PS-2020a / part16

NL​

Rel with​

VT​

Concept Name​

VM​

Req​Condition​ Value Set Constraint​

Parent​

Type​

1​

CONTAINER​EV (111517, DCM,​

1​

M​

"Relevant Patient​

Information")​

2​

>​

HAS​

INCLUDE​

DTID 1204 “Language of​

1​

M​

CONCEPT​

Content Item and​

MOD​

Descendants”​

3​

>​

CONTAINS​

INCLUDE​

DTID 3114 “Patient​

1​

U​

Assessment”​

4​

>​

CONTAINS​

INCLUDE​

DTID 9002 “Medication,​

1​

U​

$ContainerConcept = EV​

Substance, Environmental​

(10160-0, LN, "History Of​

Exposure”​

Medication Use")​

$CodeConcept=EV(111516,​

DCM, "Medication Type")​

5​

>​

CONTAINS​

INCLUDE​

DTID 9002 “Medication,​

1​

U​

$ContainerConcept = EV​

Substance, Environmental​

(111545, DCM, "Substance​

Exposure”​

Use History")​

$CodeConcept=EV(111546,​

DCM, "Used Substance​

Type")​

$CodeValue = BCID 6089​

“Substances”​

6​

>​

CONTAINS​

INCLUDE​

DTID 9002 “Medication,​

1​

U​

$ContainerConcept = EV​

Substance, Environmental​

(111547, DCM,​

Exposure”​

"Environmental Exposure​

History")​

$CodeConcept=EV(111548,​

DCM,"EnvironmentalFactor")​

7​

>​

CONTAINS​

INCLUDE​

DTID 9003 “Previous​

1​

U​

$LateralityValue = BCID 244​

Procedure”​

“Laterality”​

8​

>​

CONTAINS​

INCLUDE​

DTID 9004 “Indicated​

1​

U​

$LateralityValue = BCID 244​

Problem”​

“Laterality”​

9​

>​

CONTAINS​

INCLUDE​

DTID 9005 “Risk Factor”​

1​

U​

$RiskList = BCID 6087​

“General Risk Factors”​

$FamilyList = DCID 7451​

“Family Member”​

10​

>​

CONTAINS​

INCLUDE​

DTID 9001 “Gynecological​

1​

U​

History”​

11​

>​

CONTAINS​

INCLUDE​

DTID 9006 “Obstetric​

1​

U​

History”​

12​

>​

CONTAINS​

INCLUDE​

DTID 3802 “Cardiovascular​ 1​

U​

Patient History”​

13​

>​

CONTAINS​

INCLUDE​

DTID 351 “Previous​

1​

U​

Reports”​

Page 422​

DICOM PS3.16 2020a - Content Mapping Resource​

Type:​

Extensible​

Order:​

Non-Significant​

Root:​

Yes​

NL​

Rel with​

VT​

Concept Name​

VM​

Req​

Condition​ Value Set Constraint​

Parent​

Type​

1​

CONTAINER​EV (113701, DCM, "X-Ray​

1​

M​

Root node​

Radiation Dose Report")​

1b​

>​

HAS​

INCLUDE​

DTID 1204 “Language of​

1​

U​

CONCEPT​

Content Item and​

MOD​

Descendants”​

2​

>​

HAS​

CODE​

EV (121058, DCM,​

1​

M​

DT (113704, DCM,​

CONCEPT​

"Procedure reported")​

"Projection X-Ray")​

MOD​

DT (71651007, SCT,​

"Mammography")​

3​

>>​

HAS​

CODE​

EV (363703001, SCT, "Has​ 1​

M​

DCID 3629 “Procedure​

CONCEPT​

Intent")​

Intent”​

MOD​

Page 423​

NL​

Rel with​

VT​

Concept Name​

VM​

Req​ Condition​

Value Set Constraint​

Parent​

Type​

4​

>​

CONTAINS​

CODE​

EV (122142, DCM,​

1​

U​

DCID10032“Projection​

"Acquisition Device Type")​

X-Ray Acquisition​

Device Types”​

5​

>​

INCLUDE​

DTID 1002 “Observer​

1-n​

M​

Context”​

6​

>​

HAS OBS​

CODE​

EV (113705, DCM, "Scope​

1​

M​

DCID 10000 “Scope of​

CONTEXT​

of Accumulation")​

Accumulation”​

7​

>>​

HAS​

UIDREF​

DCID 10001 “UID Types”​

1​

M​

PROPERTIES​

8​

>​

CONTAINS​

CODE​

EV (113945, DCM, "X-Ray​

1​

U​

DCID 230 “Yes-No”​

Detector Data Available")​

9​

>​

CONTAINS​

CODE​

EV (113943, DCM, "X-Ray​

1​

U​

DCID 230 “Yes-No”​

Source Data Available")​

10​

>​

CONTAINS​

CODE​

EV (113944, DCM, "X-Ray​

1​

U​

DCID 230 “Yes-No”​

MechanicalDataAvailable")​

11​

>​

CONTAINS​

INCLUDE​

DTID 10002 “Accumulated​

1​

MC​ IFF Single​

$Plane = EV (113622,​

X-Ray Dose”​

Plane system​

DCM, "Single Plane")​

12​

>​

CONTAINS​

INCLUDE​

DTID 10002 “Accumulated​

1​

MC​ IFF Biplane​

$Plane = EV (113620,​

X-Ray Dose”​

system​

DCM, "Plane A")​

13​

>​

CONTAINS​

INCLUDE​

DTID 10002 “Accumulated​

1​

MC​ IFF Biplane​

$Plane = EV (113621,​

X-Ray Dose”​

system​

DCM, "Plane B")​

14​

>​

CONTAINS​

INCLUDE​

DTID 10003 “Irradiation​

1-n​

MC​ IF any of the​

Event X-Ray Data”​

values of TID​

(10001)Row18​

are not​

(113858, DCM,​

"MPPS​

Content"),​

(113866, DCM,​

"Copied From​

Image​

Attributes") or​

(113867, DCM,​

"Computed​

From Image​

Attributes")​

15​

>​

CONTAINS​

TEXT​

EV (121106, DCM,​

1​

U​

"Comment")​

16​

>​

CONTAINS​

IMAGE​

EV (121342, DCM, "Dose​

1-n​

U​

Image")​

17​

>​

CONTAINS​

INCLUDE​

DTID 1020 “Person​

1​

U​

$PersonProcedureRole​

Participant”​

= EV (113850, DCM,​

"IrradiationAuthorizing")​

18​

>​

CONTAINS​

CODE​

EV (113854, DCM, "Source​1-n​

M​

DCID 10020 “Source of​

of Dose Information")​

Projection X-Ray Dose​

Information”​

Page 424​

DICOM PS3.16 2020a - Content Mapping Resource​

Row 2​

"Projection X-Ray" refers to procedures performed on either integrated equipment (where information is passed​

between the X-Ray source (generator and tube), detector, and mechanical systems), or non-integrated equipment​

(where data might not be available for one or more components such as cassette-based systems). The data​

availability can be described in Rows 8, 9 and 10. The specific type of equipment can be described in Row 4.​

The coded term for "Mammography" is intended to encompass all types of projection X-Ray imaging of the breast.​

Note​

Mammography exams are distinguished by a different value in this attribute, Angiography exams are​

distinguished by the Irradiation Event Type attribute = Fluoroscopy, CR/DR exams are distinguished by​

one or more of the Data Availability Flags = No, and CT exams are distinguished by the use of a different​

Template.​

Row 5​

The observer context may include both a Person Observer identification, as well as the identity of the equipment​

providing the values for the irradiation event (Device Observer identification), if not inherited.​

Row 8​

A value of "No" indicates that details associated with the X-Ray Detector are not available to the device generating​

thisreport.Forexample,anX-RaySourcesystemmightlackanycommunicationwiththeassociatedcassette-based​

X-Ray detector or any method of entering such information.​

A value of "Yes" or the absence of this row means that the details are available.​

Row 9​

A value of "No" indicates that details associated with the X-Ray Source are not available to the device generating​

this report. For example, a cassette-based X-Ray detector might lack any communication with the associated​

X-Ray Source or any method of entering such information.​

A value of "Yes" or the absence of this row means that the details are available.​

Row 10​

A value of "No" indicates that details associated with the Gantry and/or Table are not available to the device​

generating this report. For example, a cassette-based X-Ray detector might lack any communication with the​

associated gantry/table or any method of entering such information.​

A value of "Yes" or the absence of this row means that the details are available.​

Row 11​

Cassette-based X-Ray systems should consider themselves to be Single Plane systems.​

Row 14​

Details of the underlying irradiation events. If Row 18 has a value of "MPPS Content" then a TID 10003 “Irradiation​

Event X-Ray Data” item may be generated for each item in the MPPS Exposure Dose Sequence (0040,030E), but​

since this is an optional element in MPPS, if it is absent, empty or incomplete, there may be no irradiation event​

level information available. Alternatively, the information may be copied or computed from the images.​

Row 16​

The Dose Image references a graphic representation of the radiation dose distribution. This may be a Secondary​

Capture scan of a dosimetry film.​

Row 17​

The physician responsible for determining that the irradiating procedure was appropriate for the indications. The​

valuemaycomefromRequestingPhysician(0032,1032),RequestingPhysicianIdentificationSequence(0032,1031)​

or somewhere else based on hospital policies.​

Row 18​

The primary source of information from which this dose object was constructed. The Source of Dose Information​

(Row18)isindependentoftheScopeOfAccumulation(Row6);e.g.,itwouldbetypicaltohaveascopeof(113016,​

DCM, "Performed Procedure Step"), but a source of (113856, DCM, "Automated Data Collection") rather than​

(113858, DCM, "MPPS Content").​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 425​

Order:​

Non-Significant​

Root:​

No​

Table TID 10002. Accumulated X-Ray Dose​

NL​

Rel with​

VT​

Concept Name​

VM​ Req​

Condition​

Value Set Constraint​

Parent​

Type​

1​

CONTAINER​EV (113702, DCM,​

1​

M​

"AccumulatedX-RayDose​

Data")​

2​

>​

HAS​

CODE​

EV (113764, DCM,​

1​

M​

$Plane​

CONCEPT​

"Acquisition Plane")​

MOD​

3​

>​

CONTAINS​

CONTAINER​EV (122505, DCM,​

1-n​ MC​IFFCalibrationDatais​

"Calibration")​

available​

4​

>>​

HAS​

CODE​

EV (113794, DCM, "Dose​ 1​

M​

DCID 10010 “Dose​

CONCEPT​

Measurement Device")​

Measurement Devices”​

MOD​

5​

>>​

CONTAINS​

DATETIME​ EV (113723, DCM,​

1​

M​

"Calibration DateTime")​

6​

>>​

CONTAINS​

NUM​

EV (122322, DCM,​

1​

M​

UNITS = EV (1, UCUM,​

"Calibration Factor")​

"no units")​

7​

>>​

CONTAINS​

NUM​

EV (113763, DCM,​

1​

M​

UNITS = EV (%,​

"Calibration Uncertainty")​

UCUM, "Percent")​

8​

>>​

CONTAINS​

TEXT​

EV (113724, DCM,​

1​

M​

"Calibration Responsible​

Party")​

9​

>>​

CONTAINS​

TEXT​

EV (113720, DCM,​

1​

U​

"Calibration Protocol")​

10​

>​

CONTAINS​

INCLUDE​

DTID10004“Accumulated​ 1​

MC​IFF TID 10001 Row 4​

Fluoroscopy and​

= (113957, DCM,​

Acquisition Projection​

"Fluoroscopy-Guided​

X-Ray Dose”​

Projection​

RadiographySystem")​

or TID 10001 Row 2 =​

(113704, DCM,​

"Projection X-Ray")​

and TID 10001 Row 4​

is absent)​

11​

>​

CONTAINS​

INCLUDE​

DTID10005“Accumulated​ 1​

MC​IFF TID 10001 Row 2​

Mammography X-Ray​

= (71651007, SCT,​

Dose”​

"Mammography")​

Page 426​

DICOM PS3.16 2020a - Content Mapping Resource​

NL​

Rel with​

VT​

Concept Name​

VM​ Req​

Condition​

Value Set Constraint​

Parent​

Type​

12​

>​

CONTAINS​

INCLUDE​

DTID10007“Accumulated​ 1​

MC​IFF TID 10001 Row 4​

Total Projection​

= (113958, DCM,​

Radiography Dose”​

"Integrated Projection​

RadiographySystem")​

or TID (10001) Row 4​

= (113957, DCM,​

"Fluoroscopy-Guided​

Projection​

RadiographySystem")​

or TID (10001) Row 2​

= (113704, DCM,​

"Projection X-Ray")​

and TID (10001) Row​

4 is absent)​

13​

>​

CONTAINS​

INCLUDE​

DTID10006“Accumulated​ 1​

MC​IFF TID 10001 Row 4​

Cassette-basedProjection​

= (113959, DCM,​

Radiography Dose”​

"Cassette-based​

Projection​

RadiographySystem")​

14​

>​

CONTAINS​

INCLUDE​

DTID 1021 “Device​

1​

MC​Required if the​

$DeviceProcedureRole​

Participant”​

irradiating device is​

= EV (113859, DCM,​

not the recording​

"Irradiating Device")​

device and the dose​

wasaccumulatedona​

single device.​

15​

>​

CONTAINS​

CODE​

EV (128750, DCM,​

1​

U​

EV (128751, DCM,​

"Equipment Landmark")​

"CenterofTableHead")​

16​

>>​

HAS​

NUM​

EV (128752, DCM,​

1​

M​

UNITS = EV (mm,​

PROPERTIES​

"Equipment Landmark X​

UCUM, "mm")​

Position")​

17​

>>​

HAS​

NUM​

EV (128753, DCM,​

1​

M​

UNITS = EV (mm,​

PROPERTIES​

"Equipment Landmark Z​

UCUM, "mm")​

Position")​

18​

>​

CONTAINS​

CONTAINER​EV (128754, DCM,​

1-n​

U​

"Patient Location​

Fiducial")​

19​

>>​

CONTAINS​

INCLUDE​

DTID 400 “Reference​

1​

M​

Location”​

20​

>>​

HAS​

NUM​

EV (128756, DCM,​

1​

M​

UNITS = EV (mm,​

PROPERTIES​

"Equipment Landmark to​

UCUM, "mm")​

Patient Fiducial Z​

Distance")​

Content Item Descriptions​

Row 5​

Row 6​

Typically a value provided by the medical physicist. The recorded dose or dose area product values in this​

Page 427​

Row 7​

Row 8​

Row 9​

Row 14​

The Equipment Landmark Y Position is not recorded since it is, by definition, in the plane of the table as is the​

origin of the Table Coordinate System so the value would always be zero.​

Row 19​

In many instances, the values will be either:​

•​EV (128772, DCM, "Reference Basis") [1354] = (88986008, SCT, "Vertex of Head") with EV (128773, DCM,​

"Reference Geometry") [1354] = (128120, DCM, "Plane through Superior Extent") [1338], or​

•​EV(128772,DCM,"ReferenceBasis")[1354]=(56459004,SCT,"Foot")withEV(128773,DCM,"Reference​

Geometry") [1354] = (128121, DCM, "Plane through Inferior Extent") [1338]​

Row 20​

This distance (likely recorded by the operator) locates the patient with respect to an X-Ray table landmark.​

The patient is assumed to be centered in the left-right axis of the X-Ray table.​

NL​

Rel with​

VT​

Concept Name​

VM​ Req​

Condition​ Value Set Constraint​

Parent​

Type​

1​

CONTAINER​EV (113706, DCM,​

1​

M​

"Irradiation Event X-Ray​

Data")​

2​ >​

HAS​

CODE​

EV (113764, DCM,​

1​

M​

DCID10003“Equipment​

CONCEPT​

"Acquisition Plane")​

Plane Identification”​

MOD​

Page 428​

DICOM PS3.16 2020a - Content Mapping Resource​

NL​

Rel with​

VT​

Concept Name​

VM​ Req​ Condition​

Value Set Constraint​

Parent​

Type​

3​

>​

CONTAINS​

UIDREF​

EV (113769, DCM,​

1​

M​

"Irradiation Event UID")​

4​

>​

CONTAINS​

TEXT​

EV (113605, DCM,​

1​

U​

"Irradiation Event Label")​

5​

>>​

HAS​

CODE​

EV (113606, DCM, "Label​ 1​

MC​ IF the value of Row​DCID 10022 “Label​

CONCEPT​

Type")​

4 is the value of an​Types”​

MOD​

Attribute in the​

images.​

6​

>​

CONTAINS​

DATETIME​ DT (111526, DCM,​

1​

M​

"DateTime Started")​

7​

>​

CONTAINS​

CODE​

EV (113721, DCM,​

1​

M​

DCID10002“Irradiation​

"Irradiation Event Type")​

Event Types”​

8​

>​

CONTAINS​

TEXT​

EV (125203, DCM,​

1​

U​

"Acquisition Protocol")​

11​

>​

CONTAINS​

CODE​

EV(111031,DCM,"Image​ 1​

U​

DCID 4010 “DX View”​

View")​

DCID 4014 “View for​

Mammography”​

12​

>>​

HAS​

CODE​

EV(111032,DCM,"Image​1-n​

U​

DCID 4011 “DX View​

CONCEPT​

View Modifier")​

Modifier”​

MOD​

DCID 4015 “View​

Modifier for​

Mammography”​

13​

>>​

CONTAINS​

CODE​

EV (113946, DCM,​

1​

U​

DCID 4012 “Projection​

"Projection Eponymous​

Eponymous Name”​

Name")​

14​

>​

CONTAINS​

CODE​

EV(113745,DCM,"Patient​ 1​

U​

DCID 21 “Patient​

Table Relationship")​

EquipmentRelationship”​

15​

>​

CONTAINS​

CODE​

EV(113743,DCM,"Patient​ 1​

U​

DCID 19 “Patient​

Orientation")​

Orientation”​

16​

>>​

HAS​

CODE​

EV(113744,DCM,"Patient​ 1​

M​

DCID 20 “Patient​

CONCEPT​

Orientation Modifier")​

Orientation Modifier”​

MOD​

17​

>​

CONTAINS​

CODE​

EV(123014,DCM,"Target​ 1​

M​

DCID 4031 “Common​

Region")​

Anatomic Regions”​

17b​

>>​

HAS​

CODE​

EV (272741003, SCT,​

1​

UC​ If anatomy is​

DCID 244 “Laterality”​

CONCEPT​

"Laterality")​

bi-lateral​

MOD​

18​

>​

CONTAINS​

NUM​

EV (122130, DCM, "Dose​

1​

MC​ IFFTID10001Row​UNITS = EV (Gy.m2,​

Area Product")​

2 = (113704, DCM,​UCUM, "Gy.m2")​

"Projection X-Ray")​

19​

>​

CONTAINS​

NUM​

EV (111634, DCM, "Half​

1​

U​

UNITS = EV (mm,​

Value Layer")​

UCUM, "mm")​

20​

>​

CONTAINS​

NUM​

EV(111638,DCM,"Patient​ 1​

U​

UNITS = EV (mm,​

Equivalent Thickness")​

UCUM, "mm")​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 429​

NL​

Rel with​

VT​

Concept Name​

VM​ Req​ Condition​

Value Set Constraint​

Parent​

Type​

21​

>​

CONTAINS​

NUM​

EV (111636, DCM,​

1​

MC​ IF TID 10001 Row​UNITS = EV (mGy,​

"Entrance Exposure at​

2 = (71651007,​

UCUM, "mGy")​

RP")​

SCT,​

"Mammography")​

and (TID (10001)​

Row 9 is absent or​

value is​

(373066001, SCT,​

"Yes")) and (TID​

(10001) Row 10 is​

absent or value is​

(373066001, SCT,​

"Yes"))​

22​

>​

CONTAINS​ TEXT​

EV (113780, DCM,​

1​

MC​ IF Row 21 is​

"Reference Point​

present and Row​

Definition")​

23 is not present​

23​

>​

CONTAINS​

CODE​

EV (113780, DCM,​

1​

MC​ IF Row 21 is​

DCID 10025 “Radiation​

"Reference Point​

present and Row​ DoseReferencePoints”​

Definition")​

22 is not present​

24​

>​

CONTAINS​ INCLUDE​

DTID4007“Mammography​ 1​

U​

CAD Breast Composition”​

25​

>​

CONTAINS​ TEXT​

EV (121106, DCM,​

1​

U​

"Comment")​

26​

>​

CONTAINS​

INCLUDE​

DTID 1020 “Person​

1-n​

U​

$PersonProcedureRole​

Participant”​

= EV (113851, DCM,​

"Irradiation​

Administering")​

27​

>​

CONTAINS​

INCLUDE​

DTID 10003A “Irradiation​

1​

MC​ IFFTID10001Row​

Event X-Ray Detector​

8 is absent or has a​

Data”​

value of​

(373066001, SCT,​

"Yes")​

28​

>​

CONTAINS​

INCLUDE​

DTID 10003B “Irradiation​

1​

MC​ IFFTID10001Row​

EventX-RaySourceData”​

9 is absent or has a​

value of​

(373066001, SCT,​

"Yes")​

29​

>​

CONTAINS​

INCLUDE​

DTID 10003C “Irradiation​

1​

MC​ IFFTID10001Row​

Event X-Ray Mechanical​

10 is absent or has​

Data”​

a value of​

(373066001, SCT,​

"Yes")​

Content Item Descriptions​

Row 3​

IftheimagegeneratingentitydoesnotassignaDICOMUIDtotheirradiationevent(e.g.,fornon-digitalimaging​

equipment), the application generating this report shall assign a UID.​

Page 430​

Row 6​

Row 17​

Row 17b​

Row 21​

Row 22​

Row 26​

NL​

Rel​

VT​

Concept Name​

VM​

Req​

Condition​

Value Set Constraint​

with​

Type​

Parent​

1​

NUM​

EV (113845, DCM,​

1​

MC​

IF the value is displayable​UNITS = EV (1, UCUM,​

"Exposure Index")​

to the X-Ray system​

"no units")​

operator.​

2​

NUM​

EV (113846, DCM,​

1​

MC​

IF the value is displayable​UNITS = EV (1, UCUM,​

"Target Exposure Index")​

to the X-Ray system​

"no units")​

operator.​

3​

NUM​

EV (113847, DCM,​

1​

MC​

IF the value is displayable​UNITS = EV (1, UCUM,​

"Deviation Index")​

to the X-Ray system​

"no units")​

operator.​

4​

INCLUDE​DTID 1021 “Device​

1​

U​

$DeviceProcedureRole=​

Participant”​

EV (113942, DCM,​

"X-RayReadingDevice")​

5​

IMAGE​

EV (113795, DCM,​

1-n​

MC​

IFFImageObjectiscreated​

"Acquired Image")​

for this irradiation event​

Content Item Descriptions​

Row 4​

Row 5​

are managed over a long term.)​