Quantitative Arterial Analysis Report SR IOD Templates

Quantitative Arterial Analysis Report SR IOD Templates
Prev	A Structured Reporting Templates (Normative)	Next

The templates that comprise the Quantitative Arterial Analysis SR are interconnected as in Figure A-4:

Figure A-4. Quantitative Arterial Analysis Report SR IOD Template Structure

TID 3213 Quantitative Arterial Analysis

The Quantitative Arterial Analysis Template consists of a CONTAINER with a structure for reporting the result of the quantitative arterial analysis process.

Type:: Extensible
Order:: Significant

Table TID 3213. Quantitative Arterial Analysis

	NL	Rel with Parent	VT	Concept Name	VM	Req Type
1			CONTAINER	EV (122291, DCM, "Quantitative Arteriography Report")	1	M
2	>	HAS CONCEPT MOD	INCLUDE	DTID 1204 “Language of Content Item and Descendants”	1	M
3	>	HAS OBS CONTEXT	INCLUDE	DTID 1002 “Observer Context”	1-n	M
4	>	CONTAINS	INCLUDE	DTID 3602 “Cardiovascular Patient Characteristics”	1	U
5	>	HAS OBS CONTEXT	TEXT	EV (111001, DCM, "Algorithm Name")	1	M
6	>	HAS OBS CONTEXT	TEXT	EV (111003, DCM, "Algorithm Version")	1	M
7	>	HAS OBS CONTEXT	TEXT	EV (122405, DCM, "Algorithm Manufacturer")	1	M
8	>	CONTAINS	INCLUDE	DTID 3214 “Analyzed Segment”	1-n	M

Content Item Descriptions

Row 5	Identifies the Arterial Analysis program
Row 6	Identifies the Arterial Analysis program version
Row 7	Identifies the Arterial Analysis program manufacturer

TID 3214 Analyzed Segment

The Analyzed Segment Template consists of a CONTAINER providing quantitative arterial analysis measurements derived from the angiographic images.

Type:: Extensible
Order:: Significant

Table TID 3214. Analyzed Segment

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1			CONTAINER	EV (121070, DCM, "Findings")	1	M
2	>	HAS CONCEPT MOD	CODE	EV (G-C0E3, SRT, "Finding Site")	1	M	DCID 3604 “Arterial Lesion Locations”
3	>	CONTAINS	IMAGE	EV (121112, DCM, "Source of Measurement")	1	M
4	>	CONTAINS	INCLUDE	DTID 3205 “Calibration”	1	M
5	>	HAS ACQ CONTEXT	INCLUDE	DTID 3520 “Hemodynamic Clinical Context”	1	U
6	>	HAS ACQ CONTEXT	CODE	EV (G-72BB, SRT, "Catheterization Procedure Phase")	1	U	DCID 3651 “Hemodynamic Measurement Phase”
7	>	CONTAINS	SCOORD	EV (122507, DCM, "Left Contour")	1	M	GRAPHIC TYPE = POLYLINE
8	>>	R-SELECTED FROM	IMAGE		1	M	Must reference Row 3
9	>	CONTAINS	SCOORD	EV (122508, DCM, "Right Contour")	1	M	GRAPHIC TYPE = POLYLINE
10	>>	R-SELECTED FROM	IMAGE		1	M	Must reference Row 3
11	>	CONTAINS	INCLUDE	DTID 3219 “Segment Values”	1	M
12	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M	$Measurement = EV (G-0364, SRT, "Vessel Luminal Diameter") $Derivation = EV (R-404FB, SRT, "Minimum") $Unit = DT (mm, UCUM, "mm")
13	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M	$Measurement = EV (G-0364, SRT, "Vessel Luminal Diameter") $Derivation = EV (G-A437, SRT, "Maximum") $Unit = DT (mm, UCUM, "mm")
14	>	CONTAINS	CONTAINER	EV (122509, DCM, "Diameter Graph")	1	U
15	>>	CONTAINS	NUM	EV (122511, DCM, "Graph Increment")	1	M	Value = 1 UNITS = DT ({pixels}, UCUM, "pixels")
16	>>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1-n	M	$Measurement = EV (G-0364, SRT, "Vessel Luminal Diameter") $Unit = DT (mm, UCUM, "mm")
17	>	CONTAINS	NUM	EV (122382, DCM, "Site of Luminal Minimum ")	1	U	UNITS = DT ({pixels}, UCUM, "pixels")
18	>	CONTAINS	NUM	EV (122516, DCM, "Site of Luminal Maximum")	1	U	UNITS = DT ({pixels}, UCUM, "pixels")
19	>	CONTAINS	INCLUDE	DTID 3215 “Angiographic Lesion Analysis”	1-n	U
20	>	CONTAINS	INCLUDE	DTID 3217 “Sub-segmental Data”	1-n	U
21	>	CONTAINS	IMAGE	No purpose of reference	1	U

Content Item Descriptions

Row 1	Observation DateTime (0040,A032) of container needs to be flagged with the time of the analysis
Row 6	Numeric coordinates (x,y) identifying the contour points from proximal to distal of left contour. Left is relative to the direction of the blood flow.
Row 9	Numeric coordinates (x,y) identifying the contour points from proximal to distal of right contour. Right is relative to the direction of the blood flow.
Row 12, 13	Positions are relative to the midpoint between the first left and right contour points and measured along the midline between the left and right contour.
Row 14	The X-axis represents the pixel points of the midline of the vessel from proximal to distal. The points on the midline are not necessarily equidistant.
Row 16	For each point of the midline of the vessel a measurement value for the diameter is calculated.
Row 17, 18	The positions in the graph are related to the points on the midline of the vessel.
Row 21	Secondary Capture image with Arterial Analysis contour.

Definition of Left and Right defined by the direction of the blood flow as in Figure A-4b:

Figure A-4b. Direction of Blood Flow

TID 3215 Angiographic Lesion Analysis

The Angiographic Lesion Analysis Template consists of a CONTAINER providing quantitative arterial analysis measurements derived for an obstruction in a total analyzed segment.

Type:: Extensible
Order:: Significant

Table TID 3215. Angiographic Lesion Analysis

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1			CONTAINER	EV (F-00585, SRT, "Lesion Finding")	1	M
2	>	CONTAINS	TEXT	EV (121151, DCM, "Lesion Identifier")	1	M
3	>>	HAS PROPERTIES	CODE	EV (G-C0E3, SRT, "Finding Site")	1	M	DCID 3604 “Arterial Lesion Locations”
4	>>>	HAS CONCEPT MOD	CODE	EV (G-A1F8, SRT, "Topographical modifier")	1	U	DCID 3019 “Cardiovascular Anatomic Location Modifiers”
5	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M	$Measurement = EV (G-0364, SRT, "Vessel Luminal Diameter") $Derivation = EV (R-404FB, SRT, "Minimum") $Unit = DT (mm, UCUM, "mm")
6	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1-n	U	$Measurement = EV (G-0366, SRT, "Vessel Lumen Cross-Sectional Area") $Method = DCID 3470 “Vessel Lumen Cross-sectional Area Calculation Methods” $Derivation = EV (R-404FB, SRT, "Minimum") $Unit = DT (mm2, UCUM, "mm2")
7	>	CONTAINS	CODE	EV (122430, DCM, "Reference Method")	1	M	DCID 3465 “QA Reference Methods”
8	>	CONTAINS	CONTAINER	EV (122438, DCM, "Reference Points")	1	U
9	>>	CONTAINS	NUM	EV (122337, DCM, "Relative Position")	1-n	M	UNITS = DT (mm, UCUM, "mm")
10	>>>	HAS PROPERTIES	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (G-0364, SRT, "Vessel Luminal Diameter") $Unit = DT (mm, UCUM, "mm")
11	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M	$Measurement = EV (G-0364, SRT, "Vessel Luminal Diameter") $TargetSite = (122382, DCM, "Site of Luminal Minimum") $Unit = DT (mm, UCUM, "mm")
12	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (G-0366, SRT, "Vessel Lumen Cross-Sectional Area") $Derivation = EV (122404, DCM, "Reconstructed") $TargetSite = (122382, DCM, "Site of Luminal Minimum") $Unit = DT (mm2, UCUM, "mm2")
13	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M	$Measurement = EV (G-0364, SRT, "Vessel Luminal Diameter") $Derivation = EV (R-41D2D, SRT, "Calculated") $TargetSite = EV (122481, DCM, "Contour Start") $Unit = DT (mm, UCUM, "mm")
14	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M	$Measurement = EV (G-0364, SRT, "Vessel Luminal Diameter") $Derivation = EV (R-41D2D, SRT, "Calculated") $TargetSite = EV (122482, DCM, "Contour End") $Unit = DT (mm, UCUM, "mm")
15	>	CONTAINS	INCLUDE	DTID 3218 “Position in Arterial Segment”	1	M
16	>	CONTAINS	CONTAINER	EV (122517, DCM, "Densitometric Luminal Cross-sectional Area Graph")	1	U
17	>>	CONTAINS	NUM	EV (122511, DCM, "Graph Increment")	1	M	Value = 1 UNITS = DT ({pixels}, UCUM, "pixels")
18	>>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1-n	M	$Measurement = EV (G-0366, SRT, "Vessel Lumen Cross-Sectional Area") $Unit = (mm2, UCUM, "mm2")
19	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (G-0366, SRT, "Vessel Lumen Cross-Sectional Area") $Derivation = EV (R-41D2D, SRT, "Calculated") $Method = EV (122474, DCM, "Densitometric method") $TargetSite = EV (122481, DCM, "Contour Start") $Unit = (mm2, UCUM, "mm2")
20	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (G-0366, SRT, "Vessel Lumen Cross-Sectional Area") $Derivation = EV (R-41D2D, SRT, "Calculated") $Method = EV (122474, DCM, "Densitometric method") $TargetSite = EV (122482, DCM, "Contour End") $Unit = (mm2, UCUM, "mm2")
21	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M	$Measurement = EV (R-101BC, SRT, "Stenotic Lesion Length") $Unit = DT (mm, UCUM, "mm")
22	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M	$Measurement = EV (R-101BB, SRT, "Lumen Diameter Stenosis") $Unit = DT (%, UCUM, "%")
23	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1-n	U	$Measurement = EV (R-101BA, SRT, "Lumen Area Stenosis") $Method = DCID 3470 “Vessel Lumen Cross-sectional Area Calculation Methods” $Unit = DT (%, UCUM, "%")
24	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1-n	U	$Measurement = EV (122372, DCM, "Lumen Volume") $Method = DCID 3470 “Vessel Lumen Cross-sectional Area Calculation Methods” $Unit = DT (mm3, UCUM, "mm3")
25	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (122542, DCM, "Plaque Area") $Unit = DT (mm2, UCUM, "mm2")
26	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (122376, DCM, "Total Plaque Volume") $Unit = DT (mm3, UCUM, "mm3")
27	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (122544, DCM, "Diameter Symmetry") $Unit = DT ({ratio}, UCUM, "ratio")
28	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (122545, DCM, "Area Symmetry") $Unit = DT ({ratio}, UCUM, "ratio")
29	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (122546, DCM, "Inflow Angle") $Unit = DT (deg, UCUM, "deg")
30	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (122547, DCM, "Outflow Angle") $Unit = DT (deg, UCUM, "deg")
31	>	CONTAINS	INCLUDE	DTID 3216 “Stenotic Flow Reserve”	1	U
32	>	CONTAINS	IMAGE	No purpose of reference	1	U

Content Item Descriptions

Row 8	Set of user defined reference position for method that requires local reference position.
Row 9	Distance of local reference position from an arbitrary landmark.
Row 10	Diameter at a local reference position.
Row 11	The reference diameter for the arterial lesion calculated with the applicable reference method
Row 12	The reference area for the arterial lesion calculated with the applicable reference method
Row 13	The diameter measurement at the start of the reconstruction line in the diameter graph (TID 3214 “Analyzed Segment” Row 14)
Row 14	The diameter measurement at the end of the reconstruction line in the diameter graph (TID 3214 “Analyzed Segment” Row 14)
Row 15	The positions of the lesion, borders of the lesion, etc.
Row 16	The graph with the calculated cross sectional area results based on the densitometric method
Row 18	The cross sectional area measurements calculated based on the densitometric method
Row 19	The cross sectional area measurement at the start of the reconstruction line in the area graph
Row 20	The cross sectional area measurement at the end of the reconstruction line in the area graph
Row 21	Measured along the midline of the left and right contour
Row 22	The diameter stenosis is calculated as follows: (Reference Luminal Diameter - Minimum Luminal Diameter / Reference Luminal Diameter) * 100%
Row 23	The circular and the densitometric area stenosis are calculated respectively as: (Reference Vessel Lumen Cross-Sectional Area - Minimum Luminal Circular Area / Reference Vessel Lumen Cross-Sectional Area) * 100%(Reference Vessel Lumen Cross-Sectional Area - Minimum Luminal Densitometric Area / Reference Vessel Lumen Cross-Sectional Area) * 100%
Row 24	Estimated lumen volume between proximal border and distal border of lesion (TID 3218 “Position in Arterial Segment”, row 1 and 2)
Row 32	Secondary Capture image with obstruction analysis contour

TID 3216 Stenotic Flow Reserve

The Stenotic Flow Reserve Template consists of a CONTAINER providing quantitative arterial analysis measurements derived for an obstruction in a total analyzed segment.

Type:: Extensible
Order:: Significant

Table TID 3216. Stenotic Flow Reserve

	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M	$Measurement = EV (122548, DCM, "Stenotic Flow Reserve") $Unit = DT ({ratio}, UCUM, "ratio")
2	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M	$Measurement = EV (122549, DCM, "Poiseuille Resistance") $Unit = DT (mm[Hg].s/cm, UCUM, "mmHG.s/cm")
3	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M	$Measurement = EV (122550, DCM, "Turbulence Resistance") $Unit = DT (mm[Hg].s2/cm2, UCUM, "mmHG.s2/cm2")
4	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M	$Measurement = EV (122555, DCM, "Estimated Normal Flow") $Unit = DT (ml/s, UCUM, "ml/s")
5	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (122551, DCM, "Pressure Drop at SFR") $Unit = DT (mm[Hg], UCUM, "mmHg")
6	CONTAINS	IMAGE	No purpose of reference	1	U

Content Item Descriptions

Row 6

Secondary Capture image with SFR analysis contour

TID 3217 Sub-segmental Data

The Sub-segmental Data Template consists of a CONTAINER providing quantitative arterial analysis measurements derived for a sub-segment in a total analyzed segment.

Type:: Extensible
Order:: Significant

Table TID 3217. Sub-Segmental Data

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1			CONTAINER	EV (121070, DCM, "Findings")	1	M
2	>	HAS CONCEPT MOD	CODE	EV (G-C0E3, SRT, "Finding Site")	1	M	DCID 3604 “Arterial Lesion Locations”
3	>>	HAS CONCEPT MOD	CODE	EV (G-A1F8, SRT, "Topographical modifier")	1	U	DCID 3019 “Cardiovascular Anatomic Location Modifiers”
4	>	CONTAINS	CODE	EV (122554, DCM, "Segmentation Method")	1	M	DCID 3456 “Sub-segment Methods”
5	>	CONTAINS	INCLUDE	DTID 3219 “Segment Values”	1	U
6	>	CONTAINS	INCLUDE	DTID 3218 “Position in Arterial Segment”	1	M
7	>	CONTAINS	IMAGE	No purpose of reference	1	U

Content Item Descriptions

Row 7

Secondary Capture image with obstruction analysis contour

TID 3218 Position in Arterial Segment

The Position in Arterial Segment Template consists of the position content items common for the Angiographic Lesion Analysis and Sub-Segmental Data.

Type:: Extensible
Order:: Significant

Table TID 3218. Position in Arterial Segment

	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M		$Measurement = EV (122528, DCM, "Position of Proximal Border") $Unit = DT (mm, UCUM, "mm")
2	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M		$Measurement = EV (122529, DCM, "Position of Distal Border") $Unit = DT (mm, UCUM, "mm")
3	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M		$Measurement = EV (122382, DCM, "Site of Luminal Minimum") $Unit = DT (mm, UCUM, "mm")
4	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M		$Measurement = EV (122516, DCM, "Site of Luminal Maximum") $Unit = DT (mm, UCUM, "mm")
5	CONTAINS	NUM	EV (122528, DCM, "Position of Proximal Border")	1	UC	IFF TID 3214 “Analyzed Segment” Row 14 is present	UNITS = DT ({pixels}, UCUM, "pixels")
6	CONTAINS	NUM	EV (122529, DCM, "Position of Distal Border")	1	UC	IFF TID 3214 “Analyzed Segment” Row 14 is present	UNITS = DT ({pixels}, UCUM, "pixels")
7	CONTAINS	NUM	EV (122382, DCM, "Site of Luminal Minimum")	1	UC	IFF TID 3214 “Analyzed Segment” Row 14 is present	UNITS = DT ({pixels}, UCUM, "pixels")
8	CONTAINS	NUM	EV (122516, DCM, "Site of Luminal Maximum")	1	UC	IFF TID 3214 “Analyzed Segment” Row 14 is present	UNITS = DT ({pixels}, UCUM, "pixels")

Content Item Descriptions

Row 1, 2, 3, 4	Positions are relative to the midpoint of the first left and right contour points and measured along the midline of the left and right contour
Row 5, 6, 7, 8	The positions are relative to the measurement locations of the Diameter Graph of TID 3214 “Analyzed Segment” row 14.

TID 3219 Segment Values

The Segment Values Template consists of content items providing quantitative arterial analysis measurements for a total analyzed segment or sub segment.

Type:: Extensible
Order:: Significant

Table TID 3219. Segment Values

	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M	$Measurement = EV (122510, DCM, "Length Luminal Segment") $Unit = DT (mm, UCUM, "mm")
2	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M	$Measurement = EV (G-0364, SRT, "Vessel Luminal Diameter") $Derivation = EV (R-404FB, SRT, "Minimum") $Unit = DT (mm, UCUM, "mm")
3	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M	$Measurement = EV (G-0364, SRT, "Vessel Luminal Diameter") $Derivation = EV (G-A437, SRT, "Maximum") $Unit = DT (mm, UCUM, "mm")
4	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M	$Measurement = EV (G-0364, SRT, "Vessel Luminal Diameter") $Derivation = EV (R-00317, SRT, "Mean") $Unit = DT (mm, UCUM, "mm")
5	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (G-0364, SRT, "Vessel Luminal Diameter") $Derivation = EV (R-10047, SRT, "Standard Deviation") $Unit = DT (mm, UCUM, "mm")

Content Item Descriptions

Row 1

Measured along the midline of the left and right contour.

Prev	Up	Next
Quantitative Ventricular Analysis Report SR IOD Templates	Home	IVUS Report Templates