PS-2020a / part16

DICOM PS3.16 2020a - Content Mapping Resource​

Page 331​

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​ Condition​Value Set Constraint​

Type​

4​ >​ INFERRED​

INCLUDE​ DTID 4127 “Colon CAD Single​ 1-n​

U​

FROM​

Image Finding”​

Content Item Descriptions​

CAD Processing and​

This code value is used to express if and why the Colon CAD Findings Summary sub-tree is empty.​

Findings Summary​

The Summary of Detections and Summary of Analyses sub-trees of the Document Root node contain​

detail about which (if any) algorithms succeeded or failed.​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

NL​

Rel with​

VT​

Concept Name​

VM​ Req​ Condition​

Value Set Constraint​

Parent​

Type​

1​

CONTAINER​EV (112224, DCM,​

1​

M​

"Image Set Properties")​

2​

>​

CONTAINS​UIDREF​

EV (112227, DCM,​

1​

M​

"Frame of Reference​

UID")​

3​

>​

CONTAINS​UIDREF​

EV (110180, DCM,​

1​

M​

"Study Instance UID")​

4​

>​

CONTAINS​DATE​

EV (111060, DCM,​

1​

M​

Shall be taken from Study Date​

"Study Date")​

(0008,0020)intheImageInstances.​

5​

>​

CONTAINS​TIME​

EV (111061, DCM,​

1​

M​

Shall be taken from Study Time​

"Study Time")​

(0008,0030)intheImageInstances.​

6​

>​

CONTAINS​CODE​

EV (121139, DCM,​

1​

M​

Shall be taken from Modality​

"Modality")​

(0008,0060)intheImageInstances.​

7​

>​

CONTAINS​NUM​

EV (111026, DCM,​

1​

M​

Shall be taken from value 2 of Pixel​

"Horizontal Pixel​

Spacing (0028,0030) in the Image​

Spacing")​

Instances.​

UNITS = EV (mm/{pixel}, UCUM,​

"millimeters per pixel")​

8​

>​

CONTAINS​NUM​

EV (111066, DCM,​

1​

M​

Shall be taken from value 1 of Pixel​

"Vertical Pixel Spacing")​

Spacing (0028,0030) in the Image​

Instances.​

Page 332​

DICOM PS3.16 2020a - Content Mapping Resource​

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VT​

Concept Name​

VM​ Req​ Condition​

Value Set Constraint​

Parent​

Type​

9​

>​

CONTAINS​NUM​

EV(112225,DCM,"Slice​ 1​

M​

Shall be taken from Slice Thickness​

Thickness")​

(0018,0050)intheImageInstances.​

UNITS = EV (mm, UCUM,​

"millimeter")​

10​

>​

CONTAINS​NUM​

EV (112226, DCM,​

1​

M​

Shall be computed from the Image​

"Spacingbetweenslices")​

Position (Patient) (0020,0032)​

projected onto the normal to the​

Image Orientation (Patient)​

(0020,0037); may or may not be the​

sameastheSpacingBetweenSlices​

(0018,0088) if present.​

UNITS = EV (mm, UCUM,​

"millimeter")​

11​

>​

CONTAINS​CODE​

EV (112228, DCM,​

1​

MC​Required if​Shall be derived from Patient​

"Recumbent Patient​

Patient​

Position (0018,5100) in the Image​

Position with respect to​

Position​

Instances.​

gravity")​

(0018,5100)​

Type:​

Non-Extensible​

Order:​

Significant​

Root:​

No​

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​

Condition​ Value Set Constraint​

Type​

1​

CODE​

EV (111015, DCM,​

1​

M​

DCID 6201

“Colon​

"Composite Feature")​

Finding or Feature”​

2​

>​

HAS CONCEPT​CODE​

EV (112023, DCM,​

1​

U​

DCID 6202

“Colon​

MOD​

"Composite Feature​

Finding or Feature​

Modifier")​

Modifier”​

3​

>​

HAS CONCEPT​CODE​

EV (111056, DCM,​

1​

M​

DCID 6034

“Intended​

MOD​

"Rendering Intent")​

Use of CAD Output”​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 333​

NL​ Rel with Parent​ VT​

Concept Name​

VM​ Req​ Condition​

Value Set Constraint​

Type​

5​

>​

HAS OBS​

INCLUDE​DTID 4108 “Tracking​

1​

U​

CONTEXT​

Identifier”​

6​

>​

HAS OBS​

INCLUDE​DTID 4022 “CAD​

1​

MC​ Shall be present​

CONTEXT​

Observation Context”​

IFF this feature is​

duplicated from a​

differentreportthan​

its parent.​

7​

>​

HAS OBS​

INCLUDE​DTID 4019 “Algorithm​

1​

M​

CONTEXT​

Identification”​

8​

>​

HAS​

INCLUDE​DTID 4126 “Colon CAD​

1​

M​

PROPERTIES​

Composite Feature Body”​

9​

>​

INFERRED​

INCLUDE​DTID 4125 “Colon CAD​

1-n​

U​

FROM​

Composite Feature”​

10​

>​

INFERRED​

INCLUDE​DTID 4127 “Colon CAD​

1-n​

U​

FROM​

Single Image Finding”​

Rendering Intent​

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

TemplateanditsTargetContentItems.ColonCADdevicesmayopttousedatamarked"NotforPresentation"​

or"PresentationOptional"asinputtosubsequentcolonCADprocessingsteps.RefertoSectionO.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,​

1​

M​

DCID 6036 “Scope of​

"Scope of Feature")​

Feature”​

3​

NUM​

EV (111011, DCM,​

1​

U​

UNITS = EV (%, UCUM,​

"Certainty of feature")​

"Percent")​

Page 334​

DICOM PS3.16 2020a - Content Mapping Resource​

NL​ Rel with​

VT​

Concept Name​

VM​

Req​

Condition​

Value Set Constraint​

Parent​

Type​

4​

INCLUDE​DTID 4129 “Colon CAD​

1​

U​

Geometry”​

5​

INCLUDE​DTID 4128 “Colon CAD​

1​

U​

Descriptors”​

6​

NUM​

DCID 6207 “Colon​

1-n​

UC​ MaybepresentIFF​

Quantitative Temporal​

the value of row 1​

Difference Type”​

is (111153, DCM,​

"Target content​

items are related​

temporally")​

7​

>​

R-INFERRED​NUM​

2​

U​

The referenced numeric​

FROM​

values shall have the same​

Concept Name. Their​

UNITSshallbethesameas​

row 6​

8​

CODE​

EV (111049, DCM,​

1-n​

UC​ May be present​

DCID 6134 “Chest​

"Qualitative Difference")​

only if the value of​Qualitative Temporal​

row 1 is (111153,​ Difference Type”​

DCM, "Target​

content items are​

relatedtemporally")​

9​

>​

HAS​

TEXT​

EV (111021, DCM,​

1​

U​

PROPERTIES​

"DescriptionofChange")​

10​

>​ R-INFERRED​CODE​

2​

M​

The referenced Content​

FROM​

Items shall have the same​

Concept Name and their​

code values shall be from​

the same context group.​

Content Item Descriptions​

Certainty of Feature​

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

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

Row 6​

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 6201 “Colon​

"Single Image​

Finding or Feature”​

Finding")​

2​

>​

HAS CONCEPT​CODE​

EV (112024, DCM,​

1​

U​

DCID 6202 “Colon​

MOD​

"Single Image Finding​

Finding or Feature​

Modifier")​

Modifier”​

3​

>​

HAS CONCEPT​CODE​

EV (111056, DCM,​

1​

M​

DCID 6034 “Intended​

MOD​

"Rendering Intent")​

Use of CAD Output”​

4​

>>​

HAS​

NUM​

EV (111071, DCM,​

1​

UC​ IFF value of row 3 is​

UNITS = DT ({1:n},​

PROPERTIES​

"CAD Operating​

(111151, DCM,​

UCUM, "range: 1:n"),​

Point")​

"Presentation Optional")​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.​

5​

>​

HAS OBS​

INCLUDE​DTID 4108 “Tracking​

1​

U​

CONTEXT​

Identifier”​

6​

>​

HAS OBS​

INCLUDE​DTID 4022 “CAD​

1​ MC​ Shall be present IFF this​

CONTEXT​

Observation Context”​

findingisduplicatedfrom​

a different report than its​

parent.​

7​

>​

HAS OBS​

INCLUDE​DTID 4019 “Algorithm​ 1​

M​

CONTEXT​

Identification”​

8​

>​

HAS​

NUM​

EV (111012, DCM,​

1​

U​

UNITS = EV (%, UCUM,​

PROPERTIES​

"Certainty of Finding")​

"Percent")​

Value = 0 - 100​

9​

>​

HAS​

TEXT​

EV (111058, DCM,​

1​ MC​ Shall be present IFF​

PROPERTIES​

"Selected Region​

value of row 1 is​

Description")​

(111099,DCM,"Selected​

region")​

10​

>​

HAS​

INCLUDE​DTID 4129 “Colon​

1​ MC​ Shall be present unless​

PROPERTIES​

CAD Geometry”​

value of row 1 is​

(111101, DCM, "Image​

quality")​

11​

>​

HAS​

INCLUDE​DTID 4128 “Colon​

1​

U​

PROPERTIES​

CAD Descriptors”​

12​

>​

INFERRED​

IMAGE​

1​ MC​ Shall be present IFF​

FROM​

value of row 1 is​

(111101, DCM, "Image​

quality") and row 13 is​

not present​

13​

>​

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 row 12 is​

not present​

Page 336​

DICOM PS3.16 2020a - Content Mapping Resource​

NL​Rel with Parent​ VT​

Concept Name​

VM​ Req​

Condition​

Value Set Constraint​

Type​

14​

>>​

SELECTED​

IMAGE​

1​ M​

All the row 13 Content​

FROM​

Items in a single​

invocation of this​

Templateshallreference​

the same IMAGE​

15​

>​

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 6208 “Colon​

Types of Quality Control​

Standard”​

Content Item Descriptions​

Rendering Intent​

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

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

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

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

CAD Operating Point​

AdditionalinformationtousewhenRenderingIntentis"PresentationalOptional".ACADOperatingPoint​

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 (116676008, SCT,​

1-n​

U​

DCID6209“ColonMorphology​

"Associated Morphology")​

Descriptor”​

2​

CODE​

EV (363698007, SCT,​

1​

U​

DCID 6210 “Location in​

"Finding Site")​

Intestinal Tract”​

3​

CODE​

EV (111014, DCM,​

1​

U​

DCID6205“ClockfaceLocation​

"Clockface or region")​

for Colon”​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 337​

NL​ Rel with​

VT​

Concept Name​

VM​

Req​ Condition​ Value Set Constraint​

Parent​

Type​

4​

CONTAINS​

INCLUDE​ DTID 300 “Measurement”​

1-n​

U​

$Measurement = DCID 6212​

“Calculated Value for Colon​

Findings”​

$Derivation = DCID 6140​

“Calculation Methods”​

$DerivationParameter = EV​

(112032, DCM, "Threshold​

Attenuation Coefficient")​

$DerivationParameterUnits =​

EV ([hnsf'U], UCUM,​

"Hounsfield unit")​

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 1406 “Three​

1-n​

U​

Dimensional Linear​

Measurement”​

9​

NUM​

DCID 6141 “Attenuation​

1-n​

U​

UNITS = EV ([hnsf'U], UCUM,​

Coefficient Measurements”​

"Hounsfield unit")​

10​ >​

HAS​

CODE​

EV(112009,DCM,"Typeof​

1​

U​

DCID 6211 “Colon CAD​

PROPERTIES​

Content")​

Material Description”​

Content Item Descriptions​

Row 3​

12 o'clock position is the anterior direction of the patient regardless of the positioning with respect to gravity;​

clockwise is from the point of view of an observer located closer to the anus than the finding being observed.​

Type:​

Non-Extensible​

Order:​

Significant​

Root:​

No​

Table TID 4129. Colon CAD Geometry​

NL​

Rel with​

VT​

Concept Name​

VM​

Req​

Condition​

Value Set​

Parent​

Type​

Constraint​

1​

SCOORD​

EV (111010, DCM,​

1​

MC​

At least one of rows 1,​GRAPHIC TYPE =​

"Center")​

3, 4, 6 or 10 shall be​ {POINT}​

present.​

2​ >​

SELECTED​IMAGE​

1​

M​

FROM​

Page 338​

DICOM PS3.16 2020a - Content Mapping Resource​

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Rel with​

VT​

Concept Name​

VM​

Req​

Condition​

Value Set​

Parent​

Type​

Constraint​

3​

SCOORD3D​EV (111010, DCM,​

1​

MC​

At least one of rows 1,​GRAPHIC TYPE =​

"Center")​

3, 4, 6 or 10 shall be​

{POINT}​

present.​

4​

SCOORD​

EV (111041, DCM,​

1​

MC​

At least one of rows 1,​

"Outline")​

3, 4, 6 or 10 shall be​

present.​

5​

>​

SELECTED​IMAGE​

1​

M​

FROM​

6​

SCOORD3D​EV (111041, DCM,​

1​

MC​

At least one of rows 1,​

"Outline")​

3, 4, 6 or 10 shall be​

present.​

7​

SCOORD​

DCID 6166 “CAD​

1-n​

U​

Geometry Secondary​

Graphical​

Representation”​

8​

>​

SELECTED​IMAGE​

1​

M​

FROM​

9​

SCOORD3D​DCID 6166 “CAD​

1-n​

U​

Geometry Secondary​

Graphical​

Representation”​

10​

IMAGE​

EV (112229, DCM,​

1​

MC​

At least one of rows 1,​Referenced image​

"Identifying Segment")​

3, 4, 6 or 10 shall be​

shall be a​

present.​

Segmentation and​

the Content Item​

shall include​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 339​

TID 4200

TID 1001

Breast Imaging

Observation Context

Report

TID 4202

TID 1002

Breast Imaging

Observer Context

Report Narrative

TID 1204

TID 350

Language of

References to

Content Item and

Supporting Evidence

Descendants

TID 4208

TID 4201

Breast Imaging

Breast Imaging

Report

Procedure Reported

Supplementary Data

TID 4203

TID 4207

Breast Imaging

Breast Imaging

Assessment

Pathology Results

TID 4205

TID 4201

Breast Composition

Breast Imaging

Section

Procedure Reported

TID 4204

TID 4201

Breast Imaging

Breast Imaging

Report

Intervention Section

Procedure Reported

TID 4206

TID 1002

TID 1009

Breast Imaging

Subject Context,

Report

Observer Context

Specimen

Finding Section

TID 350

TID 4207

References to

Pathology

Supporting Evidence

Results

TID 4201

TID 350

Breast Imaging

References to

Procedure Reported

Supporting Evidence

TID 4203

TID 4207

Type:​

Non-Extensible​

Order:​

Significant​

Root:​

Yes​

Table TID 4200. Breast Imaging Report​

NL​

Rel with Parent​

VT​

Concept Name​

VM​

Req​ Condition​Value Set​

Type​

Constraint​

1​

CONTAINER​ EV (111400, DCM, "Breast​

1​

M​

Root node​

Imaging Report")​

2​ >​

HAS CONCEPT​ INCLUDE​

DTID 1204 “Language of Content​

1​

M​

MOD​

Item and Descendants”​

Page 340​

DICOM PS3.16 2020a - Content Mapping Resource​

NL​

Rel with Parent​

VT​

Concept Name​

VM​

Req​ Condition​Value Set​

Type​

Constraint​

2a​

>​

HAS OBS​

INCLUDE​

TID 1001 “Observation Context”​

1​

U​

CONTEXT​

2b​

>​

CONTAINS​

INCLUDE​

DTID 4209 “Breast Patient​

1​

U​

Characteristics”​

3​

>​

CONTAINS​

INCLUDE​

DTID 4202 “Breast Imaging​

1​

M​

Report Narrative”​

4​

>​

CONTAINS​

INCLUDE​

DTID 4208 “Breast Imaging​

1​

U​

Report Supplementary Data”​

See Figure Q.1-2 “Breast Imaging Procedure Reported Content Tree” in PS3.17.​

Type:​

Non-Extensible​

Order:​

Significant​

Root:​

No​

NL​

Rel with Parent​

VT​

Concept Name​

VM​

Req​ Condition​ Value Set Constraint​

Type​

1​

CODE​

EV (121058, DCM,​

1​

M​

BCID 6050 “Breast​

"Procedure reported")​

Procedure Reported”​

2​

>​

HAS CONCEPT​ CODE​

EV (111464, DCM,​

1-n​

U​

DCID

6058 “Procedure​

MOD​

"Procedure Modifier")​

Modifiers for Breast”​

3​

>​

HAS CONCEPT​ CODE​

EV (272741003, SCT,​

1​

M​

DCID

6022 “Side”​

MOD​

"Laterality")​

4​

>​

HAS​

CODE​

EV (111401, DCM,​

1​

U​

DCID

6051 “Breast​

PROPERTIES​

"Reason for procedure")​

Procedure Reason”​

5​

>>​

HAS CONCEPT​ CODE​

EV (118578006, SCT,​

1​

U​

DCID

12102 “Temporal​

MOD​

"Relative time")​

Periods Relating to​

Procedure or Therapy”​

6​

>>​

HAS CONCEPT​ CODE​

EV (111402, DCM,​

1-n​

UC​ IFF row 4​DCID

6055 “Breast Clinical​

MOD​

"Clinical Finding")​

value is​

Finding or Indicated​

"Clinical​

Problem”​

Finding"​

Breast Clinical Finding or​

Indicated Problem​

7​

>>>​

HAS​

CODE​

EV (272741003, SCT,​

1​

U​

DCID

6022 “Side”​

PROPERTIES​

"Laterality")​

8​

>​

HAS​

DATE​

EV (111060, DCM, "Study​

1​

U​

PROPERTIES​

Date")​

Content Item Descriptions​

Row 5 "Relative time"​

This Content Item indicates whether the value of "Reason for procedure" (row 4) is modified​

with "pre-" or "follow-up".​