Материал: part16

Page 206​

DICOM PS3.16 2020a - Content Mapping Resource​

Row 12​

Image Type may be copied from the NM Image SOP Instance attribute Image Type (0008,0008) value 3, or​

from the PET Image SOP Instance attribute Series Type (0054,1000).​

Row 18​

The Procedure Time Base is the time from which elapsed times are measured. The Study Time (0008,0030)​

may include the patient prep period, while this Procedure Time Base is typically established when baseline​

data collection begins.​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

Table TID 3303. Stress Test Phase Data​

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​ Condition​

Value Set​

Type​

Constraint​

1​

CONTAINER​DT (121070, DCM,​

1​

M​

"Findings")​

2​

>​

HAS ACQ​

CODE​

EV (128954007, SCT,​

1​

MC​ XOR row 3​

BCID 3207​

CONTEXT​

"Procedure phase")​

“Stress Test​

Procedure​

Phases”​

3​

>​

HAS ACQ​

CODE​

EV (128954007, SCT,​

1​

MC​ IFF Nuclear​

DCID 3101​

CONTEXT​

"Procedure phase")​

Imaging; XOR row​“Cardiac​

2​

Procedural State​

Values”​

4​

>​

HAS ACQ​

TEXT​

EV (128954007, SCT,​

1​

U​

CONTEXT​

"Procedure phase")​

5​

>​

CONTAINS​

INCLUDE​

DTID 3301 “Stress Test​

1​

MC​ IFF protocol​

Procedure Description”​

changed from​

initial specification​

6​

>​

HAS ACQ​

NUM​

EV(109055,DCM,"Protocol​ 1​

U​

UNITS = DT​

CONTEXT​

Stage")​

({stage}, UCUM,​

"stage")​

7​

>​

CONTAINS​

INCLUDE​

DTID 3304 “Stress Test​

1-n​

U​

Measurement Group”​

8​

>​

CONTAINS​

INCLUDE​

DTID 3307 “NM/PET​

1​

MC​ IFF Nuclear or​

Perfusion Measurement​

PET Imaging​

Group”​

9​

>​

CONTAINS​

INCLUDE​

DTID 3309 “Stress Echo​

1​

UC​ IFF​

Measurement Group”​

Echocardiography​

Imaging​

Content Item Descriptions​

Row 1​

The Container shall have a specific Content Item Observation DateTime (0040,A032) attribute to indicate​

the time at which the phase began.​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 207​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

Table TID 3304. Stress Test Measurement Group​

NL​ Rel with​

VT​

Concept Name​

VM​ Req​ Condition​

Value Set Constraint​

Parent​

Type​

1​

CONTAINER​DT (121070, DCM,​

1​ M​

"Findings")​

3​

>​

CONTAINS​

NUM​

DT (122710, DCM,​

1​

M​

UNITS = DT (min, UCUM,​

"Time since start of​

"min")​

stage")​

4​

>​

CONTAINS​

NUM​

DT (122702, DCM,​

1​

U​

UNITS = DCID 3212​

"Treadmill speed")​

“Treadmill Speed”​

5​

>​

CONTAINS​

NUM​

DT (122703, DCM,​

1​

U​

UNITS = EV (%, UCUM, "%")​

"Treadmill gradient")​

6​

>​

CONTAINS​

NUM​

DT (122704, DCM,​

1​

U​

UNITS = EV (W, UCUM,​

"Ergometer power")​

"Watts")​

7​

>​

CONTAINS​

NUM​

DT (122709, DCM,​

1​

U​

UNITS = DT ([MET], UCUM,​

"Activity workload")​

"METS")​

8​

>​

CONTAINS​

INCLUDE​

DTID 300​

1​

U​

$Measurement=DT(122706,​

“Measurement”​

DCM, "Rating of Perceived​

Exertion")​

$Method = BCID 3239​

“Perceived Exertion Scales”​

9​

>​

CONTAINS​

NUM​

DT (122705, DCM,​

1​

MC​IFF​

UNITS = EV (ug/kg/min,​

"PharmacologicalStress​

Pharmacological​UCUM, "ug/kg/min")​

Agent Dose Rate")​

Stress used​

10​

>​

CONTAINS​

INCLUDE​

DTID 3106​

1​

U​

“Drugs/Contrast​

Administered”​

11​

>​

CONTAINS​

NUM​

EV (8867-4, LN, "Heart​

1​

U​

UNITS = EV ({H.B.}/min,​

Rate")​

UCUM, "BPM")​

12​

>​

CONTAINS​

NUM​

EV (271649006, SCT,​

1​

U​

UNITS = DCID 3500​

"Systolic Blood​

“Pressure Units”​

Pressure")​

13​

>​

CONTAINS​

NUM​

EV (271650006, SCT,​

1​

U​

UNITS = DCID 3500​

"Diastolic Blood​

“Pressure Units”​

Pressure")​

14​

>​

CONTAINS​

NUM​

DT (122707, DCM,​

1​

U​

UNITS=EV({beats},UCUM,​

"Number of Ectopic​

"beats")​

Beats")​

15​

>>​

HAS​

NUM​

DT (260867005, SCT,​

1​

M​

UNITS = DT (min, UCUM,​

PROPERTIES​

"Period of collection")​

"min")​

Page 208​

DICOM PS3.16 2020a - Content Mapping Resource​

NL​

Rel with​

VT​

Concept Name​

VM​ Req​ Condition​

Value Set Constraint​

Parent​

Type​

16​

>>​

HAS​

CODE​

EV (116676008, SCT,​

1-n​

U​

BCID 3234 “Ectopic Beat​

PROPERTIES​

"Associated​

Morphology”​

Morphology")​

17​

>​

CONTAINS​

INCLUDE​

DTID 300​

1-n​

U​

$Measurement = DT​

“Measurement”​

(164931005, SCT, "ST​

Elevation")​

$Units = DT (mV, UCUM,​

"mV")​

$TargetSite = DCID 3001​

“ECG Leads”​

18​

>​

CONTAINS​

INCLUDE​

DTID 300​

1-n​

U​

$Measurement = DT​

“Measurement”​

(429622005, SCT, "ST​

Depression")​

$Units = DT (mV, UCUM,​

"mV")​

$TargetSite = DCID 3001​

“ECG Leads”​

19​

>​

CONTAINS​

INCLUDE​

DTID 300​

1-n​

U​

$Measurement = DCID 3228​

“Measurement”​

“ECGTimingMeasurements”​

$Units = DT (ms, UCUM,​

"ms")​

$TargetSite = DCID 3001​

“ECG Leads”​

20​

>​

CONTAINS​

INCLUDE​

DTID 300​

1-n​

U​

$Measurement = DCID 3227​

“Measurement”​

“QTc Measurements”​

$Units = DT (ms, UCUM,​

"ms")​

$TargetSite = DCID 3001​

“ECG Leads”​

$Equation = DCID 3678 “QT​

Correction Algorithms”​

21​

>>​

INFERRED​

NUM​

DT (2:16000, MDC, "RR​ 1​

U​

UNITS = DT (ms, UCUM,​

FROM​

Interval for QTc")​

"ms")​

22​

>​

CONTAINS​

INCLUDE​

DTID 300​

1-n​

U​

$Measurement = DCID 3229​

“Measurement”​

“ECG Axis Measurements”​

$Units = DT (deg, UCUM,​

"deg")​

23​

>​

CONTAINS​

INCLUDE​

DTID 300​

1​

U​

$Measurement = DCID 3526​

“Measurement”​

“Blood Gas Saturation”​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 209​

NL​

Rel with​

VT​

Concept Name​

VM​ Req​

Condition​

Value Set Constraint​

Parent​

Type​

24​

>​

CONTAINS​

NUM​

DT (122708, DCM,​

1​

U​

UNITS = DT​

"Double Product")​

(mm[Hg].{H.B.}/min, UCUM,​

"mmHg.BPM")​

25​

>​

CONTAINS​

CODE​

EV (121071, DCM,​

1-n​

U​

DCID 3220 “Stress​

"Finding")​

Symptoms”​

26​

>​

CONTAINS​

CODE​

EV (271921002, SCT,​

1-n​

U​

DCID 3230 “ECG Findings”​

"ECG Finding")​

27​

>​

CONTAINS​

TEXT​

EV (121106, DCM,​

1​

U​

"Comment")​

Content Item Descriptions​

Row 1​

The Container shall have a specific Content Item Observation DateTime (0040,A032) attribute to indicate the​

time at which the measurements were made.​

Row 10​

Included TID 3106 “Drugs/Contrast Administered” allows the recording of test medications other than the​

Pharmacological Stress Agent identified in TID 3301 “Stress Test Procedure Description”.​

Rows 17, 18​

ECG ST elevation/depression is measured in units of mV, but is conventionally reported in units of mm, based​

on strip recordings with scaling of 100 uV/mm. The display application should render these measurements in​

units meaningful to the user.​

Row 19​

Note that the MDC codes for "per lead" measurements specified in CID 3228 “ECG Timing Measurements”​

are base codes for post-coordination with lead identifiers conveyed in the Target Site modifier in TID 300​

“Measurement”. MDC also defines pre-coordinated codes that include both the measurement and the lead,​

which may be used in this row.​

Row 20​

Note that the MDC code for "QTc interval per lead" specified in CID 3227 “QTc Measurements” is a base code​

for post-coordination with lead identifiers conveyed in the Target Site modifier in TID 300 “Measurement”.​

MDCalsodefinespre-coordinatedcodesthatincludeboththemeasurementandthelead,whichmaybeused​

in this row.​

Note that TID 300 “Measurement” enables the encoding of a non-standard correction algorithm, either as a​

local code, or as a TEXT Method Citation (see TID 300 “Measurement” row 12).​

Row 21​

R-R interval used for QT correction algorithm​

Row 22​

Recommended range for ECG axis measurements is -90° to +270°​

TID 3307 NM/PET Perfusion Measurement Group​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

Table TID 3307. NM/PET Perfusion Measurement Group​

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​Condition​ Value Set Constraint​

Type​

1​

CONTAINER​DT (121070, DCM,​

1​

M​

"Findings")​

2​

>​

HASCONCEPT​CODE​

EV (121058, DCM,​

1​

M​

BCID 3108 “NM/PET​

MOD​

"Procedure reported")​

Procedures”​

3​

>​

CONTAINS​

CODE​

EV (349358000, SCT,​

1​

M​

DCID 3111 “Nuclear​

"Radiopharmaceutical​

Cardiology​

agent")​

Radiopharmaceuticals”​

4​

>​

CONTAINS​

NUM​

EV (123006, DCM,​

1​

M​

DCID 3083 “Units of​

"Radionuclide Total Dose")​

Radioactivity”​

Page 210​

DICOM PS3.16 2020a - Content Mapping Resource​

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​Condition​ Value Set Constraint​

Type​

5​

>​

CONTAINS​

DATETIME​ EV (123003, DCM,​

1​

M​

"RadiopharmaceuticalStart​

DateTime")​

6​

>​

CONTAINS​

NUM​

DT (122711, DCM,​

1​

U​

UNITS = DT (min, UCUM,​

"Exercise duration after​

"min")​

stress agent injection")​

7​

>​

CONTAINS​

DATETIME​ EV(122712,DCM,"Imaging​ 1​

M​

Start DateTime")​

8​

>​

CONTAINS​

CODE​

EV (122713, DCM,​

1​

U​

BCID 3112 “Attenuation​

"Attenuation correction")​

Correction”​

9​

>>​

HAS​

CODE​

EV (111001, DCM,​

1​

U​

BCID 3117 “Attenuation​

PROPERTIES​

"Algorithm Name")​

Correction Methods”​

10​

>​

CONTAINS​

CODE​

EV (121071, DCM,​

1-n​

U​

BCID 3113 “Types of​

"Finding")​

Perfusion Defects”​

11​

>>​

HAS​

CODE​

EV (363698007, SCT,​

1​

M​

BCID3717“MyocardialWall​

PROPERTIES​

"Finding Site")​

Segments”​

12​

>>​

HAS​

CODE​

EV (112025, DCM, "Size​

1​

M​

BCID 252 “S-M-L Size​

PROPERTIES​

Descriptor")​

Descriptor”​

13​

>>​

HAS​

CODE​

EV (246112005, SCT,​

1​

M​

BCID 3716 “Severity”​

PROPERTIES​

"Severity")​

14​

>​

CONTAINS​

CODE​

EV (250907009, SCT, "Left​ 1​

U​

BCID 3119 “LV Function”​

Ventricular Function")​

15​

>>​

HAS​

CODE​

EV (246112005, SCT,​

1​

U​

BCID 3716 “Severity”​

PROPERTIES​

"Severity")​

16​

>​

CONTAINS​

INCLUDE​

DTID 300 “Measurement”​

1​

U​

$Measurement = EV​

(10230-1, LN, "LV Ejection​

Fraction")​

$Units=EV(%,UCUM,"%")​

$Derivation = DT​

(258090004, SCT,​

"Calculated")​

17​

>​

CONTAINS​

CODE​

EV (250924003, SCT, "Left​ 1​

U​

BCID 3122 “Ventricular​

Ventricular Size")​

Enlargement”​

18​

>​

CONTAINS​

INCLUDE​

DTID 300 “Measurement”​

1​

U​

$Measurement = EV​

(8821-1,LN,"LeftVentricular​

ED Volume")​

$Units = EV (ml, UCUM,​

"ml")​

19​

>​

CONTAINS​

INCLUDE​

DTID 300 “Measurement”​

1​

U​

$Measurement = EV​

(8823-7,LN,"LeftVentricular​

ES Volume")​

$Units = EV (ml, UCUM,​

"ml")​

20​

>​

CONTAINS​

INCLUDE​

DTID 5204 “Wall Motion​

1​

U​

$Procedure = DCID 3108​

Analysis”​

“NM/PET Procedures”​