Файловый архив студентов. Файловый архив студентов.
1306 вузов, 5172 предметов.
/ Регистрация
FAQ Обратная связь Вопросы и предложения
Добавил:
course-as.ru Авшаров Евгений Михайлович, ejen@course-as.ru Инвестор и Технический директор ООО 'КУРС-АС1', Москва, http://www.course-as.ru, Все наиболее важное обо мне:http://www.course-as.ru/Avsharov.html Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз:
Институт Теоретической и Прикладной Эфиродинамики
Предмет:
DICOM - стандарт медицинских изображений
Файл:

PS-2020a / part16

.pdf
Скачиваний:
31
Добавлен:
01.06.2020
Размер:
45.31 Mб
Скачать
☆

 

DICOM PS3.16 2020a - Content Mapping Resource​

Page 381​

Row 1​

For an index type of measurement, the concept name of this row 1 will still be the original measurement concept​

 

name; it is row 2 that gives the indication that row 1 is actually an index type of measurement. When this happens,​

 

the measurement value of row 1 should be a value after being indexed and the measurement unit of row 1 should​

 

be an index type of unit.​

 

 

For example, to insert a "Stroke Volume Index" measurement to this SR object, the concept name of row 1 will be​

 

"StrokeVolume",itsnumericalvaluewillbethecalculationresultof"StrokeVolume/BSA"anditsunitsare"ml/cm2".​

Row 2​

When this row is available, the row 1 is an index calculation of the object.​

 

TID 5225 Cardiac Ultrasound Fetal Characteristics​

Contains a list of Fetus Specific characteristics.​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

 

Table TID 5225. Cardiac Ultrasound Fetal Characteristics​

 

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​

Condition​

Value Set​

 

 

 

 

 

 

Type​

 

Constraint​

1​

 

 

CONTAINER​EV (125015, DCM, "Fetus​

1​

M​

 

 

 

 

 

 

Characteristics")​

 

 

 

 

2​

>​

HAS OBS​

INCLUDE​

DTID 1008 “Subject​

1​

MC​

IF this Template is​

 

 

CONTEXT​

 

Context, Fetus”​

 

 

invokedmorethan​

 

 

 

 

 

 

 

once to describe​

 

 

 

 

 

 

 

 

more than one​

 

 

 

 

 

 

 

 

fetus.​

 

3​

>​

CONTAINS​

NUM​

EV (18185-9, LN,​

1​

U​

 

UNITS = DCID​

 

 

 

 

"Gestational Age")​

 

 

 

7456 “Units of​

 

 

 

 

 

 

 

 

Measure for​

 

 

 

 

 

 

 

 

Age”​

4​

>​

CONTAINS​

DATE​

EV (11778-8, LN, "EDD")​

1​

U​

 

 

5​

>​

CONTAINS​

NUM​

EV (8867-4, LN, "Heart​

1​

U​

 

 

 

 

 

 

Rate")​

 

 

 

 

TID 5226 Cardiac Ultrasound Summary Section​

Comments and observations of the procedure of immediate clinical interest.​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

 

Table TID 5226. Cardiac Ultrasound Summary Section​

 

NL​

Rel with​

VT​

Concept Name​

VM​

Req​

Condition​

Value Set Constraint​

 

 

Parent​

 

 

 

Type​

 

 

1​

 

 

CONTAINER​EV (121111, DCM,​

1​

M​

 

 

 

 

 

 

"Summary")​

 

 

 

 

2​

>​

CONTAINS​ CODE​

EV (121071, DCM,​

1-n​

MC​

IF row 3 does​BCID 12248 “Cardiac​

 

 

 

 

"Finding")​

 

 

not exist​

Ultrasound Summary​

 

 

 

 

 

 

 

 

Codes”​

3​

>​

CONTAINS​ TEXT​

EV (121071, DCM,​

1-n​

MC​

IF row 2 does​

 

 

 

 

 

"Finding")​

 

 

not exist​

 

- Standard -​

Page 382​

 

DICOM PS3.16 2020a - Content Mapping Resource​

 

 

NL​ Rel with​

VT​

Concept Name​

VM​

Req​

Condition​

Value Set Constraint​

 

 

Parent​

 

 

 

Type​

 

 

4​

>​

CONTAINS​

CODE​

EV (387713003, SCT,​

1-n​

U​

 

BCID 12247 “Pediatric,​

 

 

 

 

"Surgical Procedure")​

 

 

 

Fetal and Congenital​

 

 

 

 

 

 

 

 

Cardiac Surgical​

 

 

 

 

 

 

 

 

Interventions”​

TID 5227 Cardiac Ultrasound Fetal Summary Section​

 

 

 

Comments and observations of the procedure of immediate clinical interest.​

 

 

 

Type:​

 

Extensible​

 

 

 

 

Order:​

 

Significant​

 

 

 

 

Root:​

 

No​

 

 

 

 

 

 

 

Table TID 5227. Cardiac Ultrasound Fetal Summary Section​

 

NL​

Rel with​

VT​

Concept Name​

VM​

Req​

Condition​

ValueSetConstraint​

 

 

Parent​

 

 

 

Type​

 

 

1​

 

 

CONTAINER​DT (125008, DCM,​

1​

M​

 

 

 

 

 

 

"Fetus Summary")​

 

 

 

 

2​

>​

HAS OBS​

INCLUDE​ DTID 1008 “Subject​

1​

MC​ IF this Template is​

 

 

CONTEXT​

 

Context, Fetus”​

 

invoked more than​

 

 

 

 

 

 

once to describe​

 

 

 

 

 

 

more than one fetus​

3​

>​

CONTAINS​

CODE​

EV (121071, DCM,​

1-n​

MC​ IF row 4 does not​ BCID 12249 “Cardiac​

 

 

 

 

"Finding")​

 

exist​

Ultrasound Fetal​

 

 

 

 

 

 

 

 

Summary Codes”​

4​

>​

CONTAINS​

TEXT​

EV (121071, DCM,​

1-n​

MC​ IF row 3 does not​

 

 

 

 

"Finding")​

 

exist​

 

5​

>​

CONTAINS​

CODE​

EV (387713003, SCT,​

1-n​

U​

 

BCID 12247​

 

 

 

 

"Surgical Procedure")​

 

 

 

“Pediatric, Fetal and​

 

 

 

 

 

 

 

 

Congenital Cardiac​

 

 

 

 

 

 

 

 

SurgicalInterventions”​

TID 5228 Cardiac Ultrasound Fetal Measurement Section​

 

 

Type:​

 

Extensible​

 

 

 

 

Order:​

 

Significant​

 

 

 

 

Root:​

 

No​

 

 

 

 

 

 

 

Table TID 5228. Cardiac Ultrasound Fetal Measurement Section​

 

NL​

Rel with​

VT​

Concept Name​

VM​ Req​ Condition​ Value Set Constraint​

 

 

Parent​

 

 

Type​

 

 

1​

 

CONTAINER​EV (125016, DCM, "Fetal​

1​

M​

 

 

 

 

 

 

Measurements")​

 

 

 

 

2​

>​ HAS OBS​ INCLUDE​

DTID 1008 “Subject​

1​

MC​IF this​

 

 

CONTEXT​

 

Context, Fetus”​

 

Templateis​

 

 

 

 

 

 

 

invoked​

 

 

 

 

 

 

 

more than​

 

once to​ describe​ more than​ one fetus.​

- Standard -​

 

 

 

 

DICOM PS3.16 2020a - Content Mapping Resource​

 

Page 383​

 

NL​ Rel with​

VT​

Concept Name​

VM​

Req​ Condition​

Value Set Constraint​

 

 

Parent​

 

 

 

Type​

 

 

3​

>​

CONTAINS​INCLUDE​

DTID 300 “Measurement”​

1-n​

U​

$Measurement = DCID 12279​

 

 

 

 

 

 

 

“CardiacUltrasoundFetalGeneral​

 

 

 

 

 

 

 

Measurements”​

4​

>​

CONTAINS​INCLUDE​

DTID 5222 “Pediatric, Fetal​ 1-n​

U​

$SectionSubject = EV (4432005,​

 

 

 

 

and Congenital Cardiac​

 

 

SCT, "Ductus arteriosus")​

 

 

 

 

Ultrasound Section”​

 

 

$MeasType = DCID 12218​

 

 

 

 

 

 

 

 

 

 

 

 

 

 

“Echocardiography Congenital”​

5​

>​

CONTAINS​INCLUDE​

DTID 5222 “Pediatric, Fetal​ 1-n​

U​

$SectionSubject = EV​

 

 

 

 

and Congenital Cardiac​

 

 

(367624001, SCT, "Ductus​

 

 

 

 

Ultrasound Section”​

 

 

venosus")​

 

 

 

 

 

 

 

$MeasType = DCID 12218​

 

 

 

 

 

 

 

“Echocardiography Congenital”​

6​

>​

CONTAINS​INCLUDE​

DTID 5222 “Pediatric, Fetal​ 1-n​

U​

$SectionSubject=EV(50536004,​

 

 

 

 

and Congenital Cardiac​

 

 

SCT, "Umbilical artery")​

 

 

 

 

Ultrasound Section”​

 

 

$MeasType = DCID 12218​

 

 

 

 

 

 

 

 

 

 

 

 

 

 

“Echocardiography Congenital”​

7​

>​

CONTAINS​INCLUDE​

DTID 5222 “Pediatric, Fetal​ 1-n​

U​

$SectionSubject = EV​

 

 

 

 

and Congenital Cardiac​

 

 

(367567000, SCT, "Umbilical​

 

 

 

 

Ultrasound Section”​

 

 

vein")​

 

 

 

 

 

 

 

$MeasType = DCID 12218​

 

 

 

 

 

 

 

“Echocardiography Congenital”​

8​

>​

CONTAINS​INCLUDE​

DTID 5222 “Pediatric, Fetal​ 1-n​

U​

$SectionSubject=EV(17232002,​

 

 

 

 

and Congenital Cardiac​

 

 

SCT, "Middle cerebral artery")​

 

 

 

 

Ultrasound Section”​

 

 

$MeasType = DCID 12218​

 

 

 

 

 

 

 

 

 

 

 

 

 

 

“Echocardiography Congenital”​

Simplified Adult Echocardiography Templates ​

The templates that comprise the Simplified Adult Echocardiography Report are interconnected as in Figure A-10b.​

TID 5300

 

 

TID 1001

Simplified Echo

 

 

Observation

Procedure Report

 

 

Context

 

 

 

TID 1204

 

 

 

Language of

 

 

 

Content Item and

 

 

 

Descendants

 

 

 

TID 3602

 

 

 

Cardiovascular

 

 

 

Patient

 

 

 

 

 

 

Characteristics

 

 

 

TID 5301

 

 

 

Pre-Coordinated

 

 

 

Echo Measurement

 

 

 

TID 5302

 

 

 

Post-Coordinated

 

 

 

Echo Measurement

 

 

 

TID 5303

 

 

 

Ad hoc Measurement

 

 

 

TID 5204

 

 

 

Wall Motion Analysis

Figure A-10b. Simplified Adult Echocardiography Template Structure​

- Standard -​

Page 384​

DICOM PS3.16 2020a - Content Mapping Resource​

TID 5300 Simplified Echo Procedure Report​

This template forms the top of a content tree that allows an ultrasound device to describe the results of an adult echocardiography​ imaging procedure.​

The template is instantiated at the root node. It can also be included in other templates that need to incorporate echocardiography​ findings into another report as quoted evidence.​

This template does not include an Image Library. Image Content Items in the Echo Measurement templates (for example to indicate​ Source of Measurement) shall be included with by-value relationships, not with by-reference relationships.​

Measurements in this template (except for the Wall Motion Analysis) are collected into one of three containers, each with a specific​ sub-template and constraints appropriate to the purpose of the container.​

•​Pre-coordinated Measurements​

•​Are fully standardized measurements (many taken from the ASE practice guidelines).​

•​Each has a single pre-coordinated standard code that fully captures the semantics of the measurement.​

•​The only modifiers permitted are to indicate coordinates where the measurement was taken, provide a brief display label, and​ indicate which of a set of repeated measurements is the preferred value. Other modifiers are not permitted.​

•​Post-coordinated Measurements​

•​Are non-standardized measurements that are performed with enough regularity to merit the control and configuration to capture​ thefullsemanticsofthemeasurement.Forexamplethesemeasurementsmayincludethoseconfiguredonthecartbythevendor​ or user site. Some of these may be variants of the Pre-coordinated Measurements.​

•​A set of mandatory and conditional modifiers with controlled vocabularies capture the essential semantics in a uniform way.​

•​A single pre-coordinated code is also provided so that when the same type of measurement is encountered in the future, it is not​ necessarytoparseandevaluatethefullconstellationofmodifervalues.Sincethismeasurementhasnotbeenfullystandardized,​ the pre-coordinated code may use a private coding scheme (e.g., from the vendor or user site).​

•​Adhoc Measurements​

•​Are non-standardized measurements that do not merit the effort to track or configure all the details necessary to populate the​ set of modifiers required for a post-coordinated measurement.​

•​The measurement code describes the elementary property measured.​

•​Modifiers provide a brief display label and indicate coordinates where the measurement was taken. Other modifiers are not per-​ mitted.​

For an example of this encoding and a discussion of the benefits and use cases, see Annex CCCC Populating The Simplified Echo​ Procedure Report Template (Informative) in PS3.17.​

Type:​

Non-Extensible​

Order:​

Significant​

Root:​

Yes​

 

Table TID 5300. Simplified Echo Procedure Report​

 

NL​ RelwithParent​ VT​

Concept Name​

VM​

Req​Condition​Value Set Constraint​

 

 

 

 

Type​

1​

CONTAINER​EV (125200, DCM, "Adult​

1​

M​

 

 

Echocardiography Procedure​

 

 

 

 

Report")​

 

 

2​

>​ HASCONCEPT​INCLUDE​

DTID 1204 “Language of​

1​

U​

 

MOD​

Content Item and​

 

 

 

 

Descendants”​

 

 

- Standard -​

 

 

 

DICOM PS3.16 2020a - Content Mapping Resource​

Page 385​

 

NL​ RelwithParent​ VT​

Concept Name​

VM​

Req​Condition​Value Set Constraint​

 

 

 

 

 

 

Type​

 

3​

>​

HAS OBS​

INCLUDE​

DTID 1001 “Observation​

1​

M​

 

 

 

CONTEXT​

 

Context”​

 

 

 

4​

>​

CONTAINS​

CONTAINER​DT (55111-9, LN, "Current​

1​

U​

 

 

 

 

 

Procedure Descriptions")​

 

 

 

5​

>>​

CONTAINS​

CODE​

DT (125203, DCM,​

1-n​

M​

BCID12001“Ultrasound​

 

 

 

 

"Acquisition Protocol")​

 

 

Protocol Types”​

6​

>​

CONTAINS​

CONTAINER​EV(18785-6,LN,"Indications​

1​

U​

 

 

 

 

 

for Procedure")​

 

 

 

7​

>>​

CONTAINS​

CODE​

EV (121071, DCM, "Finding")​ 1-n​

U​

DCID 12246 “Cardiac​

 

 

 

 

 

 

 

UltrasoundIndicationfor​

 

 

 

 

 

 

 

Study”​

8​

>>​

CONTAINS​

TEXT​

EV (121071, DCM, "Finding")​

1​

U​

 

9​

>​

CONTAINS​

INCLUDE​

DTID 3602 “Cardiovascular​

1​

U​

 

 

 

 

 

Patient Characteristics”​

 

 

 

10​

>​

CONTAINS​

CONTAINER​EV (125301, DCM,​

1​

M​

 

 

 

 

 

"Pre-coordinated​

 

 

 

 

 

 

 

Measurements")​

 

 

 

11​

>>​

CONTAINS​

INCLUDE​

DTID 5301 “Pre-coordinated​

1-n​

M​

$Measurement = DCID​

 

 

 

 

Echo Measurement”​

 

 

12300 “Core Echo​

 

 

 

 

 

 

 

Measurements”​

 

 

 

 

 

 

 

$Preferred = DCID​

 

 

 

 

 

 

 

12301 “Measurement​

 

 

 

 

 

 

 

Selection Reasons”​

12​

>​

CONTAINS​

CONTAINER​EV (125302, DCM,​

1​

M​

 

 

 

 

 

"Post-coordinated​

 

 

 

 

 

 

 

Measurements")​

 

 

 

13​

>>​

CONTAINS​

INCLUDE​

DTID 5302 “Post-coordinated​ 1-n​

U​

$Preferred = DCID​

 

 

 

 

Echo Measurement”​

 

 

12301 “Measurement​

 

 

 

 

 

 

 

Selection Reasons”​

14​

>​

CONTAINS​

CONTAINER​EV (125303, DCM, "Adhoc​

1​

M​

 

 

 

 

 

Measurements")​

 

 

 

15​

>>​

CONTAINS​

INCLUDE​

DTID 5303 “Adhoc​

1-n​

U​

$Property=DCID12304​

 

 

 

 

Measurement”​

 

 

“Echo Measured​

 

 

 

 

 

 

 

Properties”​

16​

>​

CONTAINS​

INCLUDE​

DTID 5204 “Wall Motion​

1-n​

U​

$Procedure = DT​

 

 

 

 

Analysis”​

 

 

(35757004, SCT,​

 

 

 

 

 

 

 

"Echocardiography for​

 

 

 

 

 

 

 

Determining Ventricular​

 

 

 

 

 

 

 

Contraction")​

17​

>​

CONTAINS​

CONTAINER​EV (125310, DCM, "Staged​

1​

U​

 

 

 

 

 

Measurements")​

 

 

 

18​

>>​

HAS ACQ​

CODE​

EV (18139-6, LN, "Stage")​

1​

M​

BCID 3207 “Stress Test​

 

 

CONTEXT​

 

 

 

 

Procedure Phases”​

19​

>>​

CONTAINS​

CONTAINER​EV (125301, DCM,​

1​

M​

 

 

 

 

 

"Pre-coordinated​

 

 

 

 

 

 

 

Measurements")​

 

 

 

- Standard -​

Page 386​

 

DICOM PS3.16 2020a - Content Mapping Resource​

 

 

NL​ RelwithParent​ VT​

Concept Name​

VM​

Req​Condition​Value Set Constraint​

 

 

 

 

 

 

Type​

 

20​

>>>​

CONTAINS​

INCLUDE​

DTID 5301 “Pre-coordinated​

1-n​

U​

$Measurement = DCID​

 

 

 

 

Echo Measurement”​

 

 

12300 “Core Echo​

 

 

 

 

 

 

 

Measurements”​

 

 

 

 

 

 

 

$Preferred = DCID​

 

 

 

 

 

 

 

12301 “Measurement​

 

 

 

 

 

 

 

Selection Reasons”​

21​

>>​

CONTAINS​

CONTAINER​EV (125302, DCM,​

1​

M​

 

 

 

 

 

"Post-coordinated​

 

 

 

 

 

 

 

Measurements")​

 

 

 

22​

>>>​

CONTAINS​

INCLUDE​

DTID 5302 “Post-coordinated​ 1-n​

U​

$Preferred = DCID​

 

 

 

 

Echo Measurement”​

 

 

12301 “Measurement​

 

 

 

 

 

 

 

Selection Reasons”​

23​

>>​

CONTAINS​

CONTAINER​EV (125303, DCM, "Adhoc​

1​

M​

 

 

 

 

 

Measurements")​

 

 

 

24​

>>>​

CONTAINS​

INCLUDE​

DTID 5303 “Adhoc​

1-n​

U​

$Property=DCID12304​

 

 

 

 

Measurement”​

 

 

“Echo Measured​

 

 

 

 

 

 

 

Properties”​

Content Item Descriptions​

 

 

 

 

 

Row 8​

Atextstringcontainingoneormoresentencesdescribingoneormoreindications,possiblywithadditionalcomments​

 

 

from the physician or tech.​

 

 

 

 

Row 11​ These are measurements from a standardized list of pre-coordinated codes. See CID 12300 “Core Echo​ Measurements”. Measurements which do not correspond to the full semantics of one of the pre-coordinated codes​ in CID 12300 can likely be encoded in Row 13 instead.​

Multiple instances of the same measurement code may be present in the container. Each instance represents a​ different sample or derivation.​

This template makes no requirement that any or all samples be sent. For example, a mean value of all the samples​ ofagivenmeasurementcouldbesentwithoutsendingalloranyofthesamplesfromwhichthemeanwascalculated.​ Device configuration and/or operator interactions determine what measurements are sent.​

Row 13​ These are measurements that can be encoded using a standardized structure of post-coordinated codes.​ Measurements which correspond to the full semantics of one of the pre-coordinated codes in CID 12300 “Core​ Echo Measurements” should be encoded in Row 11 instead.​

$Measurement shall be provided, but is not constrained to a CID.​

Multiple instances of the same measurement code may be present in the container. Each instance represents a​ different sample or derivation.​

This template makes no requirement that any or all samples be sent. For example, a mean value of all the samples​ ofagivenmeasurementcouldbesentwithoutsendingalloranyofthesamplesfromwhichthemeanwascalculated.​ Device configuration and/or operator interactions determine what measurements are sent.​

Row 15​ These are adhoc measurements encoded with minimal semantics.​

Row 13 can be used to encode measurements with more complete semantics.​

$Units shall be provided, but is not constrained to a CID.​

Device configuration and/or operator interactions determine what measurements are sent.​

Rows 17-24​ When present, these rows contain measurements and associate them with a specific stage of a staged procedure.​

- Standard -​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 387​

TID 5301 Pre-coordinated Echo Measurement​

This template codes numeric echo measurements where most of the details about the nature of the measurement have been pre-​ coordinated in the measurement code. In contrast, see TID 5302 “Post-coordinated Echo Measurement”.​

The pre-coordinated measurement code is provided when this Template is included from a parent Template.​

 

 

 

 

Table TID 5301. Parameters​

 

 

 

Parameter Name​

 

 

Parameter Usage​

 

$Measurement​

 

Coded term or Context Group for Concept Name of measurement​

$Preferred​

 

 

Flag the preferred value by indicating the reason it was selected as preferred.​

Type:​

 

Non-Extensible​

 

 

 

 

Order:​

 

Significant​

 

 

 

 

Root:​

 

No​

 

 

 

 

 

 

 

 

Table TID 5301. Pre-coordinated Echo Measurement​

 

 

NL​

Rel with​

VT​

Concept Name​

VM​

Req​

Condition​

Value Set Constraint​

 

 

Parent​

 

 

 

Type​

 

 

1​

 

 

NUM​

$Measurement​

1​

M​

 

 

2​

>​

HAS​

CODE​

EV (121404, DCM,​

1​

MC​ IFF this​

$Preferred = MemberOf​

 

 

PROPERTIES​

"Selection Status")​

 

 

measurement has​{DCID 12301​

 

 

 

 

 

 

 

been selected as​ “Measurement Selection​

 

 

 

 

 

 

 

thesinglepreferred​Reasons”}​

 

 

 

 

 

 

 

value for the​

 

 

 

 

 

 

 

 

measured concept.​

3​

>​

HAS​

CODE​

EV (121401, DCM,​

1​

MC​ IFF this​

EV (373098007, SCT,​

 

 

CONCEPT​

 

"Derivation")​

 

 

measurementisnot​"Mean")​

 

 

MOD​

 

 

 

 

a sample.​

 

4​

>​

 

INCLUDE​DTID 320 “Image or​

1-n​

U​

 

$Purpose = EV (121112,​

 

 

 

 

Spatial Coordinates”​

 

 

 

DCM, "Source of​

 

 

 

 

 

 

 

 

measurement")​

5​

>​

 

INCLUDE​DTID 321 “Waveform or​ 1-n​

U​

 

$Purpose = EV (121112,​

 

 

 

 

Temporal Coordinates”​

 

 

 

DCM, "Source of​

 

 

 

 

 

 

 

 

measurement")​

6​

>​

HAS​

TEXT​

EV (125309, DCM,​

1​

U​

 

 

 

 

PROPERTIES​

"Short Label")​

 

 

 

 

Content Item Descriptions​

Row 2​ The reason that this value was selected as the preferred value for the measured concept.​

The parent template may allow TID 5301 “Pre-coordinated Echo Measurement” to be included multiple times with the​ same Measurement Concept Name, for example to allow multiple samples of the measurement.​

A given Measurement Concept Name might appear only once in the instance, in which case this this row may or may​ notbepresent.AgivenMeasurementConceptNamemayappearmultipletimes,howeverthisrowshallnotbepresent​ for more than one value of the given Measurement Concept Name. E.g. multiple measurements of (11706-9, LN,​ "Aortic Valve Peak Systolic Flow") may be present, but only one may be selected as preferred.​

- Standard -​

Page 388​

DICOM PS3.16 2020a - Content Mapping Resource​

Row 3​ The method used to derive this measurement value from multiple samples of the Measurement Concept Name.​

If Row 3 is not present, then this measurement value is simply a single sample of the Measurement Concept Name.​

Note​

A measurement value that is a mean value of other measurements and was also selected as the preferred​ value because it is the mean will have both Row 2 and Row 3 present.​

Row 6​ This may be used to label the measurement value when space is limited on the screen or report page. E.g. a Short​ Label of "LVIDD" might be provided for a measurement of the left ventricle internal diameter at end diastole.​

Note​

Short Labels are not standardized and may omit details of the measurement, thus it is not recommended to​ use them for purposes such as matching.​

TID 5302 Post-coordinated Echo Measurement​

This template codes numeric echo measurements where most of the details about the nature of the measurement have been post-​ coordinated in modifiers and acquisition context. In contrast, see TID 5301 “Pre-coordinated Echo Measurement” .​

This template is intended to be used for User-defined and Vendor-defined Echo Measurements.​

Several modifier rows are conditional and are omitted when the modifier concept is not significant for the measurement encoded in​ the item. When these modifiers are included by the sender, it indicates that the modifier concept is significant and receivers will gen-​ erally treat the measurements differently than similar measurements sent that omit that modifier.​

Note​

The codes in the CIDs referenced below were sufficient to accurately encode all the best practice echo measurements re-​ commendedbytheASE.If,however,anewcodeisneededtorecordaspecificUser-definedorVendor-definedmeasurement,​ most of the CIDs are extensible. It is not unreasonable to expect that measurements might be made at other Finding Sites​ than those listed in CID 12305 “Basic Echo Anatomic Sites” , or using Measurement Methods beyond those listed in CID​ 12227 “Echocardiography Measurement Method” .​

Theconceptmodifiersinthetemplatebelowweresufficienttoaccuratelyencodeallthebestpracticeechomeasurementsrecommended​ by the ASE. Although TID 5302 “Post-coordinated Echo Measurement” is extensible and adding new modifiers is not prohibited, the​ meaning and significance of such new modifiers will generally not be understood by receiving systems, delaying or preventing import​ of such measurements. Further, adding modifiers that replicate the meaning of an existing modifier is prohibited.​

If such measurements cannot be encoded with the following structure, an implementation may choose to code the measurement in​ TID 5303 “Adhoc Measurement” , or to use TID 5200 “Echocardiography Procedure Report” instead of TID 5300 “Simplified Echo​ Procedure Report” .​

 

 

 

Table TID 5302. Parameters​

 

 

 

Parameter Name​

 

 

Parameter Usage​

 

$Measurement​

 

Coded term or Context Group for Concept Name of measurement​

$Preferred​

 

 

Flag the preferred value by indicating the reason it was selected as preferred.​

Type:​

 

Extensible​

 

 

 

Order:​

 

Significant​

 

 

 

Root:​

 

No​

 

 

 

 

 

Table TID 5302. Post-coordinated Echo Measurement​

 

NL​Rel with Parent​

VT​

Concept Name​

VM​ Req​

Condition​

Value Set Constraint​

 

 

 

 

Type​

 

 

1​

NUM​

$Measurement​

1​ M​

 

 

- Standard -​

 

 

 

DICOM PS3.16 2020a - Content Mapping Resource​

Page 389​

 

NL​Rel with Parent​ VT​

Concept Name​

VM​ Req​

Condition​

Value Set Constraint​

 

 

 

 

 

 

Type​

 

2​

>​

HAS​

CODE​

EV (121050, DCM,​

1-n​

U​

 

 

 

 

PROPERTIES​

 

"Equivalent Meaning of​

 

 

 

 

 

 

 

 

Concept Name")​

 

 

 

 

3​

>​

HAS​

CODE​

EV (121404, DCM,​

1​

MC​ IFF this measurement​$Preferred=MemberOf​

 

 

PROPERTIES​

 

"Selection Status")​

 

 

has been selected as​ {DCID 12301​

 

 

 

 

 

 

 

the single preferred​

“Measurement​

 

 

 

 

 

 

 

value for the measured​Selection Reasons”}​

 

 

 

 

 

 

 

concept.​

 

4​

>​

HAS CONCEPT​CODE​

EV (121401, DCM,​

1​ MC​ IFF this measurement​EV (373098007, SCT,​

 

 

MOD​

 

"Derivation")​

 

 

is not a sample.​

"Mean"))​

5​

>​

 

INCLUDE​DTID 320 “Image or​

1-n​

U​

 

$Purpose=EV(121112,​

 

 

 

 

Spatial Coordinates”​

 

 

 

DCM, "Source of​

 

 

 

 

 

 

 

 

measurement")​

6​

>​

 

INCLUDE​DTID 321 “Waveform or​ 1-n​

U​

 

$Purpose = EV​

 

 

 

 

Temporal Coordinates”​

 

 

 

(121112,DCM,"Source​

 

 

 

 

 

 

 

 

of measurement")​

7​

>​

HAS CONCEPT​CODE​

EV (125306, DCM,​

1​

M​

 

DCID 12303 “Echo​

 

 

MOD​

 

"Measurement Type")​

 

 

 

Measurement Types”​

8​

>​

HAS CONCEPT​CODE​

EV (363698007, SCT,​

1​

M​

 

DCID 12305 “Basic​

 

 

MOD​

 

"Finding Site")​

 

 

 

Echo Anatomic Sites”​

9​

>​

HAS CONCEPT​CODE​

EV (125305, DCM,​

1​

M​

 

DCID 12302 “Echo​

 

 

MOD​

 

"Finding Observation​

 

 

 

Finding Observation​

 

 

 

 

Type")​

 

 

 

Types”​

10​

>​

HAS CONCEPT​CODE​

EV (125307, DCM,​

1​

M​

 

DCID 12304 “Echo​

 

 

MOD​

 

"Measured Property")​

 

 

 

Measured Properties”​

11​

>​

HAS CONCEPT​CODE​

EV (260674002, SCT,​

1​ MC​ IFF Row 9 is​

DCID 12306 “Echo​

 

 

MOD​

 

"Flow Direction")​

 

 

(44324008, SCT,​

Flow Directions”​

 

 

 

 

 

 

 

"Hemodynamic​

 

 

 

 

 

 

 

 

Measurements") and​

 

 

 

 

 

 

 

 

the Flow Direction is​

 

 

 

 

 

 

 

 

significant for this​

 

 

 

 

 

 

 

 

measurement.​

 

12​

>​

HAS CONCEPT​CODE​

EV (370129005, SCT,​

1​ MC​ IFF the Measurement​ DCID 12227​

 

 

MOD​

 

"Measurement Method")​

 

 

Methodissignificantfor​“Echocardiography​

 

 

 

 

 

 

 

this measurement.​

Measurement Method”​

13​

>​

HAS ACQ​

CODE​

EV (399264008, SCT,​

1​ MC​ IFF the Image Mode is​DCID 12224​

 

 

CONTEXT​

 

"Image Mode")​

 

 

significant for this​

“Ultrasound Image​

 

 

 

 

 

 

 

measurement.​

Modes”​

14​

>​

HAS ACQ​

CODE​

EV (111031, DCM,​

1​ MC​ IFF the Image View is​DCID 12226​

 

 

CONTEXT​

 

"Image View")​

 

 

significant for this​

“Echocardiography​

 

 

 

 

 

 

 

measurement.​

Image View”​

15​

>​

HAS CONCEPT​CODE​

EV (272518008, SCT,​

1​ MC​ IFF the Cardiac Cycle​DCID 12307 “Cardiac​

 

 

MOD​

 

"Cardiac Cycle Point")​

 

 

Point is significant for​ Phases and Time​

 

 

 

 

 

 

 

this measurement.​

Points”​

16​

>​

HAS CONCEPT​CODE​

EV (272517003, SCT,​

1​ MC​ IFF the Respiratory​

DCID 12234​

 

 

MOD​

 

"Respiratory Cycle​

 

 

CyclePointissignificant​“Respiration State”​

 

 

 

 

Point")​

 

 

for this measurement.​

 

- Standard -​

Page 390​

 

DICOM PS3.16 2020a - Content Mapping Resource​

 

 

NL​Rel with Parent​ VT​

Concept Name​

VM​ Req​

Condition​

Value Set Constraint​

 

 

 

 

 

Type​

 

17​

>​

HAS CONCEPT​CODE​

EV (125308, DCM,​

1​ MC​ IFF the value of Row 7​

 

 

MOD​

 

"Measurement Divisor")​

 

is (125313, DCM,​

 

 

 

 

 

 

 

"Indexed") or​

 

 

 

 

 

 

 

(118586006, SCT,​

 

 

 

 

 

 

 

"Ratio") or (125314,​

 

 

 

 

 

 

 

DCM, "Fractional​

 

 

 

 

 

 

 

Change")​

 

18​

>​

HAS​

TEXT​

EV (125309, DCM,​

1​ U​

 

 

 

 

PROPERTIES​

 

"Short Label")​

 

 

 

Content Item Descriptions​

Row 1​ A fully pre-coordinated code that incorporates all the semantics of Rows 7-17 for this measurement.​

Thecodeisintendedtoallowparserstorecognizepost-coordinatedmeasurementsthathavebeenpreviouslyencountered,​ thus facilitating incorporation of the measurement into databases, report templates, registries, etc. Typically these codes​ will be from a vendor or site specific coding scheme, e.g., 99ACME. Sending the same code consistently in different​ reports will depend on the recording system maintaining a stable list of these pre-coordinated codes. Such a list might​ be configured or internally generated and managed.​

This shall be populated by the recording system. If the recording system does not have a method to ensure that all​ occurrences of the same post-coordinated measurement use the same code, it shall use the code (125304, DCM,​ "Untrackable Measurement").​

Note​

1.​Two measurements with the same pre-coordinated code have, by definition, the same semantics (except​ for "Untrackable Measurements")​

2.​Two measurements with the same constellation of modifier values have the same semantics but may have​ different pre-coordinated codes because they​

•​come from carts of different vendors who don't share the same code table​

•​come from carts of the same vendor, but the carts don't share the same code table​

•​come from the same cart, but it's code table has been modified​

•​come from the same cart, but it does not maintain a code table​

3.​Two measurements with the same constellation of modifier values and different pre-coordinated codes​ have the same semantics and the receiver is entitled to treat them as the same (with respect to the scope​ of those modifiers)​

4.​Recommended units for various Measured Properties (Row 10) can be found in the Units column of CID​ 12304 “Echo Measured Properties” .​

5.​WhentheMeasurementType(Row7)is(125313,DCM,"Indexed"),(118586006,SCT,"Ratio")or(125314,​ DCM, "Fractional Change") , the Units for Row 1 corresponds to the fully calculated $Measurement,​ incorporatingboththenumerator(Row10)andthedenominator(Row17).E.g.ameasureofLeftVentricular​ Outflow Tract Diameter / BSA would have units of (cm/m2, UCUM, "cm/m2") in Row 1, (125313, DCM,​ "Indexed") in Row 7, (81827009, SCT, "Diameter") in Row 10, and (8277-6, LN, "Body Surface Area") in​ Row 17.​

Row 2​ One or more additional fully pre-coordinated codes which are semantically equivalent to the code in Row 1.​

This may be used to communicate known mappings, such as to national registry codes or other vendors' codes.​

- Standard -​

Соседние файлы в папке PS-2020a
Помощь Обратная связь Вопросы и предложения Пользовательское соглашение Политика конфиденциальности