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Page 176​

DICOM PS3.17 2020a - Explanatory Information​

Name of ASE Concept​

Base Measurement Concept Name​ Concept or Acquisition Context Modifiers​

Right Ventricle Anterior Wall Diastolic​

(18153-7, LN, "Right Ventricle Anterior​

 

Thickness​

Wall Diastolic Thickness")​

 

Right Ventricular Anterior Wall Systolic​(18157-8,LN,"RightVentricularAnterior​

 

Thickness​

Wall Systolic Thickness")​

 

Right Ventricular Peak Systolic Pressure​(399023006, SCT, "Right Ventricular​

 

 

Peak Systolic Pressure")​

 

N.3.13 Pulmonic Valve / Pulmonic Artery​

 

Name of ASE Concept​

Base Measurement Concept Name​

Concept or Acquisition Context Modifiers​

Main Pulmonary Artery Diameter​

(18020-8, LN, "Main Pulmonary Artery​

 

 

Diameter")​

 

Main Pulmonary Artery Velocity​

(399048009, SCT, "Main Pulmonary Artery​

 

Velocity")​

 

Right Pulmonary Artery Diameter​

(18021-6, LN, "Right Pulmonary Artery​

 

 

Diameter")​

 

Left Pulmonary Artery Diameter​

(18019-0, LN, "Left Pulmonary Artery​

 

 

Diameter")​

 

Pulmonic Valve Systolic Peak​

(20247-3, LN, "Peak Gradient")​

(260674002, SCT, "Direction of Flow") =​

Instantaneous Gradient​

 

(263677008, SCT, "Antegrade Flow")​

Pulmonic Valve Systolic Mean Gradient​(20256-4, LN, "Mean Gradient")​

(260674002, SCT, "Direction of Flow") =​

 

 

(263677008, SCT, "Antegrade Flow")​

Pulmonic Valve Systolic Peak Velocity​

(20354-7,LN,11726-7,LN,"PeakVelocity")​(260674002, SCT, "Direction of Flow") =​

 

 

(263677008, SCT, "Antegrade Flow")​

Pulmonic Valve Systolic Velocity Time​

(20354-7, LN, "Velocity Time Integral")​

(260674002, SCT, "Direction of Flow") =​

Integral​

 

(263677008, SCT, "Antegrade Flow")​

Pulmonic Valve Area by Continuity​

(18096-8, LN, "Pulmonic valve Area by​

 

 

Continuity")​

 

Pulmonic Valve Acceleration Time​

(20168-1, LN, "Acceleration Time")​

(260674002, SCT, "Direction of Flow") =​

 

 

(312004007, SCT, "Regurgitant Flow")​

PulmonicValveRegurgitantEndDiastolic​(11653-3, LN, "End Diastolic Velocity")​

(260674002, SCT, "Direction of Flow") =​

Velocity​

 

(312004007, SCT, "Regurgitant Flow")​

Pulmonic Valve Regurgitant Diastolic​

(11726-7, LN, "Peak Velocity")​

(260674002, SCT, "Direction of Flow") =​

Peak Velocity​

 

(312004007, SCT, "Regurgitant Flow")​

Note​

Pulmonic Valve measurements appear in TID 5202 “Echo Section”, which specifies the Finding Site to be Pulmonic Valve​ with the concept modifier (363698007, SCT, "Finding Site") = (46030003, SCT, "Pulmonic Valve"). Therefore, this Finding​ Site concept modifier does not appear in the right column.​

N.3.14 Tricuspid Valve​

Name of ASE Concept​

Base Measurement Concept Name​ Concept or Acquisition Context Modifiers​

TricuspidValveMeanDiastolicVelocity​(20352-1, LN, "Mean Velocity")​

(260674002, SCT, "Direction of Flow") =​

 

 

(263677008, SCT, "Antegrade Flow")​

Tricuspid Valve E Wave Peak Velocity​(18031-5,LN,"TricuspidValveEWave​

Peak Velocity")​

Tricuspid Valve A Wave Peak Velocity​(18030-7,LN,"TricuspidValveAWave​

Peak Velocity")​

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DICOM PS3.17 2020a - Explanatory Information​

Page 177​

Name of ASE Concept​

Base Measurement Concept Name​ Concept or Acquisition Context Modifiers​

Tricuspid Valve Diastolic Velocity Time​(20354-7, LN, "Velocity Time Integral")​(260674002, SCT, "Direction of Flow") =​

Integral​

 

(263677008, SCT, "Antegrade Flow")​

 

TricuspidValvePeakDiastolicGradient​(20247-3, LN, Peak Gradient")​

(260674002, SCT, "Direction of Flow") =​

 

 

(263677008, SCT, "Antegrade Flow")​

 

TricuspidValveMeanDiastolicGradient​(20256-4, LN, Mean Gradient")​

(260674002, SCT, "Direction of Flow") =​

 

 

(263677008, SCT, "Antegrade Flow")​

 

Tricuspid Valve Annulus Diastolic​

(399027007, SCT, Cardiovascular​

(363698007, SCT, "Finding Site") = (279170002,​

Diameter​

Orifice Diameter")​

SCT, "Tricuspid Annulus")​

 

 

 

(260674002, SCT, "Direction of Flow") =​

 

 

(263677008, SCT, "Antegrade Flow")​

 

Tricuspid Valve Regurgitant Peak​

(11726-7, LN, "Peak Velocity")​

(260674002, SCT, "Direction of Flow") =​

Velocity​

 

(312004007, SCT, "Regurgitant Flow")​

 

Tricuspid Regurgitation Peak Pressure​(20247-3, LN, "Peak Gradient")​

(260674002, SCT, "Direction of Flow") =​

Gradient​

 

(312004007, SCT, "Regurgitant Flow")​

 

Tricuspid Regurgitation Velocity Time​(20354-7, LN, "Velocity Time Integral")​(260674002, SCT, "Direction of Flow") =​

Integral​

 

(312004007, SCT, "Regurgitant Flow")​

 

Tricuspid Valve Deceleration Time​

(20217-6, LN, "Deceleration Time")​

(260674002, SCT, "Direction of Flow") =​

 

 

(263677008, SCT, "Antegrade Flow")​

 

Note​

TRICUSPID Valve measurements appear in TID 5202 “Echo Section”, which specifies the Finding Site to be Tricuspid Valve​ with the concept modifier (363698007, SCT, "Finding Site") = (46030003, SCT, "Tricuspid Valve"). Therefore, the Finding​ Site modifier does not appear in the right column.​

N.3.15 Right Atrium / Inferior Vena Cava​

Name of ASE Concept​

Base Measurement Concept Name​ ConceptorAcquisitionContextModifiers​

Right Atrium Systolic Pressure​

(18070-3, LN, "Right Atrium Systolic​

 

Pressure")​

Right Atrium Systolic Area​

(17988-7, LN, "Right Atrium Area A4C view")​(272518008, SCT, "Cardiac Cycle Point") =​

 

(111973004, SCT, "Systole")​

Inferior Vena Cava Diameter​

(18006-7,LN,"InferiorVenaCavaDiameter")​

Inferior Vena Cava Diameter at​

(18006-7,LN,"InferiorVenaCavaDiameter")​(272517003,SCT,"RespiratoryCyclePoint")​

Inspiration​

= (14910006, SCT, "During Inspiration")​

InferiorVenaCavaDiameteratExpiration​(18006-7,LN,"InferiorVenaCavaDiameter")​(272517003,SCT,"RespiratoryCyclePoint")​

 

= (58322009, SCT, "During Expiration")​

Inferior Vena Cava % Collapse​

(18050-5, LN, "Inferior Vena Cava %​

 

Collapse")​

Hepatic Vein Systolic Peak Velocity​

(29471-0, LN, "Hepatic Vein Systolic Peak​

 

Velocity")​

Hepatic Vein Diastolic Peak Velocity​

(29472-8, LN, "Hepatic Vein Diastolic Peak​

 

Velocity")​

Hepatic Vein Systolic to Diastolic Ratio​(29473-6, LN, "Hepatic Vein Systolic to​

Diastolic Ratio")​

Hepatic Vein Atrial Contraction Reversal​(29474-4,LN,"HepaticVeinAtrialContraction​

Peak Velocity​ Reversal Peak Velocity")​

Hepatic Vein Peak Systolic Velocity at​ (29471-0, LN, "Hepatic Vein Systolic Peak​ (272517003,SCT,"RespiratoryCyclePoint")​ Inspiration​ Velocity")​ = (14910006, SCT, "During Inspiration")​

- Standard -​

Page 178​

DICOM PS3.17 2020a - Explanatory Information​

Name of ASE Concept​

Base Measurement Concept Name​

ConceptorAcquisitionContextModifiers​

Hepatic Vein Peak Diastolic Velocity at​(29472-8, LN, "Hepatic Vein Diastolic Peak​(272517003,SCT,"RespiratoryCyclePoint")​

Inspiration​

Velocity")​

= (14910006, SCT, "During Inspiration")​

Hepatic Vein Systolic to Diastolic Ratio​(29473-6, LN, "Hepatic Vein Systolic to​

(272517003,SCT,"RespiratoryCyclePoint")​

at Inspiration​

Diastolic Ratio")​

= (14910006, SCT, "During Inspiration")​

Hepatic Vein Peak Atrial Contraction​

(29474-4,LN,"HepaticVeinAtrialContraction​(272517003,SCT,"RespiratoryCyclePoint")​

Reversal Velocity at Inspiration​

Reversal Peak Velocity")​

= (14910006, SCT, "During Inspiration")​

Hepatic Vein Peak Systolic Velocity at​ (29471-0, LN, "Hepatic Vein Systolic Peak​ (272517003,SCT,"RespiratoryCyclePoint")​

Expiration​

Velocity")​

= (58322009, SCT, "During Expiration")​

Hepatic Vein Peak Diastolic Velocity at​(29472-8, LN, "Hepatic Vein Diastolic Peak​(272517003,SCT,"RespiratoryCyclePoint")​

Expiration​

Velocity")​

= (58322009, SCT, "During Expiration")​

Hepatic Vein Systolic to Diastolic Ratio​(29473-6, LN, "Hepatic Vein Systolic to​

(272517003,SCT,"RespiratoryCyclePoint")​

at Expiration​

Diastolic Ratio")​

= (58322009, SCT, "During Expiration")​

Hepatic Vein Peak Atrial Contraction​

(29474-4,LN,"HepaticVeinAtrialContraction​(272517003,SCT,"RespiratoryCyclePoint")​

Reversal Velocity at Expiration​

Reversal Peak Velocity")​

= (58322009, SCT, "During Expiration")​

N.3.16 Congenital/Pediatric​

 

Name of ASE Concept​

Base Measurement Concept Name​

Concept or Acquisition Context Modifiers​

Thoracic Aorta Coarctation Systolic Peak​(29460-3, LN, "Thoracic Aorta Coarctation​

Velocity​

Systolic Peak Velocity")​

 

Thoracic Aorta Coarctation Systolic Peak​(20256-4, LN, "Mean Gradient")​

(363698007, SCT, "Finding Site") =​

Instantaneous Gradient​

 

(253678000, SCT, "Thoracic Aortic​

 

 

Coarctation")​

Thoracic Aorta Coarctation Systolic Mean​(17995-2, LN, "Thoracic Aorta Coarctation​

Gradient​

Systolic Peak Instantaneous Gradient")​

 

Ventricular Septal Defect Diameter​

(399027007, SCT, "Cardiovascular Orifice​(363698007, SCT, "Finding Site") =​

 

Diameter")​

(30288003, SCT, "Ventricular Septal Defect")​

Ventricular Septal Defect Systolic Peak​ (20247-3, LN, "Peak Gradient")​

(363698007, SCT, "Finding Site") =​

Instantaneous Gradient​

 

(30288003, SCT, "Ventricular Septal Defect")​

Ventricular Septal Defect Systolic Mean​(20256-4, LN, "Mean Gradient")​

(363698007, SCT, "Finding Site") =​

Gradient​

 

(30288003, SCT, "Ventricular Septal Defect")​

Ventricular Septum Defect Systolic Peak​(11726-7, LN, "Peak Velocity")​

(363698007, SCT, "Finding Site") =​

Velocity​

 

(30288003, SCT, "Ventricular Septal Defect")​

Atrial Septal Defect Diameter​

(399027007, SCT, "Cardiovascular Orifice​(363698007, SCT, "Finding Site") =​

 

Diameter")​

(70142008, SCT, "Atrial Septal Defect")​

Pulmonary-to-Systemic Shunt Flow Ratio​(29462-9, LN, "Pulmonary-to-Systemic​

 

 

Shunt Flow Ratio")​

 

Pulmonary-to-Systemic Shunt Flow Ratio​(29462-9, LN, "Pulmonary-to-Systemic​

(370129005,SCT,"MeasurementMethod")=​

by Doppler Volume Flow​

Shunt Flow Ratio")​

(125219, DCM, "Doppler Volume Flow")​

N.4 Encoding Examples​

N.4.1 Example 1: Patient Characteristics​

Nest​

Code Meaning of Concept Name​

Code Meaning or Example​

TID​

 

 

Value​

 

 

Adult Echocardiography Procedure Report​

TID 5200​

 

>​

….​

…​

 

>​

Patient Characteristics​

TID 5201​

 

- Standard -​

 

DICOM PS3.17 2020a - Explanatory Information​

 

Page 179​

Nest​

Code Meaning of Concept Name​

Code Meaning or Example​

TID​

 

 

 

Value​

 

 

>>​

Subject Age​

39 years​

TID 5201​

 

>>​

Subject Sex​

M​

 

TID 5201​

 

>>​

Patient Height​

167 cm​

TID 300​

 

>>​

Patient Weight​

72.6 kg​

TID 300​

 

>>​

Body Surface Area​

1.82 m2​

TID 300​

 

>>>​

Body Surface Area Formula​

Code: 122240​

TID 5201​

 

N.4.2 Example 2: LV Dimensions and Fractional Shortening​

 

 

Nest​

Code Meaning of Concept Name​

 

Code Meaning or​

 

TID​

 

 

 

Example Value​

 

 

 

Adult Echocardiography Procedure Report​

 

 

TID 5200​

 

>​

….​

 

 

…​

 

>​

Findings​

 

 

TID 5202​

 

>>​

Finding Site​

 

Left Ventricle​

TID 5202​

 

>>​

Measurement Group​

 

 

TID 5202​

 

>>​

Acquisition Protocol​

 

2D Dimensions​

TID 5202​

 

>>>​

Heart Rate​

 

45 bpm​

TID 300​

 

>>>​

Left Ventricle Internal End Diastolic Dimension​

5.09 cm​

TID 300​

 

>>>>​

Image Mode​

 

2d​

TID 5203​

 

>>>​

Left Ventricle Internal End Diastolic Dimension​

5.34 cm​

TID 300​

 

>>>>​

Image Mode​

 

2d​

TID 5203​

 

>>>​

Left Ventricle Internal End Diastolic Dimension​

5.22 cm​

TID 300​

 

>>>>​

Image Mode​

 

2d​

TID 5203​

 

>>>>​

Derivation​

 

Mean​

TID 300​

 

>>>​

Left Ventricle Internal Systolic Dimension​

 

5.09 cm​

TID 300​

 

>>>>​

Image Mode​

 

2d​

TID 5203​

 

>>>​

Left Ventricle Internal Systolic Dimension​

 

5.34 cm​

TID 300​

 

>>>>​

Image Mode​

 

2d​

TID 5203​

 

>>>​

Left Ventricle Internal Systolic Dimension​

 

5.22 cm​

TID 300​

 

>>>>​

Image Mode​

 

2d​

TID 5203​

 

>>>>​

Derivation​

 

Mean​

TID 300​

 

>>>​

Interventricular Septum Diastolic Thickness​

1.20 cm​

TID 300​

 

>>>​

Interventricular Septum Diastolic Thickness​

1.20 cm​

TID 300​

 

>>>>​

Derivation​

 

Mean​

TID 300​

 

>>>​

Left Ventricle Internal Systolic Dimension​

 

5.09 cm​

TID 300​

 

>>>​

Left Ventricle Internal Systolic Dimension​

 

5.30 cm​

TID 300​

 

>>>>​

Derivation​

 

Mean​

TID 300​

 

>>>​

Left Ventricular Fractional Shortening​

 

54.8%​

TID 300​

 

>>>​

…​

 

 

…​

 

- Standard -​

Page 180​ DICOM PS3.17 2020a - Explanatory Information​

N.4.3 Example 3: Left Atrium / Aortic Root Ratio​

Nest​

Code Meaning of Concept Name​

CodeMeaningorExample​

TID​

 

 

Value​

 

 

 

Adult Echocardiography Procedure Report​

 

TID 5200​

 

>​

….​

 

…​

 

>​

Findings​

 

TID 5202​

 

>>​

Finding Site​

Left Atrium​

TID 5202​

 

>>​

Measurement Group​

 

TID 5202​

 

>>>​

Acquisition Protocol​

2D Dimensions​

TID 5202​

 

>>>​

Left Atrium Antero-posterior Systolic Dimension​3.45 cm​

TID 5202​

 

>>>​

Left Atrium Antero-posterior Systolic Dimension​3.45 cm​

TID 5202​

 

>>>>​

Derivation​

Mean​

TID 5202​

 

>>>​

Left Atrium to Aortic Root Ratio​

1.35​

TID 5202​

 

>​

Findings​

 

TID 5202​

 

>>​

Finding Site​

Aorta​

TID 5202​

 

>>​

Measurement Group​

 

TID 5202​

 

>>​

Acquisition Protocol​

2D Dimensions​

TID 5202​

 

>>>​

Aortic Root Diameter​

2.55 cm​

TID 5202​

 

>>>​

…​

 

…​

 

N.4.4 Example 4: Pressures​

 

 

 

Nest​

Code Meaning of Concept Name​

Code Meaning or Example​

TID​

 

 

Value​

 

 

Adult Echocardiography Procedure Report​

 

TID 5200​

>​

….​

 

…​

>​

Findings​

 

TID 5202​

>>​

Finding Site​

Right Atrium​

TID 5202​

>>​

Measurement Group​

 

TID 5202​

>>>​

Acquisition Protocol​

Pressure Predictions​

TID 5202​

>>>​

Right Atrium Systolic Pressure​

10 mmHg​

TID 5202​

>>>>​

Derivation​

User estimate​

TID 5202​

>>​

Finding Site​

Right Ventricle​

TID 5202​

>>​

Measurement Group​

 

TID 5202​

>>>​

Acquisition Protocol​

Pressure Predictions​

TID 5202​

>>>​

Right Ventricular Peak Systolic Pressure​

49.3 mmHg​

TID 5202​

N.4.5 Example 5: Cardiac Output​

 

 

Nest​

Code Meaning of Concept Name​ Code Meaning or Example​

TID​

 

Value​

 

 

Adult Echocardiography Procedure Report​

TID 5200​

>​

….​

…​

>​

Findings​

TID 5202​

- Standard -​

Источник: https://studfile.net/preview/14585770/