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DICOM PS3.17 2020a - Explanatory Information |
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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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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")
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DICOM PS3.17 2020a - Explanatory Information |
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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 |
|
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Page 179 |
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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 |
|
>>> |
… |
|
|
… |
|
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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 Dimension3.45 cm |
TID 5202 |
|
|
>>> |
Left Atrium Antero-posterior Systolic Dimension3.45 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 |
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