DICOM PS3.16 2020a - Content Mapping Resource Page 211
TID 3309 Stress Echo Measurement Group
Type: |
Extensible |
Order: |
Significant |
Root: |
No |
|
Table TID 3309. Stress Echo Measurement Group |
|
NL |
Rel with |
VT |
Concept Name |
VM Req Condition |
Value Set Constraint |
|
|
|
Parent |
|
|
|
Type |
|
1 |
|
|
CONTAINERDT (121070, DCM, |
1 |
M |
|
|
|
|
|
|
"Findings") |
|
|
|
2 |
> |
HAS |
CODE |
EV (121058, DCM, |
1 |
M |
DT (40701008, SCT, |
|
|
CONCEPT |
|
"Procedurereported") |
|
|
"Echocardiography") |
|
|
MOD |
|
|
|
|
|
3 |
> |
CONTAINS |
INCLUDE |
DTID 5203 “Echo |
1-n |
U |
$Measurement = DCID 12200 |
|
|
|
|
Measurement” |
|
|
“Echocardiography Left |
|
|
|
|
|
|
|
Ventricle” |
|
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|
|
|
|
$Method = CID 12227 |
|
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|
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|
“Echocardiography |
|
|
|
|
|
|
|
Measurement Method” |
4 |
>> |
HAS |
CODE |
EV(363698007,SCT, 1 |
MCIF Row 3 |
EV (87878005, SCT, "Left |
|
|
|
CONCEPT |
|
"Finding Site") |
|
measurement |
Ventricle") |
|
|
MOD |
|
|
|
concept is in CID |
|
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|
|
|
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|
12222 “Orifice |
|
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|
|
|
|
Flow Properties” |
|
5 |
> |
CONTAINS |
INCLUDE |
DTID 5203 “Echo |
1-n |
U |
$Measurement = DCID 12211 |
|
|
|
|
Measurement” |
|
|
“EchocardiographyAorticValve” |
|
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|
|
|
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$Method = CID 12227 |
|
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|
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|
|
|
“Echocardiography |
|
|
|
|
|
|
|
Measurement Method” |
6 |
>> |
HAS |
CODE |
EV(363698007,SCT, 1 |
MCIF Row 5 |
EV (34202007, SCT, "Aortic |
|
|
|
CONCEPT |
|
"Finding Site") |
|
measurement |
Valve") |
|
|
MOD |
|
|
|
concept is in CID |
|
|
|
|
|
|
|
12222 “Orifice |
|
|
|
|
|
|
|
Flow Properties” |
|
7 |
> |
CONTAINS |
INCLUDE |
DTID 5203 “Echo |
1-n |
U |
$Measurement = DCID 12207 |
|
|
|
|
Measurement” |
|
|
“EchocardiographyMitralValve” |
|
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|
|
|
|
|
$Method = CID 12227 |
|
|
|
|
|
|
|
“Echocardiography |
|
|
|
|
|
|
|
Measurement Method” |
8 |
>> |
HAS |
CODE |
EV(363698007,SCT, 1 |
MCIF Row 7 |
EV (91134007, SCT, "Mitral |
|
|
|
CONCEPT |
|
"Finding Site") |
|
measurement |
Valve") |
|
|
MOD |
|
|
|
concept is in CID |
|
|
|
|
|
|
|
12222 “Orifice |
|
|
|
|
|
|
|
Flow Properties” |
|
9 |
> |
CONTAINS INCLUDE |
DTID 5203 “Echo |
1-n |
U |
$Measurement = DCID 12208 |
|
|
|
|
|
Measurement” |
|
|
“Echocardiography Tricuspid |
|
|
|
|
|
|
|
Valve” |
$Method = CID 12227 “Echocardiography Measurement Method”
- Standard -
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NL |
Rel with |
VT |
Concept Name |
VM Req Condition |
Value Set Constraint |
|
|
Parent |
|
|
|
Type |
|
10 >> |
HAS |
CODE |
EV(363698007,SCT, 1 |
MCIF Row 9 |
EV(46030003,SCT,"Tricuspid |
|
|
CONCEPT |
|
"Finding Site") |
|
measurement |
Valve") |
|
MOD |
|
|
|
concept is in CID |
|
|
|
|
|
|
12222 “Orifice |
|
|
|
|
|
|
Flow Properties” |
|
11 > |
CONTAINS INCLUDE |
DTID 5204 “Wall |
1 |
U |
$Procedure = DT (35757004, |
|
|
|
|
Motion Analysis” |
|
|
SCT, "Echocardiography for |
|
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|
|
|
|
Determining Ventricular |
|
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|
|
|
|
Contraction") |
Content Item Descriptions
Rows 3-10 These invocations of TID 5203 “Echo Measurement” do not include an inherited Findings Site concept, for example as in the invocations of TID 5203 “Echo Measurement” from TID 5202 “Echo Section”. Echo measurements that do nothavetheassociatedFindingSitepre-coordinatedinthemeasurementconcept(i.e.,theorificeflowmeasurements ofCID12222“OrificeFlowProperties”),shallhavetheFindingSiteexplicitlypost-coordinatedwithaConceptModifier (Rows 4, 6, 8, and 10).
This Template does not include the concept of an Image Library, for example as used in TID 5200 “Echocardiography Procedure Report”. Image Content Items in the Echo Measurement Template shall be included with by-value relationships, not with by-reference relationships.
TID 3311 Stress Test Summary
Type: |
Extensible |
Order: |
Significant |
Root: |
No |
Table TID 3311. Stress Test Summary
|
NL Rel with Parent VT |
Concept Name |
VM |
Req Condition Value Set |
|||
|
|
|
|
|
|
Type |
Constraint |
1 |
|
|
CONTAINEREV(121111,DCM,"Summary") |
1 |
M |
|
|
2 |
> |
CONTAINS |
TEXT |
EV(121111,DCM,"Summary") |
1 |
U |
|
3 |
> |
CONTAINS |
INCLUDE |
DTID 3312 “Physiological |
1 |
U |
|
|
|
|
|
Summary” |
|
|
|
4 |
> |
CONTAINS |
INCLUDE |
DTID 3313 “Stress ECG |
1 |
U |
|
|
|
|
|
Summary” |
|
|
|
5 |
> |
CONTAINS |
INCLUDE |
DTID 3317 “Stress Imaging |
1 |
U |
|
|
|
|
|
Summary” |
|
|
|
6 |
> |
CONTAINS |
CODE |
EV (121071, DCM, "Finding") |
1 |
U |
EV (300995000, |
|
|
|
|
|
|
|
SCT, |
|
|
|
|
|
|
|
"Exercise-induced |
|
|
|
|
|
|
|
angina") |
7 |
>> |
|
INCLUDE |
DTID 1350 “Negation Modifier, |
1 |
M |
|
|
|
|
|
Presence of Finding” |
|
|
|
8 |
> |
CONTAINS |
CODE |
EV (121071, DCM, "Finding") |
1-n |
U |
DCID 3220 “Stress |
|
|
|
|
|
|
|
Symptoms” |
9 |
> |
CONTAINS |
TEXT |
EV (121071, DCM, "Finding") |
1 |
U |
|
10 |
> |
CONTAINS |
CODE |
DT(246101005,SCT,"Reason |
1 |
U |
DCID 3221 “Stress |
|
|
|
|
for stopping test") |
|
|
Test Termination |
|
|
|
|
|
|
|
Reasons” |
- Standard -
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NL Rel with Parent |
VT |
Concept Name |
VM |
Req Condition Value Set |
||||
|
|
|
|
|
|
|
|
Type |
Constraint |
11 |
> |
CONTAINS NUM |
DT (122715, DCM, |
|
1 |
U |
DT (mg/kg, UCUM, |
||
|
|
|
|
|
"PharmacologicalStressAgent |
|
"mg/kg") |
||
|
|
|
|
|
Dose") |
|
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|
|
Content Item Descriptions |
|
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|||
Rows 6-7 |
These rows allow an explicit finding of presence or absence of exercise-induced angina through the TID |
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|
1350 “Negation Modifier, Presence of Finding” Concept Modifier "Presence of property" |
|||||||
TID 3312 Physiological Summary |
|
|
|
|
|||||
Type: |
|
|
Extensible |
|
|
|
|
|
|
Order: |
|
Significant |
|
|
|
|
|
||
Root: |
|
|
No |
|
|
|
|
|
|
|
|
|
|
Table TID 3312. Physiological Summary |
|
||||
|
NL Rel with |
VT |
Concept Name |
VM |
Req Condition Value Set Constraint |
||||
|
|
Parent |
|
|
|
|
Type |
|
|
1 |
|
|
NUM |
DT (40443-4, LN, "Resting |
1 |
M |
|
UNITS = DT ({H.B.}/min, |
|
|
|
|
|
Heart Rate") |
|
|
|
UCUM, "BPM") |
|
2 |
|
|
NUM |
EV (271649006, SCT, "Systolic |
1 |
M |
|
UNITS=DCID3500“Pressure |
|
|
|
|
|
Blood Pressure") |
|
|
|
Units” |
|
3 |
> |
HAS |
CODE |
EV (109054, DCM, "Patient |
1 |
M |
|
DT (128975004, SCT, |
|
|
|
CONCEPT |
State") |
|
|
|
|
"Resting State") |
|
|
|
MOD |
|
|
|
|
|
|
|
4 |
|
|
NUM |
EV(271650006,SCT,"Diastolic |
1 |
M |
|
UNITS=DCID3500“Pressure |
|
|
|
|
|
Blood Pressure") |
|
|
|
Units” |
|
5 |
> |
HAS |
CODE |
EV (109054, DCM, "Patient |
1 |
M |
|
DT (128975004, SCT, |
|
|
|
CONCEPT |
State") |
|
|
|
|
"Resting State") |
|
|
|
MOD |
|
|
|
|
|
|
|
6 |
|
|
NUM |
DT (428420003, SCT, "Target |
1 |
M |
|
UNITS = DT ({H.B.}/min, |
|
|
|
|
|
HR") |
|
|
|
|
UCUM, "BPM") |
7 |
|
|
NUM |
DT (428630002, SCT, |
1 |
M |
|
UNITS = DT ({H.B.}/min, |
|
|
|
|
|
"Maximum HR Achieved") |
|
|
|
UCUM, "BPM") |
|
8 |
|
|
NUM |
DT (428630002, SCT, |
1 |
M |
|
UNITS = EV (%, UCUM, "%") |
|
|
|
|
|
"Maximum HR Achieved") |
|
|
|
|
|
9 |
> |
HAS |
CODE |
EV (121425, DCM, "Index") |
1 |
M |
|
DT(428420003,SCT,"Target |
|
|
|
CONCEPT |
|
|
|
|
|
HR") |
|
|
|
MOD |
|
|
|
|
|
|
|
10 |
|
|
NUM |
DT (122716, DCM, "Maximum |
1 |
U |
|
UNITS = DT (W, UCUM, |
|
|
|
|
|
Power Output Achieved") |
|
|
|
"Watts") |
|
11 |
|
|
NUM |
DT (122717, DCM, "Peak |
1 |
U |
|
UNITS = DT ([MET], UCUM, |
|
|
|
|
|
activity workload") |
|
|
|
"METS") |
|
12 |
|
|
CODE |
DT (428531008, SCT, "HR |
1 |
U |
|
DCID 3210 “Speed of |
|
|
|
|
|
Response") |
|
|
|
Response” |
|
13 |
|
|
NUM |
DT (314439003, SCT, |
1 |
U |
|
UNITS=DCID3500“Pressure |
|
|
|
|
|
"Maximum systolic blood |
|
|
|
Units” |
|
|
|
|
|
pressure") |
|
|
|
|
|
- Standard -
Page 214 |
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NL Rel with |
|
VT |
Concept Name |
|
VM |
Req Condition |
Value Set Constraint |
||
|
|
Parent |
|
|
|
|
|
Type |
|
|
14 |
|
|
NUM |
DT (314452008, SCT, |
|
1 |
U |
UNITS=DCID3500“Pressure |
||
|
|
|
|
|
"Maximum diastolic blood |
|
|
|
Units” |
|
|
|
|
|
|
pressure") |
|
|
|
|
|
15 |
|
|
CODE |
DT (427732000, SCT, "BP |
|
1 |
U |
DCID 3210 “Speed of |
||
|
|
|
|
|
Response") |
|
|
|
Response” |
|
16 |
|
|
NUM |
DT (122718, DCM, "Peak |
|
1 |
U |
UNITS = DT |
||
|
|
|
|
|
Double Product") |
|
|
|
(mm[Hg].{H.B.}/min, UCUM, |
|
|
|
|
|
|
|
|
|
|
"mmHg.BPM") |
|
17 |
|
|
NUM |
DT (252130009, SCT, "Total |
|
1 |
U |
UNITS = DT (min, UCUM, |
||
|
|
|
|
|
Exercise duration") |
|
|
|
"min") |
|
18 |
|
|
NUM |
DT (252129004, SCT, "Total |
|
1 |
U |
UNITS = DT (min, UCUM, |
||
|
|
|
|
|
test duration") |
|
|
|
"min") |
|
19 |
|
|
INCLUDE DTID 300 “Measurement” |
|
1 |
U |
$Measurement = DT |
|||
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|
|
|
|
|
|
(429160000,SCT,"Functional |
|
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|
|
|
|
|
|
|
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capacity") |
|
20 |
|
|
TEXT |
DT (429160000, SCT, |
|
1 |
U |
|
|
|
|
|
|
|
|
"Functional capacity") |
|
|
|
|
|
21 |
|
|
INCLUDE DTID 300 “Measurement” |
|
1-n |
U |
$Measurement=EV(122760, |
|||
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|
|
|
|
|
|
|
|
DCM, "Stress test score") |
|
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|
|
|
|
|
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$Method=BCID3238“Stress |
|
|
|
|
|
|
|
|
|
|
Scoring Scales” |
|
22 |
|
|
NUM |
DT (429157007, SCT, "Heart |
1 |
U |
UNITS = DT (s, UCUM, "s") |
|||
|
|
|
|
|
rate recovery time") |
|
|
|
|
|
23 |
|
|
CODE |
EV (121071, DCM, "Finding") |
1-n |
U |
BCID 3213 “Stress |
|||
|
|
|
|
|
|
|
|
|
Hemodynamic Findings” |
|
24 |
|
|
CODE |
EV (395112001, SCT, |
|
1 |
U |
BCID 3118 “Level of Risk” |
||
|
|
|
|
|
"Cardiovascular event risk") |
|
|
|
|
|
Content Item Descriptions |
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|
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||||
Row 22 |
Numerical scoring of a patient's functional capacity shall include the range of the scoring system in the Units of |
|||||||||
|
|
Measurement (see Section 7.2.2), and may include a coded identifier for the scoring system in the Method |
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|
|
concept modifier of TID 300 “Measurement”. |
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|
|||
TID 3313 Stress ECG Summary |
|
|
|
|
|
|||||
Type: |
|
|
Extensible |
|
|
|
|
|
||
Order: |
|
|
Significant |
|
|
|
|
|
||
Root: |
|
|
No |
|
|
|
|
|
||
|
|
|
|
|
Table TID 3313. Stress ECG Summary |
|
|
|||
|
NL Rel with |
VT |
Concept Name |
VM ReqCondition |
Value Set Constraint |
|||||
|
|
Parent |
|
|
|
|
Type |
|
|
|
1 |
|
|
|
TEXT |
EV (271921002, SCT, |
|
1 |
U |
DeviceGeneratedTestSummary |
|
|
|
|
|
|
"ECG Finding") |
|
|
|
|
|
2 |
> |
HAS OBS |
|
CODE |
EV (121005, DCM, |
|
1 |
M |
EV (121007, DCM, "Device") |
|
|
|
CONTEXT |
|
|
"Observer Type") |
|
|
|
|
|
3 |
> |
HAS OBS |
|
INCLUDEDTID 1004 “Device |
|
1 |
M |
|
|
|
|
|
CONTEXT |
|
|
Observer Identifying |
|
|
|
|
|
|
|
|
|
|
Attributes” |
|
|
|
|
|
- Standard -
|
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DICOM PS3.16 2020a - Content Mapping Resource |
Page 215 |
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NL Rel with |
VT |
Concept Name |
VM |
ReqCondition Value Set Constraint |
||
|
|
Parent |
|
|
|
Type |
|
4 |
|
|
INCLUDEDTID 300 “Measurement” 1-n |
U |
$Measurement=EV(164931005, |
||
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|
|
|
|
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SCT, "ST Elevation") |
|
|
|
|
|
|
|
$Units = DT (mV, UCUM, "mV") |
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|
|
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$Derivation = EV (56851009, |
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SCT, "Maximum") |
|
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$TargetSite = DCID 3001 “ECG |
|
|
|
|
|
|
|
Leads” |
5 |
|
|
INCLUDEDTID 300 “Measurement” 1-n |
U |
$Measurement=EV(429622005, |
||
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SCT, "ST Depression") |
|
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$Units = DT (mV, UCUM, "mV") |
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|
|
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$Derivation = EV (56851009, |
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SCT, "Maximum") |
|
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|
|
$TargetSite = DCID 3001 “ECG |
|
|
|
|
|
|
|
Leads” |
6 |
|
|
INCLUDEDTID 300 “Measurement” 1-n |
U |
$Measurement=EV(428550008, |
||
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SCT, "T wave alternans") |
|
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|
|
|
|
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$Units = DT (uV, UCUM, "uV") |
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$Derivation = EV (56851009, |
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SCT, "Maximum") |
|
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$TargetSite = DCID 3001 “ECG |
|
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|
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|
Leads” |
7 |
|
|
CODE |
EV (365416000, SCT, "ST |
1 |
U |
BCID 3231 “ST Segment |
|
|
|
|
Segment Finding") |
|
|
Findings” |
8 |
> |
HAS |
CODE |
EV (363698007, SCT, |
1-n |
U |
BCID 3232 “ST Segment |
|
|
PROPERTIES |
"Finding Site") |
|
|
Location” |
|
9 |
> |
HAS |
CODE |
EV (116676008, SCT, |
1 |
U |
BCID 3233 “ST Segment |
|
|
PROPERTIES |
"Associated Morphology") |
|
|
Morphology” |
|
10 |
|
|
NUM |
DT (122707, DCM, |
1 |
U |
UNITS = EV ({beats}, UCUM, |
|
|
|
|
"NumberofEctopicBeats") |
|
|
"beats") |
11 |
> |
HAS |
CODE |
EV (116676008, SCT, |
1-n |
U |
BCID 3234 “Ectopic Beat |
|
|
PROPERTIES |
"Associated Morphology") |
|
|
Morphology” |
|
12 |
|
|
CODE |
DT (8884-9, LN, "Cardiac |
1-2 |
U |
BCID 3415 “Cardiac Rhythms” |
|
|
|
|
Rhythm") |
|
|
|
13 |
> |
HAS |
CODE |
EV(109054,DCM,"Patient |
1 |
M |
DCID 3102 “Rest-Stress” |
|
|
CONCEPT |
|
State") |
|
|
|
|
|
MOD |
|
|
|
|
|
14 |
|
|
CODE |
EV (271921002, SCT, |
1-n |
U |
BCID 3230 “ECG Findings” |
|
|
|
|
"ECG Finding") |
|
|
|
15 |
> |
HAS |
CODE |
EV(109054,DCM,"Patient |
1 |
U |
BCID 3262 “ECG Patient State |
|
|
CONCEPT |
|
State") |
|
|
Values” |
|
|
MOD |
|
|
|
|
|
Content Item Descriptions
- Standard -