline​

CONTEXT​

"Baseline Category")​

Category”​

10​

>​

HAS OBS​

INCLUDE​DTID 4022 “CAD​

1​

MC​ ShallbepresentIFFthis​

CONTEXT​

Observation Context”​

finding is duplicated​

from a different report​

than its parent.​

11​

>​

HAS OBS​

INCLUDE​DTID 4019 “Algorithm​ 1​

M​

CONTEXT​

Identification”​

12​

>​

HAS​

NUM​

EV (111012, DCM,​

1​

U​

UNITS = EV (%, UCUM,​

PROPERTIES​

"Certainty of Finding")​

"Percent")​

Value = 0 - 100​

13​

>​

HAS​

TEXT​

EV (111058, DCM,​

1​

MC​ Shall be present IFF​

PROPERTIES​

"Selected Region​

value of row 1 is​

Description")​

(111099, DCM,​

"Selected region")​

14​

>​

HAS​

INCLUDE​DTID 4107 “Chest​

1​

MC​ Shall be present unless​

PROPERTIES​

CAD Geometry”​

value of row 1 is​

(111101, DCM, "Image​

quality")​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 325​

NL​Rel with Parent​ VT​

Concept Name​

VM​ Req​

Condition​

Value Set Constraint​

Type​

15​

>​

HAS​

INCLUDE​DTID 1400 “Linear​

1-n​

U​

PROPERTIES​

Measurement”​

16​

>​

HAS​

INCLUDE​DTID 1401 “Area​

1-n​

U​

PROPERTIES​

Measurement”​

17​

>​

HAS​

INCLUDE​DTID 1402 “Volume​

1-n​

U​

PROPERTIES​

Measurement”​

18​

>​

HAS​

INCLUDE​DTID 4105 “Chest​

1​

U​

PROPERTIES​

CAD Descriptors”​

19​

>​

INFERRED​

IMAGE​

1​ MC​ Shall be present IFF​

FROM​

value of row 1 is​

(111101, DCM, "Image​

quality") and rows 20​

and 21 are not present​

20​

>​

R-INFERRED​

IMAGE​

1​

MC​ Shall be present IFF​

Shall reference an​

FROM​

value of row 1 is​

IMAGE Content Item in​

(111101, DCM, "Image​the (111028, DCM,​

quality") and rows 19​

"Image Library")​

and 21 are not present​

21​

>​

INFERRED​

SCOORD​EV (111030, DCM,​

1-n​

MC​ Shall be present IFF​

FROM​

"Image Region")​

value of row 1 is​

(111101, DCM, "Image​

quality") and rows 19​

and 20 are not present​

22​

>>​

SELECTED​

IMAGE​

1​

MC​ XOR row 23​

All the row 21 Content​

FROM​

Items in a single​

invocation of this​

Templateshallreference​

the same IMAGE​

23​

>>​

R-SELECTED​ IMAGE​

1​

MC​ XOR row 22​

All the row 21 Content​

FROM​

Items in a single​

invocation of this​

Templateshallreference​

the same IMAGE​

Content Item in the​

(111028, DCM, "Image​

Library")​

24​

>​

HAS​

INCLUDE​DTID 4014 “CAD​

1​

MC​ Shall be present IFF​

$QualityFinding = DCID​

PROPERTIES​

Image Quality”​

value of row 1 is​

6135 “Image Quality​

(111101, DCM, "Image​Finding”​

quality")​

$QualityStandard =​

DCID 6136 “Chest​

Types of Quality Control​

Standard”​

Content Item Descriptions​

Anatomic Identifier​

An identifier of an anatomic feature when a multiplicity of features of that type may be present, such as​

"Rib 1", "Rib 2" or thoracic vertebrae "T1" or "T2".​

Rendering Intent​

This Content Item constrains the SCP receiving the Chest CAD SR IOD in its use of the contents of​

this Template and its Target Content Items. Chest CAD devices may opt to use data marked "Not for​

Presentation" or "Presentation Optional" as input to subsequent chest CAD processing steps. Refer to​

Section O.2 “Structured Reporting Storage SOP Class SCU and SCP Behavior” in PS3.4.​

Page 326​

DICOM PS3.16 2020a - Content Mapping Resource​

CAD Operating Point​

Additional information to use when Rendering Intent is "Presentation Optional". A CAD Operating Point​

of zero is not sent, and is encoded as a Rendering Intent of "Presentation Required". See Section O.2​

“Structured Reporting Storage SOP Class SCU and SCP Behavior” in PS3.4 and Section E.4 “CAD​

Operating Point” in PS3.17.​

Certainty of Finding​

The certainty of the CAD device that the finding detected and classified by the Single Image Finding​

CODE specified is in fact that type of finding.​

Type:​

Non-Extensible​

Order:​

Significant​

Root:​

No​

NL​ Rel with​

VT​

Concept Name​

VM​

Req​ Condition​ Value Set Constraint​

Parent​

Type​

1​

CODE​

EV (112025, DCM, "Size​

1​

U​

DCID6118“SizeDescriptor”​

Descriptor")​

2​

CODE​

EV (112026, DCM, "Width​

1​

U​

DCID 6107 “Width​

Descriptor")​

Descriptor”​

3​

CODE​

EV (112015, DCM, "Border​

1​

U​

DCID 6119 “Chest Border​

shape")​

Shape”​

4​

CODE​

EV (112007, DCM, "Border​

1​

U​

DCID 6120 “Chest Border​

definition")​

Definition”​

5​

CODE​

EV(112014,DCM,"Orientation​

1​

U​

DCID 6121 “Chest​

Descriptor")​

Orientation Descriptor”​

6​

CODE​

EV (112009, DCM, "Type of​

1-n​

U​

DCID 6122 “Chest Content​

Content")​

Descriptor”​

7​

CODE​

EV (112027, DCM, "Opacity​

1​

U​

DCID 6123 “Chest Opacity​

Descriptor")​

Descriptor”​

8​

CODE​

EV(112013,DCM,"Locationin​

1​

U​

DCID 6124 “Location in​

Chest")​

Chest”​

9​

CODE​

EV (272741003, SCT,​

1​

U​

DCID 244 “Laterality”​

"Laterality")​

10​

CODE​

EV(112006,DCM,"Distribution​ 1-n​

U​

DCID 6128 “Chest​

Descriptor")​

Distribution Descriptor”​

11​

CODE​

EV (112028, DCM, "Abnormal​

1​

U​

DCID 6108 “Chest Anatomic​

Distribution of Anatomic​

Structure Abnormal​

Structure")​

Distribution”​

12​

CODE​

EV (112008, DCM, "Site​

1-n​

U​

DCID 6129 “Chest Site​

involvement")​

Involvement”​

13​

CODE​

EV (246112005, SCT,​

1​

U​

DCID 6130 “Severity​

"Severity")​

Descriptor”​

14​

CODE​

EV (112010, DCM, "Texture​

1​

U​

DCID 6131 “Chest Texture​

Descriptor")​

Descriptor”​

15​

CODE​

EV (112030, DCM,​

1​

U​

DCID 6132 “Chest​

"Calcification Descriptor")​

Calcification Descriptor”​

16​

NUM​

DCID 6142 “Calculated Value”​ 1-n​

U​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 327​

NL​ Rel with​

VT​

Concept Name​

VM​

Req​ Condition​ Value Set Constraint​

Parent​

Type​

17​

>​

HAS​

CODE​

EV(121401,DCM,"Derivation")​

1​

M​

DCID 6140 “Calculation​

CONCEPT​

Methods”​

MOD​

18​

>​

INFERRED​NUM​

EV (112032, DCM, "Threshold​

1​

U​

UNITS = EV ([hnsf'U],​

FROM​

Attenuation Coefficient")​

UCUM, "Hounsfield unit")​

19​

>​

INFERRED​TEXT​

EV(112034,DCM,"Calculation​

1​

U​

FROM​

Description")​

20​

NUM​

DCID 6141 “Attenuation​

1-n​

U​

UNITS = EV ([hnsf'U],​

Coefficient Measurements”​

UCUM, "Hounsfield unit")​

Type:​

Non-Extensible​

Order:​

Significant​

Root:​

No​

NL​ RelwithParent​ VT​

Concept Name​

VM​

Req​ Condition​Value Set Constraint​

Type​

1​

CONTAINER​EV(112020,DCM,"Response​

1​

M​

Evaluation")​

2​

>​

HAS OBS​

CODE​

EV(112021,DCM,"Response​

1​

M​

DT (112022, DCM,​

CONTEXT​

Evaluation Method")​

"RECIST") or​

DT (112029, DCM,​

"WHO")​

3​

>​

CONTAINS​

CODE​

EV (112048, DCM, "Current​

1​

U​

DCID 6143 “Lesion​

Response")​

Response”​

4​

>​

CONTAINS​

CODE​

EV (112049, DCM, "Best​

1​

U​

DCID 6143 “Lesion​

Overall Response")​

Response”​

5​

>​

CONTAINS​

NUM​

EV (112051, DCM,​

1​

U​

UNITS not specified​

"Measurement of Response")​

Type:​

Non-Extensible​

Order:​

Significant​

Root:​

No​

Table TID 4107. Chest CAD Geometry​

NL​ Rel with Parent​ VT​

ConceptName​ VM​ Req Type​ Condition​

Value Set Constraint​

1​

SCOORD​

EV (111010,​ 1​

MC​

At least one of rows​GRAPHIC TYPE =​

DCM,"Center")​

1, 4 shall be present.​{POINT}​

2​

>​ SELECTED​ IMAGE​

1​

MC​

XOR row 3​

FROM​

Page 328​

DICOM PS3.16 2020a - Content Mapping Resource​

NL​ Rel with Parent​ VT​

ConceptName​ VM​ Req Type​ Condition​

Value Set Constraint​

3​

>​

R-SELECTED​

IMAGE​

1​

MC​

XOR row 2​

Shall reference an IMAGE​

FROM​

Content Item in the​

(111028, DCM, "Image​

Library")​

4​

SCOORD​

EV (111041,​ 1​

MC​

At least one of rows​

DCM,"Outline")​

1, 4 shall be present.​

5​

>​

SELECTED​

IMAGE​

1​

MC​

XOR row 6​

Shall reference the same​

FROM​

Content Item as row 2​

6​

>​

R-SELECTED​

IMAGE​

1​

MC​

XOR row 5​

Shall reference the same​

FROM​

Content Item as row 3​

Type:​

Non-Extensible​

Order:​

Significant​

Root:​

No​

Table TID 4108. Tracking Identifier​

NL​Rel with​ VT​

Concept Name​

VM​Req Type​

Condition​

Value Set Constraint​

Parent​

1​

TEXT​

EV (112039, DCM,​

1​

MC​

At least one of row 1 or​A string of characters with​

"Tracking Identifier")​

2 shall be present.​

case being non-significant.​

Leading and trailing spaces​

and control characters are​

forbidden.​

2​

UIDREF​EV (112040, DCM,​

1​

MC​

At least one of row 1 or​

"Tracking Unique​

2 shall be present.​

Identifier")​

Content Item Descriptions​

Tracking Identifier​

A human readable identifier for longitudinal tracking, e.g., "Watchlist Nodule 1".​

Tracking Unique Identifier​

This is distinct from the Observation UID (0040,A171) that may be present in the Data Set for​

each Content Item, which identifies only a specific observation, not an object tracked over time,​

and each tracked object may have many observations.​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 329​

TID 4120

TID 4015

TID 4017

TID 4019

Colon CAD

Detections

Detection

CAD Algorithm

Document Root

Performed

Performed

Identification

TID 4016

TID 4018

TID 4019

Analyses

Analysis

CAD Algorithm

Performed

Performed

Identification

TID 1204

Language of

Content Item and

Descendants

TID 4121

TID 4125

TID 4125

Colon CAD

Composite

Composite

Findings Summary

Feature

Feature

TID 4122

TID 4127

TID 4108

TID 4019

CAD Common

Single Image

Tracking Identifier

CAD Algorithm

Image Properties

Finding

Identification

Entry

TID 4014

TID 4127

Image Quality

Single Image

Finding

TID 4022

TID 4022

CAD Observation

CAD Observation

Context

Context

TID 4019

TID 4108

CAD Algorithm

Tracking

Identification

Identifier

TID 4129

TID 4126

TID 4129

Colon CAD

Composite

Colon CAD

Geometry

Feature Body

Geometry

TID 4128

TID 4128

Colon CAD

Colon CAD

Descriptors

Descriptors

TID 300, 1400,

TID 300, 1400,

1401, 1402, 1406

1401, 1402, 1406

Measurement

Measurement

Type:​

Non-Extensible​

Order:​

Significant​

Root:​

Yes​

NL​RelwithParent​ VT​

Concept Name​

VM​

Req​ Condition​

Value Set​

Type​

Constraint​

1​

CONTAINER​EV (112220, DCM, "Colon​

1​

M​

Root node​

CAD Report")​

Page 330​

DICOM PS3.16 2020a - Content Mapping Resource​

NL​RelwithParent​ VT​

Concept Name​

VM​

Req​

Condition​

Value Set​

Type​

Constraint​

2​

>​

HASCONCEPT​INCLUDE​

DTID 1204 “Language of​

1​

M​

MOD​

Content Item and​

Descendants”​

3​

>​

CONTAINS​

INCLUDE​

DTID 4122 “CAD Common​ 1-n​

M​

Image Properties Entry”​

4​

>​

CONTAINS​

INCLUDE​

DTID 4121 “Colon CAD​

1​

M​

Findings Summary”​

5​

>​

CONTAINS​

CODE​

EV (111064, DCM,​

1​

M​

DCID 6042 “Status​

"Summary of Detections")​

of Results”​

6​

>>​

INFERRED​

INCLUDE​

DTID4015“CADDetections​ 1​

MC​ Shall be present​ $DetectionCode =​

FROM​

Performed”​

unlessthevalueof​DCID 6201 “Colon​

row 5 is (111225,​Finding or Feature”​

DCM, "Not​

Attempted")​

7​

>​

CONTAINS​

CODE​

EV (111065, DCM,​

1​

M​

DCID 6042 “Status​

"Summary of Analyses")​

of Results”​

8​

>>​

INFERRED​

INCLUDE​

DTID 4016 “CAD Analyses​

1​

MC​ Shall be present​ $AnalysisCode =​

FROM​

Performed”​

unlessthevalueof​DCID6137“Typesof​

row 7 is (111225,​CAD Analysis”​

Type:​

Non-Extensible​

Order:​

Significant​

Root:​

No​

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​ Condition​Value Set Constraint​

Type​

1​

CODE​

EV (111017, DCM, "CAD​

1​

M​

DCID 6047 “CAD​

Processing and Findings​

Processing and​

Summary")​

Findings Summary”​

2​

>​

HAS​

CODE​

EV (112222, DCM, "Colon​

1​

U​

DCID 6200 “Colon​

PROPERTIES​

Overall Assessment")​

Overall Assessment”​

3​

>​

INFERRED​

INCLUDE​ DTID 4125 “Colon CAD​

1-n​

U​

FROM​

Composite Feature”​