ECG Report Templates
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## ECG Report Templates

### TID 3700 ECG Report

The ECG Report template is the root structure for the representation of analysis of an ECG waveform, potentially in comparison to a prior ECG waveform analysis. The analyzed waveform may or may not be stored as a DICOM SOP Instance.

Type:

  Extensible

Order:

  Significant

Root:

  Yes

Table TID 3700. ECG Report

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (28010-7, LN, "ECG Report") | 1 | M |  | Root node
2 | > | HAS CONCEPT MOD | CODE | EV (121058, DCM, "Procedure reported") | 1 | U |  | DCID 3670 “ECG Procedure Types”
3 | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | M |  |
4 | > | CONTAINS | INCLUDE | DTID 1002 “Observer Context” | 1-n | M |  |
5 | > | CONTAINS | CONTAINER | EV (121109, DCM, "Indications for Procedure") | 1 | U |  |
6 | >> | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1-n | U |  | DCID 3671 “Reason for ECG Exam”
7 | >> | CONTAINS | TEXT | EV (121071, DCM, "Finding") | 1 | U |  |
8 | > | CONTAINS | INCLUDE | DTID 3802 “Cardiovascular Patient History” | 1 | U |  |
9 | > | CONTAINS | INCLUDE | DTID 3704 “Patient Characteristics for ECG” | 1 | U |  |
10 | > | CONTAINS | INCLUDE | DTID 3702 “Prior ECG Exam” | 1 | U |  |
11 | > | CONTAINS | INCLUDE | DTID 3708 “ECG Waveform Information” | 1 | M |  |
12 | > | CONTAINS | CONTAINER | EV (122144, DCM, "Quantitative Analysis") | 1 | M |  |
13 | >> | CONTAINS | INCLUDE | DTID 3713 “ECG Global Measurements” | 1 | U |  |
14 | >> | CONTAINS | INCLUDE | DTID 3714 “ECG Lead Measurements” | 1-n | U |  | One instantiation per reported lead
15 | > | CONTAINS | INCLUDE | DTID 3717 “ECG Qualitative Analysis” | 1 | U |  |
16 | > | CONTAINS | INCLUDE | DTID 3719 “Summary, ECG” | 1 | U |  |

### TID 3701 Clinical Context, ECG (Retired)

This Template has been retired (see PS3.16-2009).

### TID 3702 Prior ECG Exam

Type:

  Extensible

Order:

  Significant

Table TID 3702. Prior ECG Exam

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (121066, DCM, "Prior Procedure Descriptions") | 1 | M |  |
2 | > | CONTAINS | CODE | EV (122140, DCM, "Comparison with Prior Exam Done") | 1 | M |  | DCID 230 “Yes-No”
3 | > | CONTAINS | DATETIME | EV (122146, DCM, "Procedure DateTime") | 1 | U |  |
4 | > | CONTAINS | UIDREF | EV (121018, DCM, "Procedure Study Instance UID") | 1 | U |  |
5 | > | CONTAINS | COMPOSITE | EV (122075, DCM, "Prior report for current patient") | 1 | U |  |
6 | > | CONTAINS | WAVEFORM | EV (121112, DCM, "Source of Measurement") | 1 | U |  |

### TID 3704 Patient Characteristics for ECG

Type:

  Extensible

Order:

  Significant

Table TID 3704. Patient Characteristics for ECG

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (121118, DCM, "Patient Characteristics") | 1 | M |  |
2 | > | CONTAINS | NUM | EV (121033, DCM, "Subject Age") | 1 | M |  | UNITS = DCID 7456 “Units of Measure for Age”
3 | > | CONTAINS | CODE | EV (121032, DCM, "Subject Sex") | 1 | M |  | DCID 7455 “Sex”
4 | > | CONTAINS | NUM | EV (8302-2, LN, "Patient Height") | 1 | U |  | UNITS = EV (cm, UCUM, "cm")
5 | > | CONTAINS | NUM | EV (29463-7, LN, "Patient Weight") | 1 | U |  | UNITS = EV (kg, UCUM, "kg")
6 | > | CONTAINS | NUM | EV (F-008EC, SRT, "Systolic Blood Pressure") | 1 | U |  | UNITS = DCID 3500 “Pressure Units”
7 | > | CONTAINS | NUM | EV (F-008ED, SRT, "Diastolic Blood Pressure") | 1 | U |  | UNITS = DCID 3500 “Pressure Units”
8 | > | CONTAINS | CODE | EV (109054, DCM, "Patient State") | 1 | U |  | DCID 3262 “ECG Patient State Values”
9 | > | CONTAINS | CODE | EV (R-00728, SRT, "Pacemaker in situ") | 1 | U |  | DCID 3672 “Pacemakers”
10 | > | CONTAINS | CODE | EV (R-0077C, SRT, "ICD in situ") | 1 | U |  | DCID 3692 “ICDs”

### TID 3708 ECG Waveform Information

The ECG Waveform Information template provides reference to, and important parameters of, the analyzed waveform.

Type:

  Extensible

Order:

  Significant

Table TID 3708. ECG Waveform Information

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (121064, DCM, "Current Procedure Descriptions") | 1 | M |  |
2 | > | CONTAINS | WAVEFORM | EV (121112, DCM, "Source of Measurement") | 1 | U |  |
3 | > | CONTAINS | CODE | EV (10:11345, MDC, "Lead System") | 1 | U |  | DCID 3263 “Electrode Placement Values”
4 | > | CONTAINS | TEXT | EV (122142, DCM, "Acquisition Device Type") | 1 | U |  |
5 | > | CONTAINS | TEXT | EV (121122, DCM, "Equipment Identification") | 1 | U |  |
6 | > | CONTAINS | INCLUDE | DTID 1003 “Person Observer Identifying Attributes” | 1 | U |  | Person performing the ECG acquisition
7 | > | CONTAINS | TEXT | EV (121121, DCM, "Room Identification") | 1 | U |  |
8 | > | CONTAINS | DATETIME | EV (122146, DCM, "Procedure DateTime") | 1 | M |  |
9 | > | CONTAINS | NUM | DCID 3690 “ECG Control Variables Numeric” | 1-n | U |  |
10 | > | CONTAINS | TEXT | DCID 3691 “ECG Control Variables Text” | 1-n | U |  |
11 | > | CONTAINS | INCLUDE | DTID 4019 “CAD Algorithm Identification” | 1 | U |  |

### TID 3713 ECG Global Measurements

The ECG Global Measurements Template provides a structure for measurements calculated across the ECG waveform as a whole (multiple leads).

As an Extensible Template, applications may include any ECG global measurements, such as angles of the electrical vector of various ECG waves. The recommended vocabulary for such concepts is ISO/IEEE 11073-10102.

Type:

  Extensible

Order:

  Significant

Table TID 3713. ECG Global Measurements

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122158, DCM, "ECG Global Measurements") | 1 | M |  |
2 | > | HAS OBS CONTEXT | INCLUDE | DTID 3715 “ECG Measurement Source” | 1 | U |  |
3 | > | CONTAINS | NUM | DT (2:16020, MDC, "Atrial Heart Rate") | 1 | U |  | UNITS = EV ({H.B.}/min, UCUM, "BPM")
4 | > | CONTAINS | NUM | DT (2:16016, MDC, "Ventricular Heart Rate") | 1 | M |  | UNITS = EV ({H.B.}/min, UCUM, "BPM")
5 | > | CONTAINS | NUM | DT (2:16160, MDC, "QT interval global") | 1 | M |  | UNITS = EV (ms, UCUM, "ms")
6 | > | CONTAINS | NUM | DT (2:15876, MDC, "QTc interval global") | 1 | U |  | UNITS = EV (ms, UCUM, "ms")
7 | >> | HAS PROPERTIES | CODE | DT (111001, DCM, "Algorithm Name") | 1 | U |  | DCID 3678 “Qt Correction Algorithms”
8 | > | CONTAINS | NUM | DT (2:15872, MDC, "PR interval global") | 1 | M |  | UNITS = EV (ms, UCUM, "ms")
9 | > | CONTAINS | NUM | DT (2:16156, MDC, "QRS duration global") | 1 | M |  | UNITS = EV (ms, UCUM, "ms")
10 | > | CONTAINS | NUM | DT (2:16168, MDC, "RR interval global") | 1 | M |  | UNITS = EV (ms, UCUM, "ms")
11 | > | CONTAINS | NUM | DCID 3689 “ECG Global Waveform Durations” | 1-n | U |  | UNITS = EV (ms, UCUM, "ms")
12 | > | CONTAINS | NUM | DCID 3229 “ECG Axis Measurements” | 1-n | U |  | UNITS = EV (deg, UCUM, "deg")
13 | > | CONTAINS | NUM | DT (2:16032, MDC, "Count of all beats") | 1 | U |  | UNITS = EV ({beats}, UCUM, "beats")
14 | > | CONTAINS | NUM | DT (122707, DCM, "Number of Ectopic Beats") | 1 | U |  | UNITS = EV ({beats}, UCUM, "beats")
15 | >> | HAS PROPERTIES | CODE | EV (G-C504, SRT, "Associated Morphology") | 1-n | U |  | BCID 3234 “Ectopic Beat Morphology”

### TID 3714 ECG Lead Measurements

The ECG Lead Measurements Template provides a structure for measurements calculated on individual ECG leads.

As an Extensible Template, applications may include any ECG per lead measurements, such as integrals over time of various ECG wave voltages. The recommended vocabulary for such concepts is ISO/IEEE 11073-10102.

Type:

  Extensible

Order:

  Significant

Table TID 3714. ECG Lead Measurements

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122159, DCM, "ECG Lead Measurements") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (122148, DCM, "Lead ID") | 1 | M |  | BCID 3001 “ECG Leads”
3 | > | HAS OBS CONTEXT | INCLUDE | DTID 3715 “ECG Measurement Source” | 1 | U |  |
4 | > | CONTAINS | NUM | DCID 3687 “Electrophysiology Waveform Durations” | 1-n | U |  | UNITS = EV (ms, UCUM, "ms")
5 | > | CONTAINS | NUM | DCID 3688 “Electrophysiology Waveform Voltages” | 1-n | U |  | UNITS = EV (mV, UCUM, "mV")
6 | > | CONTAINS | CODE | EV (F-38035, SRT, "ST Segment Finding") | 1 | U |  | DCID 3233 “ST Segment Morphology”
7 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1-n | U |  | DCID 3680 “ECG Lead Noise Descriptions”

### TID 3715 ECG Measurement Source

The ECG Measurement Source Template provides a structure for identifying the particular cardiac cycle, or beat, in an analyzed ECG waveform used for the measurement group for which this template provides Observation Context. The cardiac cycle is identified by beat number, and optionally by specific temporal coordinates within a DICOM ECG Waveform SOP Instance.

Type:

  Extensible

Order:

  Significant

Table TID 3715. ECG Measurement Source

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | TEXT | EV (122149, DCM, "Beat Number") | 1 | U |  | Up to three numeric characters
2 |  |  | CODE | EV (G-C036, SRT, "Measurement Method") | 1 | U |  | DCID 3676 “Lead Measurement Technique”
3 |  |  | TCOORD | EV (121112, DCM, "Source of Measurement") | 1 | U |  |
4 | > | SELECTED FROM | WAVEFORM |  | 1 | U |  |

Content Item Descriptions

Row 1 | Beat Number is specified as a numeric text string, and shall be treated as the ordinal of the beat (cardiac cycle) within the waveform acquisition for this lead that was analyzed for the measurements in this container (i.e., "1" for the first beat, "2" for the second, etc.). If absent, the measurements may have been made by a technique across multiple cycles as specified in Row 2 Measurement Method.
Rows 3 and 4 | Source of measurement identify the specific channel and time period within a DICOM ECG Waveform SOP Instance that was analyzed for the measurements in this container.

### TID 3717 ECG Qualitative Analysis

The ECG Qualitative Analysis template allows a free text qualitative interpretation of the analyzed ECG, as well as a structure for a coded analysis.

Type:

  Extensible

Order:

  Significant

Table TID 3717. Qualitative Analysis, ECG

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (122145, DCM, "Qualitative Analysis") | 1 | M |  |
2 | > | CONTAINS | TEXT | EV (F-00033, SRT, "ECG Finding") | 1 | MC | At least one of rows 2 and 3 shall be present |
3 | > | CONTAINS | CODE | EV (F-00033, SRT, "ECG Finding") | 1-n | MC | At least one of rows 2 and 3 shall be present | BCID 3230 “ECG Findings”
4 | >> | HAS CONCEPT MOD | TEXT | EV (121051, DCM, "Equivalent Meaning of Value") | 1 | U |  | Interpretive statement
5 | >> | INFERRED FROM | CODE | EV (F-00033, SRT, "ECG Finding") | 1-n | U |  | No BCID; may use implementation-specific codes
6 | >>> | HAS CONCEPT MOD | TEXT | EV (121051, DCM, "Equivalent Meaning of Value") | 1 | U |  | Interpretive statement

Content Item Descriptions

Row 3-4 | ECG Finding provides one or more coded interpretive statements using standard or implementation-specific codes. Each coded finding will include a Code Meaning (0008,0104) using the LO Value Representation (64 characters); longer human-readable text strings may be conveyed in the Row 4 Equivalent Meaning of Value Content Item..
Row 5-6 | Each primary ECG Finding of Row 3 may have multiple supporting coded findings in Row 5, with longer human-readable text strings if necessary in Row 6.

### TID 3718 ECG Interpretive Statement (Retired)

This Template is retired. See PS3.16-2009.

### TID 3719 Summary, ECG

Type:

  Extensible

Order:

  Significant

Table TID 3719. Summary, ECG

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (121111, DCM, "Summary") | 1 | M |  |
2 | > | CONTAINS | TEXT | EV (121111, DCM, "Summary") | 1 | U |  |
3 | > | CONTAINS | CODE | DT (18810-2, LN, "ECG overall finding") | 1 | U |  | DCID 3677 “Summary Codes ECG”

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