Материал: part16

Page 216​

DICOM PS3.16 2020a - Content Mapping Resource​

Rows 4-14​

Each observation (measurement or finding) may have a specific Content Item Observation DateTime​

attribute to indicate the time in the procedure at which the observation was made (e.g., time of maximum​

heart rate, or time of occurrence of an arrhythmia).​

Row 12-13​

This Concept and the associated Concept Modifier may be instantiated twice, once for resting state​

measurements, once for stress.​

TID 3317 Stress Imaging Summary​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

Table TID 3317. Stress Imaging Summary​

NL​ Rel with​

VT​

Concept Name​

VM​

Req​Condition​

Value Set Constraint​

Parent​

Type​

1​

CODE​

DT (122739, DCM,​

1​

M​

BCID 3114 “Study Quality”​

"Overall study quality")​

2​

CODE​

DT (113010, DCM,​

1​

U​

BCID 3115 “Stress Imaging Quality​

"Quality Issue")​

Issues”​

3​

CODE​

EV (121071, DCM,​

1​

U​

BCID 3116 “NM Extracardiac​

"Finding")​

Findings”​

4​

INCLUDE​ DTID300“Measurement”​ 1-2​

U​

$Measurement = DT (427751006,​

SCT, "Perfusion defect extent")​

$ModType = EV (109054, DCM,​

"Patient State")​

$ModValue = DCID 3102​

“Rest-Stress”​

$Units = EV (%, UCUM, "%")​

5​

INCLUDE​ DTID300“Measurement”​

1​

U​

$Measurement = DT (429162008,​

SCT, "Stress ischemia extent")​

$Units = EV (%, UCUM, "%")​

6​

INCLUDE​ DTID300“Measurement”​

1​

U​

$Measurement=DT(122762,DCM,​

"Number of diseased vessel​

territories")​

$Units = EV ({territories}, UCUM,​

"territories")​

7​

CODE​

EV (121071, DCM,​

1​

U​

EV (53741008, SCT, "Coronary​

"Finding")​

artery disease")​

8​

>​

HAS​

CODE​

EV (363698007, SCT,​

1-n​

M​

BCID 3016 “Major Coronary​

PROPERTIES​

"Finding Site")​

Arteries”​

9​

CODE​

EV (251053005, SCT,​

1-2​

U​

BCID 3120 “Perfusion Findings”​

"Myocardial perfusion")​

10​

>​

HAS​

CODE​

EV (363698007, SCT,​

1​

M​

BCID 3463 “Ventricle Identification”​

CONCEPT​

"Finding Site")​

MOD​

11​

>​

HAS​

CODE​

EV (116676008, SCT,​

1​

U​

BCID 3121 “Perfusion Morphology”​

PROPERTIES​

"AssociatedMorphology")​

12​

CODE​

EV (121071, DCM,​

1​

U​

DT (429710001, SCT, "Transient​

"Finding")​

cavitary dilatation")​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 217​

NL​

Rel with​

VT​

Concept Name​

VM​

Req​Condition​

Value Set Constraint​

Parent​

Type​

13​ >​

INCLUDE​ DTID 1350 “Negation​

1​

U​

Modifier, Presence of​

Finding”​

14​

INCLUDE​ DTID300“Measurement”​

1​

U​

$Measurement = DT (428832008,​

SCT, "Transient cavitary dilatation​

ratio")​

$Units = EV ({ratio}, UCUM, "ratio")​

15​

INCLUDE​ DTID300“Measurement”​ 1-2​

U​

$Measurement = EV (10230-1, LN,​

"LV Ejection Fraction")​

$ModType = EV (109054, DCM,​

"Patient State")​

$ModValue = DCID 3102​

“Rest-Stress”​

$Units = EV (%, UCUM, "%")​

Content Item Descriptions​

Row 4​

This row may be instantiated twice, once for resting state measurements, once for stress.​

Row 15​

TheLVEFcodespecifiedinthisrowisdefinedinLOINCwithmethod"imaging".LVEFmeasurementbyultrasound​

may also be encoded elsewhere in the Content Tree (e.g., in TID 3309 “Stress Echo Measurement Group”) with​

LOINC code 18043-0, which has method "ultrasound". It is recommended that such findings from the per-phase​

measurements be summarized here with the generic "LVEF by Imaging" concept code.​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​Condition​Value Set Constraint​

Type​

1​

CONTAINER​EV (111424, DCM,​

1​

M​

"Comparison to previous​

exams")​

2​

>​

CONTAINS​

CODE​

DT(121058,DCM,"Procedure​

1​

U​

BCID3200“StressTest​

Reported")​

Procedure”​

3​

>>​

HAS​

DATETIME​ EV(122146,DCM,"Procedure​

1​

U​

PROPERTIES​

DateTime")​

4​

>>​

HAS​

UIDREF​

EV(121018,DCM,"Procedure​

1​

U​

PROPERTIES​

Study Instance UID")​

5​

>>​

HAS​

COMPOSITE​EV (122075, DCM, "Prior​

1-n​

U​

PROPERTIES​

report for current patient")​

6​

>​

CONTAINS​

CODE​

DT (248243004, SCT,​

1​

U​

BCID 3236 “Tolerance​

"Exercise tolerance")​

Comparison Findings”​

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DICOM PS3.16 2020a - Content Mapping Resource​

NL​ Rel with Parent​ VT​

Concept Name​

VM​ Req​Condition​Value Set Constraint​

Type​

7​

>​

CONTAINS​

CODE​

DT (251053005, SCT,​

1​

U​

BCID 3235 “Perfusion​

"Myocardial Perfusion")​

Comparison Findings”​

8​

>>​

HAS CONCEPT​CODE​

EV (370129005, SCT,​

1-n​

U​

BCID 3215 “Perfusion​

MOD​

"Measurement Method")​

Finding Method”​

9​

>​

CONTAINS​

CODE​

DT (250909007, SCT, "LV​

1-n​

U​

BCID 3237 “Wall​

Wall motion")​

Motion Comparison​

Findings”​

10​

>>​

HAS CONCEPT​CODE​

EV (109054, DCM, "Patient​

1​

M​

DCID 3102​

MOD​

State")​

“Rest-Stress”​

11​

>​

CONTAINS​

CODE​

EV (111424, DCM,​

1​

U​

BCID 3217​

"Comparison to previous​

“Comparison Finding”​

exams")​

12​

>​

CONTAINS​

NUM​

DT(122768,DCM,"Difference​

1​

U​

UNITS = EV (%,​

in Ejection Fraction")​

UCUM, "%")​

13​

>​

CONTAINS​

NUM​

DT(122769,DCM,"Difference​

1​

U​

UNITS = EV (ml,​

in ED LV Volume")​

UCUM, "ml")​

14​

>​

CONTAINS​

NUM​

DT(122769,DCM,"Difference​

1​

U​

UNITS = EV (ml/m2,​

in ED LV Volume")​

UCUM, "ml/m2")​

15​

>>​

HAS CONCEPT​CODE​

EV (121425, DCM, "Index")​

1​

M​

DT(8277-6,LN,"BSA")​

MOD​

TID 3320 Conclusions and Recommendations​

Type:​

Extensible​

Order:​

Non-Significant​

Root:​

No​

Table TID 3320. Conclusions and Recommendations​

NL​

Rel with​

VT​

Concept Name​

VM​

Req​

Condition​

Value Set​

Parent​

Type​

Constraint​

1​

CONTAINER​EV (121076, DCM,​

1​

MC​

IF Completion​

"Conclusions")​

Flag​

(0040,A491)=​

COMPLETE​

2​

>​

CONTAINS​

TEXT​

EV (121077, DCM,​

1​

U​

"Conclusion")​

3​

>​

CONTAINS​

CODE​

EV (271921002, SCT, "ECG​

1​

M​

DCID 3208​

Finding")​

“Summary Codes​

Exercise ECG”​

4​

>​

CONTAINS​

CODE​

EV (365853002, SCT,​

1​

M​

DCID 3209​

"Imaging Finding")​

“Summary Codes​

Stress Imaging”​

5​

CONTAINER​EV (121074, DCM,​

1​

U​

"Recommendations")​

6​

>​

CONTAINS​

TEXT​

EV (121075, DCM,​

1​

U​

"Recommendation")​

DICOM PS3.16 2020a - Content Mapping Resource​

Page 219​

TID 3500

TID 3501

TID 3520

Hemodynamics

Hemodynamics

Hemodynamics

Report Root

Measurement Group

Clinical Context

TID 3601

TID 3510

Lab Procedure

Vital Signs

Context

TID 3602

TID 3515

Patient

Cardiac Output

Characteristics

by Dilution

TID 3570

TID 3516

Hemodynamics

Blood Oxygen

Summary

Measurements

TID 3603

TID 3560

Procedure

Derived

Environmental

Hemodynamic

Characteristics

Measurements

TID 3504

TID 3530

Arterial Pressure

Hemodynamic

Measurement

Acquisition Context

TID 3505

TID 3550

Atrial Pressure

Pressure Waveform

Measurement

Measurements

Type:​

Extensible​

Order:​

Significant​

Root:​

Yes​

NL​

Rel with Parent​

VT​

Concept Name​

VM​

Req​ Condition​Value Set​

Type​

Constraint​

1​

CONTAINER​

EV (122120, DCM,​

1​

M​

Root node​

"Hemodynamics Report")​

2​

>​

HAS OBS​

INCLUDE​

DTID 1002

“Observer Context”​

1-n​

M​

CONTEXT​

3​

>​

INCLUDE​

DTID 3601

“Procedure Context”​

1​

M​

4​

>​

HAS OBS​

INCLUDE​

DTID 3602

“Cardiovascular​

1​

M​

CONTEXT​

Patient Characteristics”​

5​

>​

HAS ACQ​

INCLUDE​

DTID 3603

“Procedure​

1​

U​

CONTEXT​

Environmental Characteristics”​

Page 220​

DICOM PS3.16 2020a - Content Mapping Resource​

NL​

Rel with Parent​

VT​

Concept Name​

VM​

Req​ Condition​Value Set​

Type​

Constraint​

6​

>​

CONTAINS​

INCLUDE​

DTID 3501 “Hemodynamics​

1-n​

M​

Measurement Group”​

7​

>​

CONTAINS​

INCLUDE​

DTID 3570 “Summary,​

1​

U​

Hemodynamics”​

Type:​

Extensible​

Order:​

Significant​

Root:​

No​

NL​ Rel with Parent​

VT​

Concept Name​

VM​

Req​ Condition​ Value Set​

Type​

Constraint​

1​

CONTAINER​ EV (121070, DCM, "Findings")​

1​

M​

2​

>​

HAS ACQ​

CODE​

EV (129085009, SCT,​

1​

M​

DCID 3651​

CONTEXT​

"Catheterization Procedure​

“Hemodynamic​

Phase")​

Measurement​

Phase”​

3​

>​

HAS ACQ​

INCLUDE​

DTID 3520 “Hemodynamic​

1​

U​

CONTEXT​

Clinical Context”​

4​

>​

HAS ACQ​

TEXT​

EV (121124, DCM, "Procedure​

1​

U​

CONTEXT​

Action ID")​

5​

>​

CONTAINS​

INCLUDE​

DTID 3510 “Vital Signs”​

1-n​

U​

6​

>​

CONTAINS​

INCLUDE​

DTID 3504 “Arterial Pressure​

1-n​

U​

Measurement”​

7​

>​

CONTAINS​

INCLUDE​

DTID 3505 “Atrial Pressure​

1-n​

U​

Measurement”​

8​

>​

CONTAINS​

INCLUDE​

DTID 3506 “Venous Pressure​

1-n​

U​

Measurement”​

9​

>​

CONTAINS​

INCLUDE​

DTID3507“VentricularPressure​

1-n​

U​

Measurement”​

10​

>​

CONTAINS​

INCLUDE​

DTID 3508 “Gradient​

1-n​

U​

Measurement”​

11​

>​

CONTAINS​

INCLUDE​

DTID 3509 “Blood Velocity​

1-n​

U​

Measurement”​

12​

>​

CONTAINS​

INCLUDE​

DTID 3515 “Cardiac Output​

1-n​

U​

Measurement by Indicator​

Dilution”​

13​

>​

CONTAINS​

INCLUDE​

DTID 3516 “Blood Lab​

1-n​

U​

Measurements”​

14​

>​

CONTAINS​

INCLUDE​

DTID 3560 “Derived​

1-n​

U​

Hemodynamic Measurements”​

15​

>​

CONTAINS​

INCLUDE​

DTID 3714 “ECG Lead​

1-n​

U​

Measurements”​