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Page 136​

DICOM PS3.17 2020a - Explanatory Information​

 

 

Nest​

Code Meaning of Concept Name​

Code Meaning or Example​

TID​

 

 

Value​

 

 

1.5.2.2.1​

Equation​

EFW by AC, BPD, Hadlock​ TID 315​

 

 

 

1984​

 

 

1.5.2.2.2​

+/-, range of measurement uncertainty​ 160g​

TID 310​

 

1.5.2.3​

Fetal Heart Rate​

120 {H.B.}/min​

TID 300​

 

1.5.3​

Fetus Summary​

 

TID 5003​

 

1.5.3.1​

Fetus ID​

B​

TID 1008​

 

1.5.3.2​

Comment​

Choroid plexus cyst​

TID 5003​

 

1.5.3.3​

EFW​

1.4 kg​

TID 300​

 

1.5.3.3.1​

Equation​

EFW by AC, BPD, Hadlock​ TID 315​

 

 

 

1984​

 

 

1.5.3.3.2​

+/-, range of measurement uncertainty​ 140 g​

TID 310​

 

1.5.3.4​

Fetal Heart Rate​

135 {H.B.}/min​

TID 300​

 

1.6​

Biophysical Profile​

 

TID 5009​

 

1.6.1​

Fetus ID​

A​

TID 1008​

 

1.6.n​

…​

 

 

 

1.7​

Biophysical Profile​

 

TID 5009​

 

1.7.1​

Fetus ID​

B​

TID 1008​

 

1.7.n​

…​

 

 

 

I.8.4 Example 4: Biophysical Profile​

 

 

 

Nest​

Code Meaning of Concept Name​

CodeMeaningorExample​

TID​

 

 

Value​

 

 

1​

OB-GYN Ultrasound Procedure Report​

 

TID 5000​

 

1.n​

….​

 

TID 5000​

 

1.9​

Biophysical Profile​

 

TID 5009​

 

1.9.1​

Gross Body Movement​

2 {0:2}​

TID 5009​

 

1.9.2​

Fetal Breathing​

2 {0:2}​

TID 5009​

 

1.9.3​

Fetal Tone​

2 {0:2}​

TID 5009​

 

1.9.4​

Fetal Heart Reactivity​

2 {0:2}​

TID 5009​

 

1.9.5​

Amniotic Fluid Volume​

2 {0:2}​

TID 5009​

 

1.9.6​

Biophysical Profile Sum Score​

10 {0:10}​

TID 5009​

 

I.8.5 Example 5: Biometry Ratios​

Optionally, but not shown, the ratios may have by-reference, inferred-from relationships to the content items holding the numerator​ and denominator values.​

Nest​

Code Meaning of Concept Name​

Code Meaning or Example​

TID​

 

 

 

Value​

 

1​

OB-GYN Ultrasound Procedure Report​

 

TID 5000​

 

1.n​

….​

 

TID 5000​

 

1.9​

Fetal Biometry Ratios​

 

TID 5004​

 

1.9.1​

HC/AC​

77%​

TID 5004​

 

1.9.2​

FL/AC​

22 %​

TID 5004​

 

- Standard -​

 

DICOM PS3.17 2020a - Explanatory Information​

 

Page 137​

Nest​

Code Meaning of Concept Name​

Code Meaning or Example​

TID​

 

 

Value​

 

 

1.9.2.1​

Normal Range Lower Limit​

20 %​

TID 312​

 

1.9.2.2​

Normal Range Upper Limit​

24 %​

TID 312​

 

1.9.2.3​

Normal Range Authority​

Hadlock, AJR 1983​

TID 312​

 

1.9.3​

FL/BPD​

79 %​

TID 5004​

 

1.9.3.1​

Normal Range Lower Limit​

71 %​

TID 312​

 

1.9.3.2​

Normal Range Upper Limit​

81 %​

TID 312​

 

1.9.3.3​

Normal Range Authority​

Hohler, Am J of Ob and Gyn​TID 312​

 

 

 

1981​

 

 

1.9.4​

Cephalic Index​

82 %​

TID 5004​

 

1.9.4.1​

Normal Range Lower Limit​

70 %​

TID 312​

 

1.9.4.2​

Normal Range Upper Limit​

86 %​

TID 312​

 

1.9.4.3​

Normal Range Authority​

Hadlock, AJR 1981​

TID 312​

 

I.8.6 Example 6: Biometry​

 

 

 

This example shows measurements and estimated gestational age.​

 

 

 

Nest​

Code Meaning of Concept Name​

Code Meaning or​

 

TID​

 

 

Example Value​

 

 

1​

OB-GYN Ultrasound Procedure Report​

 

TID 5000​

 

1.n​

….​

 

TID 5000​

 

1.8​

Fetal Biometry​

 

TID 5005​

 

1.8.1​

Biometry Group​

 

TID 5008​

 

1.8.1.1​

Biparietal Diameter​

5.5 cm​

TID 300​

 

1.8.1.2​

Biparietal Diameter​

5.3 cm​

TID 300​

 

1.8.1.3​

Biparietal Diameter​

5.4 cm​

TID 300​

 

1.8.1.3.1​

Derivation​

Mean​

TID 300​

 

1.8.1.4​

Gestational Age​

190 d​

TID 5008​

 

1.8.1.4.1​

Equation​

Jeanty, 1982​

TID 5008​

 

1.8.1.4.2​

5th Percentile Value of population​

131 d​

TID 5008​

 

1.8.1.4.3​

95th Percentile Value of population​

173 d​

TID 5008​

 

1.8.2​

Biometry Group​

 

TID 5008​

 

1.8.2.1​

Occipital-Frontal Diameter​

18.1 cm​

TID 300​

 

1.8.3​

Biometry Group​

 

TID 5008​

 

1.8.3.1​

Head Circumference​

34.3 cm​

TID 300​

 

1.8.3.1.1​

Derivation​

Estimated​

TID 300​

 

1.8.4​

Biometry Group​

 

TID 5008​

 

1.8.4.1​

Abdominal Circumference​

34.9 cm​

TID 300​

 

1.8.4.2​

Abdominal Circumference​

34.3 cm​

TID 300​

 

1.8.4.3​

Abdominal Circumference​

34.3 cm​

TID 300​

 

1.8.4.4​

Abdominal Circumference​

34.5 cm​

TID 300​

 

1.8.4.4.1​

Derivation​

Mean​

TID 300​

 

1.8.4.5​

Gestational Age​

190 d​

TID 5008​

 

- Standard -​

Page 138​

DICOM PS3.17 2020a - Explanatory Information​

 

 

Nest​

Code Meaning of Concept Name​

Code Meaning or​

 

TID​

 

 

Example Value​

 

 

1.8.4.5.1​

Equation​

Hadlock, 1984​

TID 5008​

 

1.8.4.5.2​

2 Sigma Lower Value of population​

184 d​

TID 5008​

 

1.8.4.5.3​

2 Sigma Upper Value of population​

196 d​

TID 5008​

 

1.8.5​

Biometry Group​

 

TID 5008​

 

1.8.5.1​

Femur Length​

4.5 cm​

TID 300​

 

1.8.5.n​

…​

 

TID 300​

 

This example shows measurements and with percentile ranking.​

 

 

 

Nest​

Code Meaning of Concept Name​

Code Meaning or​

 

TID​

 

 

Example Value​

 

 

1​

OB-GYN Ultrasound Procedure Report​

 

TID 5000​

 

1.n​

….​

 

TID 5000​

 

1.8​

Fetal Biometry​

 

TID 5005​

 

1.8.1​

Biometry Group​

 

TID 5008​

 

1.8.1.1​

Biparietal Diameter​

5.5 cm​

TID 300​

 

1.8.1.2​

Biparietal Diameter​

5.3 cm​

TID 300​

 

1.8.1.3​

Biparietal Diameter​

5.4 cm​

TID 300​

 

1.8.1.3.1​

Derivation​

Mean​

TID 300​

 

1.8.1.4​

Growth Percentile Rank​

63 %​

TID 5008​

 

1.8.1.4.1​

Equation​

BPD, Jeanty 1982​

TID 5008​

 

1.8.2​

Biometry Group​

 

TID 5008​

 

1.8.2.n​

…​

 

TID 300​

 

I.8.7 Example 7: Amniotic Sac​

 

 

 

Nest​

Code Meaning of Concept Name​

Code Meaning or Example​

TID​

 

 

Value​

 

 

1​

OB-GYN Ultrasound Procedure Report​

 

TID 5000​

 

1.n​

….​

 

TID 5000​

 

1.6​

Findings​

 

TID 5010​

 

1.6.1​

Finding Site​

Amniotic Sac​

TID 5010​

 

1.6.2​

Amniotic Fluid Index​

11 cm​

TID 300​

 

1.6.3​

First Quadrant Diameter​

10 cm​

TID 300​

 

1.6.4​

Second Quadrant Diameter​

12 cm​

TID 300​

 

1.6.5​

Third Quadrant Diameter​

11 cm​

TID 300​

 

1.6.6​

Fourth Quadrant Diameter​

12 cm​

TID 300​

 

I.8.8 Example 8: OB-GYN Ovaries​

The content structure in the example below conforms to TID 5012 “Ovaries Section”. The example shows the volume derived from​ three perpendicular diameters.​

- Standard -​

DICOM PS3.17 2020a - Explanatory Information​

Page 139​

Findings

CONTAINER

HAS CONCEPT MOD

Ovary

CONTAINER

CONTAINS

Ovary

CONTAINER

CONTAINS

Left Ovary Volume

NUM

Instances

 

 

CONTAINS

CONTAINS

CONTAINS

Left Ovary Length

Left Ovary Width

Left Ovary Height

NUM

NUM

NUM

Averaged Results

CONTAINS

CONTAINS

CONTAINS

Left Ovary Length

Left Ovary Width

Left Ovary Height

NUM

NUM

NUM

HAS CONCEPT MOD

HAS CONCEPT MOD

HAS CONCEPT MOD

Derivation = "mean"

Derivation = "mean"

Derivation = "mean"

CODE

CODE

CODE

Figure I.8-1. Ovaries Example​

Nest​

Code Meaning of Concept Name​

Code Meaning or​

TID​

 

 

Example Value​

 

1​

OB-GYN Ultrasound Procedure Report​

 

TID 5000​

1.n​

….​

 

TID 5000​

1.9​

Findings​

 

TID 5012​

1.9.1​

Finding Site​

Ovary​

TID 5012​

1.9.2​

Ovary​

 

TID 5016​

1.9.2.1​

Left Ovary Volume​

6 cm3​

TID 300​

1.9.2.2​

Left Ovary Length​

3 cm​

TID 300​

1.9.2.3​

Left Ovary Length​

3 cm​

TID 300​

1.9.2.4​

Left Ovary Length​

3 cm​

TID 300​

1.9.2.4.1​

Derivation​

Mean​

TID 300​

1.9.2.5​

Left Ovary Width​

2 cm​

TID 300​

1.9.2.5.1​

Derivation​

Mean​

TID 300​

1.9.2.6​

Left Ovary Height​

2 cm​

TID 300​

1.9.2.6.1​

Derivation​

Mean​

TID 300​

1.9.3​

Ovary​

 

TID 5016​

1.9.3.1​

Right Ovary Volume​

7 cm3​

TID 300​

- Standard -​

Page 140​

DICOM PS3.17 2020a - Explanatory Information​

 

Nest​

Code Meaning of Concept Name​

Code Meaning or​

TID​

 

 

Example Value​

 

1.9.3.2​

…​

 

TID 300​

I.8.9 Example 9: OB-GYN Follicles​

The content structure in the example below conforms to TID 5013 “Follicles Section”. It uses multiple measurements and derived​ averages for each of the perpendicular diameters.​

Findings

CONTAINER

HAS CONCEPT MOD

HAS CONCEPT MOD

CONTAINS

CONTAINS

 

 

Finding Site = “Ovarian Follicle”

 

 

Laterality = "Left"

 

Number of Follicles = "3"

 

Measurement Group

 

 

 

CODE

 

 

CODE

 

NUM

 

CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HAS PROPERTIES

HAS PROPERTIES

 

HAS OBS CONTEXT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Volume

 

 

Follicle Diameter

 

Identifier = "2"

 

 

 

 

 

 

NUM

 

NUM

 

TEXT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Figure I.8-2. Follicles Example​

 

Nest​

Code Meaning of Concept Name​

Code Meaning or​

TID​

 

 

 

 

 

 

 

 

 

 

Example Value​

 

1​

OB-GYN Ultrasound Procedure Report​

 

 

 

 

 

TID 5000​

1.n​

….​

 

 

 

 

 

 

 

 

 

 

TID 5000​

1.8​

Findings​

 

 

 

 

 

 

 

 

 

 

TID 5013​

1.8.1​

Finding Site​

 

 

 

 

 

Ovarian Follicle​

TID 5013​

1.8.2​

Laterality​

 

 

 

 

 

Right​

 

 

 

TID 5013​

1.8.3​

Number of follicles in right ovary​

2​

 

 

 

TID 5013​

1.8.4​

Measurement Group​

 

 

 

 

 

 

 

 

 

 

TID 5014​

1.8.4.1​

Identifier​

 

 

 

 

 

#1​

 

 

 

TID 5014​

1.8.4.2​

Volume​

 

 

 

 

 

3 cm3​

 

 

 

TID 300​

1.8.4.3​

Follicle Diameter​

 

 

 

 

 

15 mm​

 

 

 

TID 300​

1.8.4.4​

Follicle Diameter​

 

 

 

 

 

13 mm​

 

 

 

TID 300​

1.8.4.5​

Follicle Diameter​

 

 

 

 

 

14 mm​

 

 

 

TID 300​

1.8.4.5.1​

Derivation​

 

 

 

 

 

Mean​

 

 

 

TID 300​

1.8.5​

Measurement Group​

 

 

 

 

 

 

 

 

 

 

TID 5014​

1.8.5.1​

Identifier​

 

 

 

 

 

#2​

 

 

 

TID 5014​

1.8.5.2​

Volume​

 

 

 

 

 

4 cm3​

 

 

 

TID 300​

1.8.5.3​

Follicle Diameter​

 

 

 

 

 

18 mm​

 

 

 

TID 300​

1.9​

Findings​

 

 

 

 

 

 

 

 

 

 

TID 5013​

1.9.1​

Finding Site​

 

 

 

 

 

Ovarian Follicle​

TID 5013​

1.9.2​

Laterality​

 

 

 

 

 

Left​

 

 

 

TID 5013​

- Standard -​

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