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NL |
Rel with |
VT |
Concept Name |
VM ReqCondition |
Value Set Constraint |
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Parent |
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Type |
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20 |
> |
CONTAINS INCLUDE |
DTID 5202 “Echo |
1 |
U |
$SectionSubject = EV (122972007, |
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Section” |
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SCT,"PulmonaryVenousStructure") |
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$MeasType = DCID 12214 |
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“EchocardiographyPulmonaryVeins” |
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21 |
> |
CONTAINS INCLUDE |
DTID 5202 “Echo |
1 |
U |
$SectionSubject = EV (25489000, |
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Section” |
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SCT, "Pericardial cavity") |
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$MeasType = DCID 12250 “Cardiac |
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Ultrasound Common Linear |
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Measurements” |
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22 |
> |
CONTAINS INCLUDE |
DTID 5202 “Echo |
1 |
U |
$SectionSubject = EV (241213007, |
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Section” |
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SCT, "Cardiac Shunt Study") |
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$MeasType = DCID 12217 |
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“Echocardiography Cardiac Shunt” |
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23 |
> |
CONTAINS INCLUDE |
DTID 5202 “Echo |
1 |
U |
$SectionSubject = EV (9904008, |
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Section” |
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SCT, "Congenital Anomaly of |
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Cardiovascular System") |
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$MeasType = DCID 12218 |
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“Echocardiography Congenital” |
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24 |
> |
CONTAINS INCLUDE |
DTID 5204 “Wall |
1-n |
U |
$Procedure = DT (35757004, SCT, |
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Motion Analysis” |
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"Echocardiography for Determining |
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Ventricular Contraction") |
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Content Item Descriptions |
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Row 8 |
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No purpose of reference is specified. |
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Row 24 |
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The wall motion findings of stress stage. There may be multiple Template instances to report wall |
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motion findings of multiple stages. |
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TID 5201 Echocardiography Patient Characteristics
Patient Characteristic concepts in this Template, which may replicate attributes in the Patient Study Module, are included here as possible targets of by-reference relationships from other Content Items in the SR tree.
Note
Several of the concepts in this Template duplicate concepts in TID 1007 “Subject Context, Patient”. The difference in use is that this Template has those concepts as primary observations of the patient, while in TID 1007 “Subject Context, Patient” the concepts are used to set (or reset) the context for other observations.
Type: |
Extensible |
Order: |
Significant |
Root: |
No |
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Table TID 5201. Echocardiography Patient Characteristics |
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NL Rel with Parent VT |
Concept Name |
VM |
Req Condition |
Value Set |
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Type |
Constraint |
1 |
CONTAINEREV (121118, DCM, "Patient |
1 |
M |
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Characteristics") |
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NL Rel with Parent VT |
Concept Name |
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Req Condition Value Set |
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Type |
Constraint |
2 |
> |
CONTAINS |
NUM |
EV (121033, DCM, "Subject |
1 |
U |
UNITS = DCID |
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Age") |
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7456 “Units of |
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Measure for Age” |
3 |
> |
CONTAINS |
CODE |
EV (121032, DCM, "Subject |
1 |
U |
DCID 7455 “Sex” |
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Sex") |
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4 |
> |
CONTAINS |
NUM |
EV (8867-4, LN, "Heart Rate") |
1 |
U |
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5 |
> |
CONTAINS |
NUM |
EV (271649006, SCT, "Systolic |
1 |
U |
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Blood Pressure") |
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6 |
> |
CONTAINS |
NUM |
EV(271650006,SCT,"Diastolic |
1 |
U |
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Blood Pressure") |
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7 |
> |
CONTAINS |
NUM |
EV (8277-6, LN, "Body Surface |
1 |
M |
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Area") |
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8 |
>> |
INFERRED |
CODE |
EV (8278-4, LN, "Body Surface |
1 |
U |
BCID 3663 “Body |
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FROM |
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Area Formula") |
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Surface Area |
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Equations” |
TID 5202 Echo Section
This is a generic section heading Template for any of the anatomical headings. Measurements within a section heading appear as groups (by image mode, acquisition protocol, and/or protocol stage).
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Table TID 5202. Parameters |
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Parameter Name |
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Parameter Usage |
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$SectionSubject |
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The subject modifier of the section heading container |
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$MeasType |
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The concept name of the measurement |
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Type: |
Extensible |
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Order: |
Significant |
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Root: |
No |
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Table TID 5202. Echo Section |
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NL |
Rel with Parent |
VT |
Concept Name |
VM |
Req ConditionValue Set Constraint |
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Type |
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1 |
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CONTAINEREV (121070, DCM, |
1 |
M |
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"Findings") |
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2 |
> |
HAS CONCEPT CODE |
EV (363698007, SCT, |
1 |
M |
$SectionSubject |
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MOD |
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"Finding Site") |
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3 |
> |
CONTAINS |
CONTAINERDT (125007, DCM, |
1-n |
M |
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"Measurement Group") |
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4 |
>> |
HAS CONCEPT CODE |
EV (399264008, SCT, |
1 |
U |
BCID 12224 |
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MOD |
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"Image Mode") |
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“Ultrasound Image |
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Modes” |
5 |
>> |
HAS CONCEPT CODE |
DT (125203, DCM, |
1 |
U |
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MOD |
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"Acquisition Protocol") |
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6 |
>> |
HAS CONCEPT TEXT |
DT (125203, DCM, |
1 |
U |
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MOD |
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"Acquisition Protocol") |
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7 |
>> |
HAS ACQ |
CODE |
EV (18139-6, LN, "Stage") |
1 |
U |
BCID 12002 |
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CONTEXT |
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“Ultrasound Protocol |
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Stage Types” |
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NL Rel with Parent |
VT |
Concept Name |
VM |
Req ConditionValue Set Constraint |
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Type |
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8 |
>> |
CONTAINS |
INCLUDE |
DTID 5203 “Echo |
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1-n |
M |
$Measurement = |
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Measurement” |
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$MeasType |
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$Method = CID 12227 |
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“Echocardiography |
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Measurement Method” |
Content Item Descriptions |
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Rows 4, 5 |
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Type of measurement group. May be grouped by image mode, or acquisition protocol, or some other |
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user or manufacturer designated classification |
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Row 7 |
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Formeasurementsacquiredinastagedprotocol,allmeasurementsinameasurementgroupareacquired |
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at the identified stage. |
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TID 5203 Echo Measurement |
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Table TID 5203. Parameters |
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Parameter Name |
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Parameter Usage |
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$Measurement |
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Coded term or Context Group for Concept Name of measurement |
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$Method |
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Value for Measurement Method |
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Type: |
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Extensible |
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Order: |
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Significant |
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Root: |
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No |
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Table TID 5203. Echo Measurement |
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NL Rel with Parent |
VT |
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Concept Name |
VM |
Req Condition Value Set Constraint |
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Type |
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1 |
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INCLUDEDTID300“Measurement” 1 |
M |
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$Measurement=$Measurement |
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$Method = $Method |
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$TargetSite = BCID 12236 |
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“Echo Anatomic Sites” |
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$TargetSiteMod = BCID 12237 |
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“Echocardiography Anatomic |
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Site Modifiers” |
2 |
> |
HAS CONCEPT CODE |
EV (260674002, SCT, |
1 |
U |
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BCID 12221 “Flow Direction” |
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MOD |
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"Flow Direction") |
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3 |
> |
HAS CONCEPT CODE |
EV (272517003, SCT, |
1 |
U |
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DCID12234“RespirationState” |
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MOD |
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"RespiratoryCyclePoint") |
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4 |
> |
HAS CONCEPT CODE |
EV (272518008, SCT, |
1 |
U |
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DCID 12233 “Cardiac Phase” |
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MOD |
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"Cardiac Cycle Point") |
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5 |
> |
HAS ACQ |
CODE |
EV (399264008, SCT, |
1 |
U |
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DCID 12224 “Ultrasound Image |
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CONTEXT |
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"Image Mode") |
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Modes” |
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6 |
> |
HAS ACQ |
CODE |
EV (111031, DCM, |
1 |
U |
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BCID12226“Echocardiography |
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CONTEXT |
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"Image View") |
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Image View” |
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7 |
> |
HAS ACQ |
CODE |
EV (18139-6, LN, |
1 |
U |
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BCID 12002 “Ultrasound |
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CONTEXT |
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"Stage") |
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Protocol Stage Types” |
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Content Item Descriptions |
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Row 1 |
TID 300 specifies an "Equivalent Meaning of Concept Name" that allows the creating application to specify the |
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preferred composed concept name representing the measurement and the associated post-coordination Concept |
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Modifiers (e.g., the ASE terminology described in Section N.3 “Illustrative Mapping to ASE Concepts” in PS3.17). |
TID 5204 Wall Motion Analysis
The Wall Motion Analysis Template is used to document wall motion scoring for any imaging modality.
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Table TID 5204. Parameters |
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Parameter Name |
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Parameter Usage |
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$Procedure |
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The imaging procedure used for wall motion analysis. |
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Type: |
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Extensible |
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Order: |
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Significant |
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Root: |
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No |
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Table TID 5204. Wall Motion Analysis |
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NL |
Rel with Parent VT |
Concept Name |
VM |
Req Condition Value Set |
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Type |
Constraint |
1 |
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CONTAINEREV(121070,DCM,"Findings") |
1 |
M |
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2 |
> |
HAS CONCEPT CODE |
EV (121058, DCM, |
1 |
M |
$Procedure |
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MOD |
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"Procedure reported") |
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3 |
> |
HAS ACQ |
CODE |
EV (18139-6, LN, "Stage") |
1 |
U |
BCID 3207 “Stress |
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CONTEXT |
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Test Procedure |
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Phases” |
4 |
> |
CONTAINS |
IMAGE |
EV (125201, DCM, |
1 |
U |
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"Illustration of Finding") |
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5 |
> |
CONTAINS |
TEXT |
EV (18118-0, LN, "LV Wall |
1 |
U |
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Motion Segmental Findings") |
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6 |
> |
CONTAINS |
NUM |
DT (125202, DCM, "LV Wall |
1 |
U |
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Motion Score Index") |
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7 |
>> |
HAS CONCEPT CODE |
EV (273249006, SCT, |
1 |
M |
BCID 12238 “Wall |
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MOD |
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"Assessment Scale") |
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Motion Scoring |
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|
Schemes” |
8 |
> |
CONTAINS |
CONTAINEREV(121070,DCM,"Findings") |
1 |
U |
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|
9 |
>> |
HAS CONCEPT CODE |
EV (363698007, SCT, |
1 |
M |
DT (272657006, |
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MOD |
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"Finding Site") |
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SCT, "Myocardial |
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Wall") |
10 |
>> |
CONTAINS |
CODE |
EV (18179-2, LN, "Wall |
1-n |
M |
BCID 3717 |
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Segment") |
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“Myocardial Wall |
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Segments” |
11 |
>>> |
HAS |
CODE |
EV(60797005,SCT,"Cardiac |
1 |
MC IF row 12DCID 3703 “Wall |
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PROPERTIES |
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Wall Motion") |
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is absentMotion” |
12 |
>>> |
HAS |
CODE |
EV (116676008, SCT, |
1 |
MC IF row 11DCID 3704 |
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PROPERTIES |
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"Associated Morphology") |
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is absent“Myocardium Wall |
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MorphologyFindings” |
13 |
>>> |
HAS |
NUM |
DT (246262008, SCT, |
1 |
U |
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PROPERTIES |
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"Score") |
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NL |
Rel with Parent |
VT |
Concept Name |
VM |
Req Condition Value Set |
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Type |
Constraint |
14 >>> |
HAS |
NUM |
EV (122624, DCM, "Wall |
1 |
U |
UNITS = DT (%, |
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PROPERTIES |
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Thickness Ratio end-systolic |
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UCUM, "%") |
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to end-diastolic") |
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Content Item Descriptions |
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Row 3 |
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The stage of the protocol at which these findings were scored. This row may be absent if this is a generic, |
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non-staged scoring. |
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Row 4 |
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Image that graphically depicts the segments and their scores. |
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Row 5 |
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Text narration accompanying this stage. |
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Row 6 |
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The composite score computed from the average of the scored segments |
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Row 7 |
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The type of scoring scheme used to score this exam. |
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Row 8 |
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A container of all of the individual segment findings for this stage. The container shall be present if the |
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observer makes an assessment, including the assessment of Not Visualized. It shall not be present if no |
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evaluation was made. |
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Rows 11, 12 |
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Scar/thinning (in Row 12) may accompany akinesis and dyskinesis (in Row 11). |
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Row 13 |
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A numeric designation for the score. Score ranges vary, typically 0-4 or 0-5. Numeric scores may depend |
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on wall motion findings as well as morphology findings. See Table 5204-1 for conventional numeric |
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assignment schemes. The UCUM annotation code enables specifying the numeric range, ({L:N}, UCUM, "scale L:N"), where L and N are the lower and upper ends of the range.
A description of the scoring schemes described in Table 5204-1 is available in Recommendations for Quantitation of the Left Ventricle by Two-Dimensional Echocardiography, Journal of the American Society of Echocardiography, Vol 2, No 5 358-367, Oct 1989.
Table 5204-1. Numeric Score Assignment for Segmental Findings
Conventional |
Wall Motion Finding or Morphology Finding |
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Numeric |
4 Point |
5 Point |
5 Point with Graded Hypokinesis |
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Assignment |
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-1 |
(60797005, SCT, "Cardiac Wall |
(60797005, SCT, "Cardiac Wall |
(60797005, SCT, "Cardiac Wall Motion") = |
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Motion") = (373123005, SCT, |
Motion") = (373123005, SCT, |
(373123005, SCT, "Hyperkinesis") |
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"Hyperkinesis") |
"Hyperkinesis") |
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0 |
(60797005, SCT, "Cardiac Wall |
(60797005, SCT, "Cardiac Wall |
(60797005, SCT, "Cardiac Wall Motion") = |
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Motion") = (122288, DCM, "Not |
Motion") = (122288, DCM, "Not |
(122288, DCM, "Not Visualized") |
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Visualized") |
Visualized") |
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1 |
(60797005, SCT, "Cardiac Wall |
(60797005, SCT, "Cardiac Wall |
(60797005, SCT, "Cardiac Wall Motion") = |
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Motion") = (373122000, SCT, Motion")=(373122000,SCT,"Normal(373122000, SCT, "Normal Wall Motion") |
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"Normal Wall Motion") |
Wall Motion") |
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1.5 |
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(60797005, SCT, "Cardiac Wall Motion") = |
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(371868005, SCT, "Mild Hypokinesis") |
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2 |
(60797005, SCT, "Cardiac Wall |
(60797005, SCT, "Cardiac Wall |
(60797005, SCT, "Cardiac Wall Motion") = |
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Motion") = (37706002, SCT, |
Motion") = (37706002, SCT, |
(371869002,SCT,"ModerateHypokinesis") |
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"Hypokinesis") |
"Hypokinesis") |
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2.5 |
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(60797005, SCT, "Cardiac Wall Motion") = |
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(371870001, SCT, "Severe Hypokinesis") |
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3 |
(60797005, SCT, "Cardiac Wall |
(60797005, SCT, "Cardiac Wall |
(60797005, SCT, "Cardiac Wall Motion") = |
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Motion") = (195675009, SCT, |
Motion") = (195675009, SCT, |
(195675009, SCT, "Akinesis") |
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"Akinesis") |
"Akinesis") |
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4 |
(60797005, SCT, "Cardiac Wall |
(60797005, SCT, "Cardiac Wall |
(60797005, SCT, "Cardiac Wall Motion") = |
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Motion") = (25437005, SCT, |
Motion") = (25437005, SCT, |
(25437005, SCT, "Dyskinesis") |
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"Dyskinesis") |
"Dyskinesis") |
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- Standard -