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DICOM PS3.16 2020a - Content Mapping Resource​

 

Page 371​

 

NL​

Rel with​

VT​

Concept Name​

VM​ Req​Condition​

Value Set Constraint​

 

 

Parent​

 

 

 

Type​

 

 

20​

>​

CONTAINS​ INCLUDE​

DTID 5202 “Echo​

1​

U​

$SectionSubject = EV (122972007,​

 

 

 

 

Section”​

 

 

SCT,"PulmonaryVenousStructure")​

 

 

 

 

 

 

 

$MeasType = DCID 12214​

 

 

 

 

 

 

 

“EchocardiographyPulmonaryVeins”​

21​

>​

CONTAINS​ INCLUDE​

DTID 5202 “Echo​

1​

U​

$SectionSubject = EV (25489000,​

 

 

 

 

Section”​

 

 

SCT, "Pericardial cavity")​

 

 

 

 

 

 

 

$MeasType = DCID 12250 “Cardiac​

 

 

 

 

 

 

 

Ultrasound Common Linear​

 

 

 

 

 

 

 

Measurements”​

22​

>​

CONTAINS​ INCLUDE​

DTID 5202 “Echo​

1​

U​

$SectionSubject = EV (241213007,​

 

 

 

 

Section”​

 

 

SCT, "Cardiac Shunt Study")​

 

 

 

 

 

 

 

$MeasType = DCID 12217​

 

 

 

 

 

 

 

“Echocardiography Cardiac Shunt”​

23​

>​

CONTAINS​ INCLUDE​

DTID 5202 “Echo​

1​

U​

$SectionSubject = EV (9904008,​

 

 

 

 

Section”​

 

 

SCT, "Congenital Anomaly of​

 

 

 

 

 

 

 

Cardiovascular System")​

 

 

 

 

 

 

 

$MeasType = DCID 12218​

 

 

 

 

 

 

 

“Echocardiography Congenital”​

24​

>​

CONTAINS​ INCLUDE​

DTID 5204 “Wall​

1-n​

U​

$Procedure = DT (35757004, SCT,​

 

 

 

 

Motion Analysis”​

 

 

"Echocardiography for Determining​

 

 

 

 

 

 

 

Ventricular Contraction")​

Content Item Descriptions​

 

 

 

 

 

 

Row 8​

 

No purpose of reference is specified.​

 

 

 

Row 24​

 

The wall motion findings of stress stage. There may be multiple Template instances to report wall​

 

 

 

motion findings of multiple stages.​

 

 

 

 

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​

 

Table TID 5201. Echocardiography Patient Characteristics​

 

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​ Condition​

Value Set​

 

 

 

 

Type​

Constraint​

1​

CONTAINER​EV (121118, DCM, "Patient​

1​

M​

 

 

 

Characteristics")​

 

 

 

- Standard -​

Page 372​

 

DICOM PS3.16 2020a - Content Mapping Resource​

 

 

NL​ Rel with Parent​ VT​

Concept Name​

VM​

Req​ Condition​ Value Set​

 

 

 

 

 

 

Type​

Constraint​

2​

>​

CONTAINS​

NUM​

EV (121033, DCM, "Subject​

1​

U​

UNITS = DCID​

 

 

 

 

Age")​

 

 

7456 “Units of​

 

 

 

 

 

 

 

Measure for Age”​

3​

>​

CONTAINS​

CODE​

EV (121032, DCM, "Subject​

1​

U​

DCID 7455 “Sex”​

 

 

 

 

Sex")​

 

 

 

4​

>​

CONTAINS​

NUM​

EV (8867-4, LN, "Heart Rate")​

1​

U​

 

5​

>​

CONTAINS​

NUM​

EV (271649006, SCT, "Systolic​

1​

U​

 

 

 

 

 

Blood Pressure")​

 

 

 

6​

>​

CONTAINS​

NUM​

EV(271650006,SCT,"Diastolic​

1​

U​

 

 

 

 

 

Blood Pressure")​

 

 

 

7​

>​

CONTAINS​

NUM​

EV (8277-6, LN, "Body Surface​

1​

M​

 

 

 

 

 

Area")​

 

 

 

8​

>>​

INFERRED​

CODE​

EV (8278-4, LN, "Body Surface​

1​

U​

BCID 3663 “Body​

 

 

FROM​

 

Area Formula")​

 

 

Surface Area​

 

 

 

 

 

 

 

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).​

 

 

 

 

Table TID 5202. Parameters​

 

 

 

 

Parameter Name​

 

Parameter Usage​

 

$SectionSubject​

 

The subject modifier of the section heading container​

$MeasType​

 

 

The concept name of the measurement​

 

Type:​

Extensible​

 

 

 

Order:​

Significant​

 

 

 

Root:​

No​

 

 

 

 

 

 

 

 

Table TID 5202. Echo Section​

 

 

 

NL​

Rel with Parent​

VT​

Concept Name​

VM​

Req​ Condition​Value Set Constraint​

 

 

 

 

 

 

Type​

 

1​

 

 

CONTAINER​EV (121070, DCM,​

1​

M​

 

 

 

 

 

"Findings")​

 

 

 

2​

>​

HAS CONCEPT​ CODE​

EV (363698007, SCT,​

1​

M​

$SectionSubject​

 

 

MOD​

 

"Finding Site")​

 

 

 

3​

>​

CONTAINS​

CONTAINER​DT (125007, DCM,​

1-n​

M​

 

 

 

 

 

"Measurement Group")​

 

 

 

4​

>>​

HAS CONCEPT​ CODE​

EV (399264008, SCT,​

1​

U​

BCID 12224​

 

 

MOD​

 

"Image Mode")​

 

 

“Ultrasound Image​

 

 

 

 

 

 

 

Modes”​

5​

>>​

HAS CONCEPT​ CODE​

DT (125203, DCM,​

1​

U​

 

 

 

MOD​

 

"Acquisition Protocol")​

 

 

 

6​

>>​

HAS CONCEPT​ TEXT​

DT (125203, DCM,​

1​

U​

 

 

 

MOD​

 

"Acquisition Protocol")​

 

 

 

7​

>>​

HAS ACQ​

CODE​

EV (18139-6, LN, "Stage")​

1​

U​

BCID 12002​

 

 

CONTEXT​

 

 

 

 

“Ultrasound Protocol​

 

 

 

 

 

 

 

Stage Types”​

- Standard -​

 

 

 

 

DICOM PS3.16 2020a - Content Mapping Resource​

Page 373​

 

NL​ Rel with Parent​

VT​

Concept Name​

VM​

Req​ Condition​Value Set Constraint​

 

 

 

 

 

 

 

 

 

Type​

 

8​

>>​

CONTAINS​

INCLUDE​

DTID 5203 “Echo​

 

1-n​

M​

$Measurement =​

 

 

 

 

 

 

Measurement”​

 

 

 

$MeasType​

 

 

 

 

 

 

 

 

 

 

$Method = CID 12227​

 

 

 

 

 

 

 

 

 

 

“Echocardiography​

 

 

 

 

 

 

 

 

 

 

Measurement Method”​

Content Item Descriptions​

 

 

 

 

 

 

 

Rows 4, 5​

 

Type of measurement group. May be grouped by image mode, or acquisition protocol, or some other​

 

 

 

user or manufacturer designated classification​

 

 

 

Row 7​

 

Formeasurementsacquiredinastagedprotocol,allmeasurementsinameasurementgroupareacquired​

 

 

 

at the identified stage.​

 

 

 

 

TID 5203 Echo Measurement​

 

 

 

 

 

 

 

 

 

 

Table TID 5203. Parameters​

 

 

 

 

Parameter Name​

 

 

 

Parameter Usage​

$Measurement​

 

 

 

Coded term or Context Group for Concept Name of measurement​

$Method​

 

 

 

 

Value for Measurement Method​

 

 

Type:​

 

Extensible​

 

 

 

 

 

Order:​

 

Significant​

 

 

 

 

 

Root:​

 

No​

 

 

 

 

 

 

 

 

 

 

 

Table TID 5203. Echo Measurement​

 

 

NL​ Rel with Parent​

VT​

 

Concept Name​

VM​

Req​ Condition​ Value Set Constraint​

 

 

 

 

 

 

 

 

Type​

 

 

1​

 

 

INCLUDE​DTID300“Measurement”​ 1​

M​

 

$Measurement=$Measurement​

 

 

 

 

 

 

 

 

 

 

$Method = $Method​

 

 

 

 

 

 

 

 

 

 

$TargetSite = BCID 12236​

 

 

 

 

 

 

 

 

 

 

“Echo Anatomic Sites”​

 

 

 

 

 

 

 

 

 

 

$TargetSiteMod = BCID 12237​

 

 

 

 

 

 

 

 

 

 

“Echocardiography Anatomic​

 

 

 

 

 

 

 

 

 

 

Site Modifiers”​

2​

>​

HAS CONCEPT​ CODE​

EV (260674002, SCT,​

1​

U​

 

BCID 12221 “Flow Direction”​

 

 

MOD​

 

 

"Flow Direction")​

 

 

 

 

3​

>​

HAS CONCEPT​ CODE​

EV (272517003, SCT,​

1​

U​

 

DCID12234“RespirationState”​

 

 

MOD​

 

 

"RespiratoryCyclePoint")​

 

 

 

 

4​

>​

HAS CONCEPT​ CODE​

EV (272518008, SCT,​

1​

U​

 

DCID 12233 “Cardiac Phase”​

 

 

MOD​

 

 

"Cardiac Cycle Point")​

 

 

 

 

5​

>​

HAS ACQ​

CODE​

EV (399264008, SCT,​

1​

U​

 

DCID 12224 “Ultrasound Image​

 

 

CONTEXT​

 

 

"Image Mode")​

 

 

 

Modes”​

6​

>​

HAS ACQ​

CODE​

EV (111031, DCM,​

1​

U​

 

BCID12226“Echocardiography​

 

 

CONTEXT​

 

 

"Image View")​

 

 

 

Image View”​

7​

>​

HAS ACQ​

CODE​

EV (18139-6, LN,​

1​

U​

 

BCID 12002 “Ultrasound​

 

 

CONTEXT​

 

 

"Stage")​

 

 

 

Protocol Stage Types”​

- Standard -​

Page 374​

DICOM PS3.16 2020a - Content Mapping Resource​

Content Item Descriptions​

Row 1​

TID 300 specifies an "Equivalent Meaning of Concept Name" that allows the creating application to specify the​

 

preferred composed concept name representing the measurement and the associated post-coordination Concept​

 

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.​

 

 

 

Table TID 5204. Parameters​

 

 

 

 

Parameter Name​

 

Parameter Usage​

$Procedure​

 

 

The imaging procedure used for wall motion analysis.​

Type:​

 

 

Extensible​

 

 

 

 

Order:​

 

Significant​

 

 

 

 

Root:​

 

 

No​

 

 

 

 

 

 

 

Table TID 5204. Wall Motion Analysis​

 

 

NL​

Rel with Parent​ VT​

Concept Name​

VM​

Req​ Condition​ Value Set​

 

 

 

 

 

 

Type​

Constraint​

1​

 

 

CONTAINER​EV(121070,DCM,"Findings")​

1​

M​

 

2​

>​

HAS CONCEPT​ CODE​

EV (121058, DCM,​

1​

M​

$Procedure​

 

 

MOD​

 

"Procedure reported")​

 

 

 

3​

>​

HAS ACQ​

CODE​

EV (18139-6, LN, "Stage")​

1​

U​

BCID 3207 “Stress​

 

 

CONTEXT​

 

 

 

 

Test Procedure​

 

 

 

 

 

 

 

Phases”​

4​

>​

CONTAINS​

IMAGE​

EV (125201, DCM,​

1​

U​

 

 

 

 

 

"Illustration of Finding")​

 

 

 

5​

>​

CONTAINS​

TEXT​

EV (18118-0, LN, "LV Wall​

1​

U​

 

 

 

 

 

Motion Segmental Findings")​

 

 

 

6​

>​

CONTAINS​

NUM​

DT (125202, DCM, "LV Wall​

1​

U​

 

 

 

 

 

Motion Score Index")​

 

 

 

7​

>>​

HAS CONCEPT​ CODE​

EV (273249006, SCT,​

1​

M​

BCID 12238 “Wall​

 

 

MOD​

 

"Assessment Scale")​

 

 

Motion Scoring​

 

 

 

 

 

 

 

Schemes”​

8​

>​

CONTAINS​

CONTAINER​EV(121070,DCM,"Findings")​

1​

U​

 

9​

>>​

HAS CONCEPT​ CODE​

EV (363698007, SCT,​

1​

M​

DT (272657006,​

 

 

MOD​

 

"Finding Site")​

 

 

SCT, "Myocardial​

 

 

 

 

 

 

 

Wall")​

10​

>>​

CONTAINS​

CODE​

EV (18179-2, LN, "Wall​

1-n​

M​

BCID 3717​

 

 

 

 

Segment")​

 

 

“Myocardial Wall​

 

 

 

 

 

 

 

Segments”​

11​

>>>​

HAS​

CODE​

EV(60797005,SCT,"Cardiac​

1​

MC​ IF row 12​DCID 3703 “Wall​

 

 

PROPERTIES​

 

Wall Motion")​

 

 

is absent​Motion”​

12​

>>>​

HAS​

CODE​

EV (116676008, SCT,​

1​

MC​ IF row 11​DCID 3704​

 

 

PROPERTIES​

 

"Associated Morphology")​

 

 

is absent​“Myocardium Wall​

 

 

 

 

 

 

 

MorphologyFindings”​

13​

>>>​

HAS​

NUM​

DT (246262008, SCT,​

1​

U​

 

 

 

PROPERTIES​

 

"Score")​

 

 

 

- Standard -​

 

 

 

DICOM PS3.16 2020a - Content Mapping Resource​

Page 375​

NL​

Rel with Parent​

VT​

Concept Name​

VM​

Req​ Condition​ Value Set​

 

 

 

 

 

 

Type​

Constraint​

14​ >>>​

HAS​

NUM​

EV (122624, DCM, "Wall​

1​

U​

UNITS = DT (%,​

 

PROPERTIES​

 

Thickness Ratio end-systolic​

 

 

UCUM, "%")​

 

 

 

 

to end-diastolic")​

 

 

 

Content Item Descriptions​

 

 

 

 

 

Row 3​

 

The stage of the protocol at which these findings were scored. This row may be absent if this is a generic,​

 

 

non-staged scoring.​

 

 

 

 

Row 4​

 

Image that graphically depicts the segments and their scores.​

 

Row 5​

 

Text narration accompanying this stage.​

 

 

 

Row 6​

 

The composite score computed from the average of the scored segments​

 

Row 7​

 

The type of scoring scheme used to score this exam.​

 

 

 

Row 8​

 

A container of all of the individual segment findings for this stage. The container shall be present if the​

 

 

observer makes an assessment, including the assessment of Not Visualized. It shall not be present if no​

 

 

evaluation was made.​

 

 

 

Rows 11, 12​

 

Scar/thinning (in Row 12) may accompany akinesis and dyskinesis (in Row 11).​

 

Row 13​

 

A numeric designation for the score. Score ranges vary, typically 0-4 or 0-5. Numeric scores may depend​

 

 

on wall motion findings as well as morphology findings. See Table 5204-1 for conventional numeric​

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​

Numeric​

4 Point​

5 Point​

5 Point with Graded Hypokinesis​

Assignment​

 

 

 

-1​

(60797005, SCT, "Cardiac Wall​

(60797005, SCT, "Cardiac Wall​

(60797005, SCT, "Cardiac Wall Motion") =​

 

Motion") = (373123005, SCT,​

Motion") = (373123005, SCT,​

(373123005, SCT, "Hyperkinesis")​

 

"Hyperkinesis")​

"Hyperkinesis")​

 

0​

(60797005, SCT, "Cardiac Wall​

(60797005, SCT, "Cardiac Wall​

(60797005, SCT, "Cardiac Wall Motion") =​

 

Motion") = (122288, DCM, "Not​

Motion") = (122288, DCM, "Not​

(122288, DCM, "Not Visualized")​

 

Visualized")​

Visualized")​

 

1​

(60797005, SCT, "Cardiac Wall​

(60797005, SCT, "Cardiac Wall​

(60797005, SCT, "Cardiac Wall Motion") =​

 

Motion") = (373122000, SCT,​ Motion")=(373122000,SCT,"Normal​(373122000, SCT, "Normal Wall Motion")​

 

"Normal Wall Motion")​

Wall Motion")​

 

1.5​

 

 

(60797005, SCT, "Cardiac Wall Motion") =​

 

 

 

(371868005, SCT, "Mild Hypokinesis")​

2​

(60797005, SCT, "Cardiac Wall​

(60797005, SCT, "Cardiac Wall​

(60797005, SCT, "Cardiac Wall Motion") =​

 

Motion") = (37706002, SCT,​

Motion") = (37706002, SCT,​

(371869002,SCT,"ModerateHypokinesis")​

 

"Hypokinesis")​

"Hypokinesis")​

 

2.5​

 

 

(60797005, SCT, "Cardiac Wall Motion") =​

 

 

 

(371870001, SCT, "Severe Hypokinesis")​

3​

(60797005, SCT, "Cardiac Wall​

(60797005, SCT, "Cardiac Wall​

(60797005, SCT, "Cardiac Wall Motion") =​

 

Motion") = (195675009, SCT,​

Motion") = (195675009, SCT,​

(195675009, SCT, "Akinesis")​

 

"Akinesis")​

"Akinesis")​

 

4​

(60797005, SCT, "Cardiac Wall​

(60797005, SCT, "Cardiac Wall​

(60797005, SCT, "Cardiac Wall Motion") =​

 

Motion") = (25437005, SCT,​

Motion") = (25437005, SCT,​

(25437005, SCT, "Dyskinesis")​

 

"Dyskinesis")​

"Dyskinesis")​

 

- Standard -​

Источник: https://studfile.net/preview/14585769/