Implantation Plan SR Document Templates
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## Implantation Plan SR Document Templates

The templates that comprise the Implantation Plan SR Document IOD are interconnected as in Figure A-11.

Figure A-11. Implantation Plan SR Document IOD Template Structure

### TID 7000 Implantation Plan

This template contains all the necessary information to position an Implant Assembly and its Components in a patient. Therefore, all the Components that comprise an Implant Assembly are listed. If the Implant Assembly consists of more than one Component, the relation between the Components will be described as well. It is also possible to describe the registration between the Components and the patient and between the Components themselves.

To reference the Components within this document the Implantation Plan Component ID is used.

The Component Connection links two Implantation Plan Components in a commutative way. This means that for each link between A and B only one Component Connection has to be defined and not two for A-B and B-A.

The terminology used is defined by illustration using the example in Figure A-12.

Figure A-12. Implant Assembly and Components Terminology

Type:

  Extensible

Order:

  Significant

Root:

  Yes

Table TID 7000. Implantation Plan

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (112345, DCM, "Implantation Plan") | 1 | M |  | Root node
2 | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | U |  |
3 | > | HAS OBS CONTEXT | INCLUDE | DTID 1001 “Observation Context” | 1 | M |  |
4 | > | CONTAINS | INCLUDE | DTID 351 “Previous Reports” | 1 | MC | IFF previous Implantation Plan Documents exist | Shall only reference other Implantation Plan Documents
5 | > | CONTAINS | INCLUDE | DTID 7001 “Related Implantation Reports” | 1 | MC | IFF related Implantation Plan Documents exist that are not referenced by row 4 | Shall only reference other Implantation Plan Documents
6 | > | CONTAINS | CONTAINER | EV (112360, DCM, "Implant Component List") | 1 | M |  |
7 | >> | CONTAINS | COMPOSITE | EV (112366, DCM, "Implant Assembly Template") | 1 | U |  | References an Implant Assembly Template SOP Instance
8 | >> | CONTAINS | CONTAINER | EV (112346, DCM, "Selected Implant Component") | 1-n | M |  |
9 | >>> | CONTAINS | TEXT | EV (112347, DCM, "Component ID") | 1 | M |  |
10 | >>> | CONTAINS | CODE | EV (112370, DCM, "Component Type") | 1 | MC | IFF Row 8 contains more than one item. | DCID 7306 “Human Hip Implant Planning Landmarks”
11 | >>> | CONTAINS | COMPOSITE | No purpose of reference | 1 | M |  | References an Implant Template Storage SOP Instance
12 | >>> | CONTAINS | UIDREF | EV (112227, DCM, "Frame Of Reference UID") | 1 | M |  |
13 | >>> | CONTAINS | COMPOSITE | EV (112371, DCM, "Manufacturer Implant Template") | 1 | M |  | References an Implant Template Storage SOP Instance
14 | > | CONTAINS | CONTAINER | EV (112355, DCM, "Assembly") | 1-n | U |  |
15 | >> | CONTAINS | CONTAINER | EV (112350, DCM, "Component Connection") | 1-n | M |  |
16 | >>> | CONTAINS | CONTAINER | EV (112374, DCM, "Connected Implantation Plan Component") | 2 | M |  |
17 | >>>> | CONTAINS | TEXT | EV (112347, DCM, "Component ID") | 1 | M |  | Defined in the Implant Component List CONTAINER
18 | >>>> | CONTAINS | TEXT | EV (112351, DCM, "Mating Feature Set ID") | 1 | M |  | Only one Component Connection per Mating Feature Set is allowed
19 | >>>> | CONTAINS | TEXT | EV (112352, DCM, "Mating Feature ID") | 1 | M |  |
20 | >>>> | CONTAINS | CONTAINER | EV (112362, DCM, "Degrees of Freedom Specification") | 1-n | U |  |
21 | >>>>> | CONTAINS | TEXT | EV (112363, DCM, "Degree of Freedom ID") | 1 | M |  |
22 | >>>>> | CONTAINS | NUM | EV (112376, DCM, "Degree of Freedom Exact Translational Value") | 1 | MC | IFF Row 23, 24, 25, 26 and 27 are absent | UNITS = EV (mm, UCUM, "mm")
23 | >>>>> | CONTAINS | NUM | EV (112377, DCM, "Degree of Freedom Minimum Translational Value") | 1 | MC | IFF row 22, 25, 26, and 27 are absent | UNITS = EV (mm, UCUM, "mm")
24 | >>>>> | CONTAINS | NUM | EV (112378, DCM, "Degree of Freedom Maximum Translational Value") | 1 | MC | IFF row 22, 25, 26, and 27 are absent | UNITS = EV (mm, UCUM, "mm")
25 | >>>>> | CONTAINS | NUM | EV (112379, DCM, "Degree of Freedom Exact Rotational Value") | 1 | MC | IFF row 22, 23, 24, 26 and 27 are absent | UNITS = EV (deg, UCUM, "degree")
26 | >>>>> | CONTAINS | NUM | EV (112380, DCM, "Degree of Freedom Minimum Rotational Value") | 1 | MC | IFF row 22, 23, 24 and 25 are absent | UNITS = EV (deg, UCUM, "degree")
27 | >>>>> | CONTAINS | NUM | EV (112381, DCM, "Degree of Freedom Maximum Rotational Value") | 1 | MC | IFF row 22, 23, 24 and 25 are absent | UNITS = EV (deg, UCUM, "degree")
28 | > | CONTAINS | CONTAINER | EV (112358, DCM, "Information used for planning") | 1 | U |  |
29 | >> | CONTAINS | CODE | EV (112375, DCM, "Planning Method") | 1 | U |  | BCID 7320 “Planning Methods”
30 | >> | CONTAINS | IMAGE | EV (112354, DCM, "Patient Image") | 1-n | U |  |
31 | >>> | HAS PROPERTIES | NUM | EV (111026, DCM, "Horizontal Pixel Spacing") | 1 | M |  | UNITS = EV (mm/{pixel}, UCUM, "mm/pixel")
32 | >>> | HAS PROPERTIES | NUM | EV (111026, DCM, "Vertical Pixel Spacing") | 1 | M |  | UNITS = EV (mm/{pixel}, UCUM, "mm/pixel")
33 | >> | CONTAINS | COMPOSITE | EV (112361, DCM, "Patient Data Used During Planning") | 1-n | U |  | References SOP Instances except Images
34 | >>> | HAS PROPERTIES | UIDREF | EV (112356, DCM, "User Selected Fiducial") | 1-n | MC | IFF row 33 references a Fiducial SOP Instance |
35 | >>>> | HAS CONCEPT MOD | TEXT | EV (112369, DCM, "Fiducial Intent") | 1 | U |  |
36 | > | CONTAINS | CONTAINER | EV (112367, DCM, "Planning Information for Intraoperative Usage") | 1 | U |  |
37 | >> | CONTAINS | TEXT | EV (121173, DCM, "Physician Note") | 1-n | U |  |
38 | >> | CONTAINS | COMPOSITE | EV (112359, DCM, "Supporting Information") | 1 | U |  | SOP Class UID shall be Encapsulated PDF Storage
39 | >> | CONTAINS | COMPOSITE | EV (112372, DCM, "Derived Planning Images") | 1-n | U |  |
40 | >> | CONTAINS | COMPOSITE | EV (112353, DCM, "Spatial Registration") | 1-n | U |  | References Spatial Registration SOP Instances and Deformable Spatial Registration SOP Instances
41 | >>> | HAS PROPERTIES | UIDREF | EV (112227, DCM, "Frame of Reference UID") | 1-n | U |  |
42 | >> | CONTAINS | COMPOSITE | EV (112373, DCM, "Derived Planning Data") | 1-n | U |  | References SOP Instances except Images and Spatial Registrations
43 | >>> | HAS PROPERTIES | UIDREF | EV (112357, DCM, "Derived Fiducial") | 1-n | MC | IFF row 42 references a Fiducial SOP Instance |
44 | >>>> | HAS CONCEPT MOD | TEXT | EV (112369, DCM, "Fiducial Intent") | 1 | U |  |
45 | >> | CONTAINS | COMPOSITE | EV (112364, DCM, "Related Patient Data Not Used During Planning") | 1-n | U |  |

Content Item Descriptions

Row 7 | If an Implant Assembly Template was used for the planning, it should be referenced here.
Row 9 | ID given to this Implant Component. Used to reference this specific Component within the Implantation Plan.
Row 10 | See description of Component Type Code Sequence (0076,0034) Attribute in Section C.29.2.1 “Implant Assembly Template Module” in PS3.3
Row 11 | Reference to the Template that describes that component. May be the same Implant Template as referenced in row 13. The target of the reference may not be needed or available during implantation. e.g., if the plan is opened in another hospital where those implant templates are not used.
Row 12 | This Frame of Reference is the Frame of Reference of the Implant Component (Frame of Reference UID (0020,0052) Attribute in the “Generic Implant Template Description Module” in PS3.3 ). This may help to find the right registration information (row 43).
Row 13 | References the Original Template that was the basis for the Derived Template. May be the same Implant Template as referenced in row 11. The target of the reference may not be needed or available during implantation, e.g., if the plan is opened in another hospital where those implant templates are not used.
Row 14 | If there is no Component Connection between sets of Implant Components, one Assembly must be used for each set.
Row 17 | The ID of a planned Component that is defined in this document and that is part of this Relation.
Row 18 | See description of Mating Feature Set ID (0068,63C0) Attribute in the “Generic Implant Template Mating Features Module” in PS3.3
Row 19 | See description of Mating Feature ID (0068,63F0) Attribute in the “Generic Implant Template Mating Features Module” in PS3.3
Row 21 | See description of Degree of Freedom ID (0068,6410) Attribute in the “Generic Implant Template Mating Features Module” in PS3.3
Row 22 - 27 | Defines the range or exact value that was selected or calculated by the planning application.
Row 31 | Defines the calibrated Horizontal Pixel Spacing that was used by the planning application, which may be different from the spacing encoded in the referenced Image SOP Instance.
Row 32 | Defines the calibrated Vertical Pixel Spacing that was used by the planning application, which may be different from the spacing encoded in the referenced Image SOP Instance.
Row 33 | Any patient data other than Image IEs used for the planning, e.g., Surface Segmentations.
Row 34 | Fiducials selected by the user for registration of implant components referenced in the parent content item.
Row 35 | User comment about the Fiducial. This may be the reason it was selected, the intended use, the anatomical or non-anatomical structure that the Fiducial represents, or any other intent.
Row 38 | All kinds of information in PDF form that are created by a planning application may be referenced here, e.g., drawings.
Row 39 | All kinds of images that are created by a planning application should be referenced here, e.g., images that show patient images overlaid with contour information of the Implant Component, or images that show how several implant components may be composed, or merged patient images.
Row 40 | References registration objects that contain registration data that is relevant for this Implantation Plan, e.g., registration of Implant Components.
Rows 5, 6 | Identifies one or more items within the sequence of referenced Frames of Reference (Registration Sequence (0070,0308) in the Spatial Registration Module or Deformable Registration Sequence (0064,0002) in the “Deformable Spatial Registration Module” in PS3.3 ) that are relevant for this Implantation Plan. See Figure A-13.
Row 42 | Any patient data created during the planning process that is not referenced in row 39 and 40, e.g., Surface Segmentation Instances created by the planning application.
Row 43 | These Fiducials are derived from the Fiducials identified in Row 34.
Row 45 | References to any relevant patient data containing IOD instances that were not used in planning or derived from it but belong to the patient model. Might be reports, images, surface segmentations, or other.

Figure A-13. References to Registration Objects

### TID 7001 Related Implantation Reports

This general template provides a means to reference related Implantation Plan SR Document instances that are not previous Reports. Other Implantations that are planned to be done during the same intervention should be referenced here.

Type:

  Extensible

Order:

  Significant

Table TID 7001. Related Implantation Reports

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (112365, DCM, "Related Implantation Reports") | 1 | M |  |
2 | > | CONTAINS | COMPOSITE |  | 1-n | M |  |

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