PS-2020a / part16

DICOM PS3.16 2020a - Content Mapping Resource​

Page 341​

Type:​

Non-Extensible​

Order:​

Significant​

Root:​

No​

Table TID 4202. Breast Imaging Report Narrative​

NL​

Rel with Parent​

VT​

Concept Name​

VM​ ReqType​Condition​Value Set​

Constraint​

1​

CONTAINER​ EV (111412, DCM, "Narrative​

1​

M​

Summary")​

2​

>​

CONTAINS​

CONTAINER​ BCID 6052 “Breast Imaging​

1-n​

M​

Report Section Title”​

3​

>>​

HAS OBS​

INCLUDE​

DTID 1002 “Observer Context”​

1-n​

U​

CONTEXT​

4​

>>​

CONTAINS​

TEXT​

BCID 6053 “Breast Imaging​

1​

M​

Report Elements”​

5​

>>>​

INFERREDFROM​INCLUDE​

DTID 350 “References to​

1​

U​

Supporting Evidence”​

See Figure Q.1-5 “Breast Imaging Assessment 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 (111005, DCM,​

1​

M​

DCID 6026​

"Assessment Category")​

“Mammography​

Assessment”​

2​

CODE​

EV (111053, DCM,​

1-n​

U​

BCID 6028​

"Recommended Follow-up")​

“Mammography​

RecommendedFollow-up”​

3​

>​

HAS CONCEPT​CODE​

EV (272741003, SCT,​

1​

U​

DCID 6022 “Side”​

MOD​

"Laterality")​

4​

>​

HAS​

NUM​

EV (111055, DCM,​

1​

U​

UNITS=DCID6046“Units​

PROPERTIES​

"Recommended Follow-up​

of Follow-up Interval”​

Interval")​

Values = Integer ≥ 0,​

where 0 = immediate​

follow-up​

Page 342​

DICOM PS3.16 2020a - Content Mapping Resource​

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​ Condition​ Value Set Constraint​

Type​

5​

>​

HAS​

DATE​

EV (111054, DCM,​

1​

U​

PROPERTIES​

"Recommended Follow-up​

Date")​

6​

>​

HAS​

INCLUDE​DTID 4207 “Breast Imaging​

1-n​

U​

PROPERTIES​

Pathology Results”​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​ Condition​ValueSetConstraint​

Type​

1​

CONTAINER​EV (111463, DCM,​

1​

M​

"Supplementary Data for​

Intervention")​

2​

>​

CONTAINS​

INCLUDE​

DTID 4201 “Breast Imaging​

1​

M​

Procedure Reported”​

3​

>​

CONTAINS​

CODE​

EV (57134006, SCT,​

1​

U​

"Instrument")​

4​

>>​

HAS​

TEXT​

EV (111465, DCM, "Needle​

1​

UC​ XORrow5​

PROPERTIES​

Gauge")​

5​

>>​

HAS​

CODE​

EV (111465, DCM, "Needle​

1​

UC​ XORrow4​

PROPERTIES​

Gauge")​

6​

>>​

HAS​

NUM​

EV (111467, DCM, "Needle​

1​

U​

UNITS = EV (cm,​

PROPERTIES​

Length")​

UCUM, "centimeter")​

7​

>​

CONTAINS​

NUM​

EV (111436, DCM, "Number​

1​

U​

UNITS = EV​

of passes")​

({passes}, UCUM,​

"passes")​

8​

>​

CONTAINS​

NUM​

EV (111437, DCM, "Number​

1​

U​

UNITS = EV​

of specimens")​

({specimens},UCUM,​

"specimens")​

9​

>​

CONTAINS​

CODE​

EV(111431,DCM,"Instrument​ 1-n​

U​

DCID 6065​

Approach")​

“InstrumentApproach”​

10​

>​

CONTAINS​

CODE​

EV (111438, DCM, "Needle in​

1​

U​

DCID 230 “Yes-No”​

target")​

11​

>​

CONTAINS​

NUM​

EV (111439, DCM, "Number​

1​

U​

UNITS = EV​

of needles around target")​

({needles}, UCUM,​

"needles")​

12​

>​

CONTAINS​

CODE​

EV (182833002, SCT,​

1-n​

U​

"Medication given")​

13​

>​

CONTAINS​

CODE​

EV (111440, DCM, "Incision​

1​

U​

DCID 230 “Yes-No”​

made")​

14​

>​

CONTAINS​

CODE​

EV (111123, DCM, "Marker​

1​

U​

DCID 230 “Yes-No”​

placement")​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 343​

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​ Condition​ValueSetConstraint​

Type​

15​

>​

CONTAINS​

CODE​

EV (111442, DCM,​

1​

U​

DCID 6066 “Target​

"Confirmation of target")​

Confirmation”​

16​

>​

CONTAINS​

CODE​

EV (116224001, SCT,​

1-n​

U​

DCID 6062​

"Complication of procedure")​

“Interventional​

Procedure​

Complications”​

17​

>>​

HAS​

CODE​

EV (111466, DCM, "Severity​

1​

U​

DCID251“Severityof​

PROPERTIES​

of Complication")​

Complication”​

18​

>​

CONTAINS​

CONTAINER​EV (121027, DCM,​

1-n​

U​

"Specimen")​

19​

>>​

HAS OBS​

INCLUDE​

DTID 1009 “Subject Context,​

1​

U​

CONTEXT​

Specimen”​

20​

>>​

CONTAINS​

CODE​

EV (250431005, SCT, "Color​

1​

U​

DCID 6067 “Fluid​

of fluid")​

Color”​

21​

>>​

CONTAINS​

CODE​

EV (111456, DCM, "Action on​

1​

U​

DT (111457, DCM,​

fluid")​

"Sent for analysis")​

DT (111458, DCM,​

"Discarded")​

22​

>>​

CONTAINS​

CODE​

EV (111455, DCM, "Occult​

1​

U​

DCID 250​

blood test result")​

“Positive-Negative”​

23​

>>​

CONTAINS​

INCLUDE​

DTID 4207 “Breast Imaging​

1-n​

U​

Pathology Results”​

24​

>​

CONTAINS​

INCLUDE​

DTID 350 “References to​

1​

U​

Supporting Evidence”​

Type:​

Non-Extensible​

Order:​

Significant​

Root:​

No​

Table TID 4205. Breast Composition Section​

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​

Condition​

Value Set​

Type​

Constraint​

1​

CONTAINER​EV (129715009, SCT,​

1​

M​

"Breast composition")​

2​

>​

CONTAINS​

INCLUDE​

DTID 4201 “Breast Imaging​

1-n​

U​

Procedure Reported”​

3​

>​

CONTAINS​

CODE​

EV (129715009, SCT,​

1-n​

MC​ At least one of​DCID 6000 “Overall​

"Breast composition")​

row 3, 5 shall​Breast Composition”​

be present​

4​

>>​

HAS CONCEPT​CODE​

EV (272741003, SCT,​

1​

M​

DCID 6022 “Side”​

MOD​

"Laterality")​

5​

>​

CONTAINS​

NUM​

EV (111046, DCM, "Percent​ 1-n​

MC​ At least one of​UNITS = EV (%,​

Fibroglandular Tissue")​

row 3, 5 shall​UCUM, "Percent")​

be present​

Page 344​

DICOM PS3.16 2020a - Content Mapping Resource​

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​ Condition​

Value Set​

Type​

Constraint​

6​

>>​

HAS CONCEPT​CODE​

EV (272741003, SCT,​

1​

M​

DCID 6022 “Side”​

MOD​

"Laterality")​

7​

>​

CONTAINS​ CODE​

EV (111350, DCM, "Breast​

1-2​

U​

DCID 6151​

background echo texture")​

“Background​

Echotexture”​

8​

>>​

HAS CONCEPT​CODE​

EV (272741003, SCT,​

1​

M​

DCID 6022 “Side”​

MOD​

"Laterality")​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

NL​

Rel with Parent​ VT​

Concept Name​

VM​

Req​ Condition​Value Set Constraint​

Type​

1​

CONTAINER​EV (121070, DCM,​

1​

M​

"Findings")​

2​

>​

HAS OBS​

INCLUDE​

DTID 1002 “Observer​

1-n​

U​

CONTEXT​

Context”​

3​

>​

CONTAINS​

INCLUDE​

DTID4201“BreastImaging​

1​

M​

Procedure Reported”​

4​

>​

CONTAINS​

CODE​

EV (121071, DCM,​

1-n​

M​

DCID 6054 “Breast​

"Finding")​

Imaging Findings”​

5​

>>​

HAS CONCEPT​ CODE​

EV(111405,DCM,"Implant​ 1-n​

UC​ May be​

DCID 6059 “Breast​

MOD​

type")​

present if​ Implant Types”​

value of​

row 4 is​

(40388003,​

SCT,​

"Implant")​

5b​

>>​

HAS CONCEPT​ CODE​

EV (272741003, SCT,​

1​

U​

DCID 6022 “Side”​

MOD​

"Laterality")​

6​

>>​

HAS​

INCLUDE​

DTID4203“BreastImaging​

1​

U​

PROPERTIES​

Assessment”​

7​

>>​

HAS​

CODE​

EV (111014, DCM,​

1​

U​

DCID 6018 “Clockface​

PROPERTIES​

"Clockface or region")​

Location or Region”​

8​

>>​

HAS​

CODE​

EV (111048, DCM,​

1​

U​

DCID 6020 “Quadrant​

PROPERTIES​

"Quadrant location")​

Location”​

9​

>>​

HAS​

INCLUDE​

DTID 1400 “Linear​

1-n​

U​

PROPERTIES​

Measurement”​

10​

>>​

HAS​

INCLUDE​

DTID 1401 “Area​

1-n​

U​

PROPERTIES​

Measurement”​

11​

>>​

HAS​

INCLUDE​

DTID 1402 “Volume​

1-n​

U​

PROPERTIES​

Measurement”​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 345​

NL​

Rel with Parent​ VT​

Concept Name​

VM​

Req​ Condition​Value Set Constraint​

Type​

12​

>>​

HAS​

CODE​

EV(111020,DCM,"Depth")​

1​

U​

DCID 6024 “Depth”​

PROPERTIES​

13​

>>​

HAS​

CODE​

EV (111035, DCM, "Lesion​

1​

U​

DCID 6008 “Density​

PROPERTIES​

Density")​

Modifier”​

14​

>>​

HAS​

CODE​

EV (107644003, SCT,​

1-n​

U​

DCID 6004​

PROPERTIES​

"Shape")​

“Mammography​

Characteristics of​

Shape”​

15​

>>​

HAS​

CODE​

EV (111037, DCM,​

1-n​

U​

DCID 6006​

PROPERTIES​

"Margins")​

“Mammography​

Characteristics of​

Margin”​

16​

>>​

HAS​

CODE​

EV (111009, DCM,​

1-n​

U​

DCID 6010​

PROPERTIES​

"Calcification Type")​

“Mammography​

Calcification Types”​

17​

>>​

HAS​

CODE​

EV (111008, DCM,​

1​

U​

DCID 6012​

PROPERTIES​

"Calcification Distribution")​

“Calcification​

Distribution Modifier”​

18​

>>​

HAS​

NUM​

EV (111038, DCM,​

1​

U​

UNITS = EV​

PROPERTIES​

"Number of calcifications")​

({calcifications},UCUM,​

"calcifications")​

Value = Integer 1 - n​

19​

>>​

HAS​

CODE​

EV(111407,DCM,"Implant​ 1-n​

U​

DCID 6072 “Breast​

PROPERTIES​

finding")​

Implant Findings”​

20​

>>​

HAS​

CODE​

EV (246090004, SCT,​

1-n​

U​

DCID 6056 “Associated​

PROPERTIES​

"Associated Finding")​

Findings for Breast”​

21​

>>​

HAS​

NUM​

EV (111406, DCM,​

1​

U​

UNITS = EV ({findings},​

PROPERTIES​

"Number of similar​

UCUM, "findings")​

findings")​

Value = Integer 2 - n​

22​

>>​

HAS​

CODE​

EV (129720009, SCT,​

1-n​

U​

DCID 6002 “Change​

PROPERTIES​

"Change since last​

SinceLastMammogram​

mammogram")​

or Prior Surgery”​

23​

>>​

HAS​

CODE​

EV (111354, DCM,​

1​

U​

DCID6152“Orientation”​

PROPERTIES​

"Orientation")​

24​

>>​

HAS​

CODE​

EV (111357, DCM, "Lesion​

1​

U​

DCID 6153 “Lesion​

PROPERTIES​

boundary")​

Boundary”​

25​

>>​

HAS​

CODE​

EV (111360, DCM, "Echo​

1​

U​

DCID 6154 “Echo​

PROPERTIES​

pattern")​

Pattern”​

26​

>>​

HAS​

CODE​

EV (111366, DCM,​

1​

U​

DCID 6155 “Posterior​

PROPERTIES​

"Posterior acoustic​

Acoustic Features”​

features")​

27​

>>​

HAS​

CODE​

EV (111371, DCM,​

1​

U​

DCID 6015 “Single​

PROPERTIES​

"Identifiable effect on​

Image Finding from​

surrounding tissues")​

BI-RADS®”​

28​

>>​

HAS​

CODE​

EV (111372, DCM,​

1​

U​

DCID6157“Vascularity”​

PROPERTIES​

"Vascularity")​

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NL​

Rel with Parent​

VT​

Concept Name​

VM​

Req​ Condition​Value Set Constraint​

Type​

29​

>>​

HAS​

CODE​

EV (111380, DCM,​

1-n​

U​

DCID 6158 “Correlation​

PROPERTIES​

"Correlation to Other​

to Other Findings”​

Findings")​

30​

>>​

INFERREDFROM​INCLUDE​

DTID 350 “References to​

1​

U​

Supporting Evidence”​

Content Item Descriptions​

Row 5b​

The laterality of the finding may be different from the laterality of the procedure specified in Row 3, if the latter​

is undefined or bilateral. If this content item is absent, the laterality of the procedure is assumed to apply. The​

laterality of the finding may be bilateral.​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

NL​

Rel with Parent​ VT​

Concept Name​

VM​

Req​Condition​ Value Set Constraint​

Type​

1​

CONTAINER​EV (111468, DCM,​

1​

M​

"Pathology Results")​

2​

>​

CONTAINS​

INCLUDE​

DTID 4201 “Breast Imaging​ 1​

U​

Procedure Reported”​

3​

>​

CONTAINS​

DATETIME​ EV (111469, DCM,​

1​

M​

"Sampling DateTime")​

4​

>​

CONTAINS​

CODE​

EV (122177, DCM,​

1​

M​

DCID 6063 “Interventional​

"Procedure Result")​

Procedure Results”​

5​

>​

CONTAINS​

CODE​

EV (111042, DCM,​

1-n​

U​

BCID 6030​

"Pathology")​

“MammographyPathology​

Codes”​

6​

>>​

HAS​

CODE​

EV (111388, DCM,​

1​

U​

DCID 6159 “Malignancy​

PROPERTIES​

"Malignancy Type")​

Type”​

7​

>>​

HAS​

NUM​

DCID 6165 “Breast Linear​ 1-n​

U​

UNITS = EV (mm, UCUM,​

PROPERTIES​

Measurements”​

"millimeter")​

8​

>>​

HAS​

CODE​

EV (373372005, SCT,​

1​

U​

BCID 6069 “Nottingham​

PROPERTIES​

"Histologicalgradefinding")​

Combined Histologic​

Grade”​

BCID 6070​

“Bloom-Richardson​

Histologic Grade”​

9​

>>>​

HAS CONCEPT​CODE​

EV (371469007, SCT,​

1​

U​

BCID 6071 “Histologic​

MOD​

"Histologic grade")​

Grading Method”​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 347​

NL​

Rel with Parent​ VT​

Concept Name​

VM​

Req​Condition​ Value Set Constraint​

Type​

10​

>>​

HAS​

CODE​

EV (372249001, SCT,​

1​

U​

DT (111470, DCM,​

PROPERTIES​

"Tumor margin status")​

"Uninvolved"),​

DT (111471, DCM,​

"Involved")​

11​

>>​

HAS​

CODE​

EV (111472, DCM, "Nipple​

1​

U​

DCID 230 “Yes-No”​

PROPERTIES​

involved")​

12​

>>​

HAS​

NUM​

EV(111473,DCM,"Number​ 1​

U​

UNITS = EV ({nodes},​

PROPERTIES​

of nodes removed")​

UCUM, "nodes")​

13​

>>​

HAS​

NUM​

EV(111474,DCM,"Number​ 1​

MC​ Shall be​ UNITS = EV ({nodes},​

PROPERTIES​

of nodes positive")​

present​

UCUM, "nodes")​

IFF value​

of row 12​

is > 0​

14​

>>​

HAS​

CODE​

EV (385385001, SCT, "pT​

1​

U​

DCID 6160 “Breast​

PROPERTIES​

category finding")​

Primary Tumor​

Assessment From AJCC”​

15​

>>​

HAS​

CODE​

EV (385382003, SCT,​

1​

U​

DCID 6161 “Clinical​

PROPERTIES​

"Node stage finding")​

Regional Lymph Node​

Assessment for Breast”​

16​

>>​

HAS​

CODE​

EV (385380006, SCT,​

1​

U​

DCID 6162 “Assessment​

PROPERTIES​

"Metastasis stage finding")​

of Metastasis for Breast”​

17​

>>​

HAS​

CODE​

EV (385356007, SCT,​

1​

U​

BCID6068“TumorStages​

PROPERTIES​

"Tumor stage finding")​

From AJCC”​

18​

>>​

HAS​

CODE​

EV (111475, DCM,​

1​

U​

DCID 250​

PROPERTIES​

"Estrogen receptor")​

“Positive-Negative”​

19​

>>​

HAS​

CODE​

EV (111476, DCM,​

1​

U​

DCID 250​

PROPERTIES​

"Progesterone receptor")​

“Positive-Negative”​

20​

>>​

HAS​

NUM​

EV (111477, DCM, "S​

1​

U​

UNITS = EV (%, UCUM,​

PROPERTIES​

Phase")​

"percent")​

21​

>>​

HAS​

CODE​

EV (48676-1, LN, "HER2")​

1​

U​

DCID 250​

PROPERTIES​

“Positive-Negative”​

Type:​

Non-Extensible​

Order:​

Significant​

Root:​

No​

Table TID 4208. Breast Imaging Report Supplementary Data​

NL​ Rel with Parent​

VT​

Concept Name​

VM​

Req​ Condition​Value Set​

Type​

Constraint​

1​

CONTAINER​ EV (111414, DCM,​

1​

M​

"Supplementary Data")​

2​

>​ CONTAINS​ INCLUDE​

DTID 4201 “Breast Imaging​

1-n​

M​

Procedure Reported”​

Page 348​

DICOM PS3.16 2020a - Content Mapping Resource​

NL​ Rel with Parent​

VT​

Concept Name​

VM​

Req​ Condition​Value Set​

Type​

Constraint​

3​

>​

CONTAINS​

CODE​

EV (111403, DCM, "Baseline​

1​

U​

DCID 230​

screening mammogram")​

“Yes-No”​

4​

>​

CONTAINS​

CODE​

EV (111404, DCM, "First​

1​

U​

DCID 230​

mammogram ever")​

“Yes-No”​

5​

>​

CONTAINS​

INCLUDE​

DTID 4205 “Breast Composition​

1​

U​

Section”​

6​

>​

CONTAINS​

INCLUDE​

DTID4206“BreastImagingReport​ 1-n​

U​

Finding Section”​

7​

>​

CONTAINS​

INCLUDE​

DTID4204“BreastImagingReport​ 1-n​

U​

Intervention Section”​

8​

>​

CONTAINS​

CONTAINER​ EV (111413, DCM, "Overall​

1​

U​

Assessment")​

9​

>>​

CONTAINS​

INCLUDE​

DTID 4203 “Breast Imaging​

1​

M​

Assessment”​

TID 4209 Breast Patient Characteristics​

Type:​

Extensible​

Order:​

Non-Significant​

Root:​

No​

Table TID 4209. Breast Patient Characteristics​

NL​

Rel with​

VT​

Concept Name​

VM​ Req Type​Condition​Value Set Constraint​

Parent​

1​

CONTAINER​EV (121118, DCM, "Patient​

1​

M​

Characteristics")​

5​

>​

CONTAINS​

CODE​

EV (11323-3, LN, "Health​

1​

U​

BCID 3772 “Health​

status")​

Status”​

5​

>​

CONTAINS​

CODE​

EV (C35461, NCIt, "Clinical​

1​

U​

BCID 6098 “Clinical​

course of disease")​

Course of Disease”​

Type:​

Extensible​

Order:​

Significant​

Root:​

Yes​

Table TID 5000. OB-GYN Ultrasound Procedure Report​

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​Condition​ Value Set​

Type​

Constraint​

1​

CONTAINER​EV (125000, DCM, "OB-GYN​

1​

M​

Root node​

Ultrasound Procedure​

Report")​

2​

>​ HAS CONCEPT​INCLUDE​

DTID 1204 “Language of​

1​

U​

MOD​

Content Item and​

Descendants”​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 349​

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​Condition​

Value Set​

Type​

Constraint​

3​ >​ HAS OBS​

INCLUDE​

DTID 1001 “Observation​

1​

M​

CONTEXT​

Context”​

Page 350​

DICOM PS3.16 2020a - Content Mapping Resource​

NL​ Rel with Parent​

VT​

Concept Name​

VM​

Req​Condition​ Value Set​

Type​

Constraint​

22​

>​

CONTAINS​

CONTAINER​EV(121070,DCM,"Findings")​ 1-n​

U​

23​

>>​

HAS CONCEPT​CODE​

EV (363698007, SCT,​

1​

M​

EV (281496003,​

MOD​

"Finding Site")​

SCT, "Pelvic​

Vascular Structure")​

24​

>>​

CONTAINS​

INCLUDE​

DTID 5026 “OB-GYN Pelvic​

1​

M​

$AnatomyGroup =​

Vascular Ultrasound​

DCID 12140 “Pelvic​

Measurement Group”​

Vasculature​

AnatomicalLocation”​

Content Item Descriptions​

Row 6​

No purpose of reference is specified.​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

NL​

Rel with Parent​

VT​

Concept Name​

VM​ Req Type​Condition​Value Set​

Constraint​

1​

CONTAINER​EV (121118, DCM, "Patient​

1​

M​

Characteristics")​

2​

>​

CONTAINS​

TEXT​

EV (121106, DCM, "Comment")​

1​

U​

3​

>​

CONTAINS​

NUM​

EV(8302-2,LN,"PatientHeight")​

1​

U​

4​

>​

CONTAINS​

NUM​

EV (29463-7, LN, "Patient​

1​

U​

Weight")​

5​

>​

CONTAINS​

NUM​

EV (11996-6, LN, "Gravida")​

1​

U​

6​

>​

CONTAINS​

NUM​

EV (11977-6, LN, "Para")​

1​

U​

7​

>​

CONTAINS​

NUM​

EV (11612-9, LN, "Aborta")​

1​

U​

8​

>​

CONTAINS​

NUM​

EV (33065-4, LN, "Ectopic​

1​

U​

Pregnancies")​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​