Hemodynamics Report Templates
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## Hemodynamics Report Templates

The templates that comprise the Hemodynamic Report are interconnected as shown in Figure A-6.

Figure A-6. Hemodynamic Report Template Hierarchy

Figure A-6 shows only the use of templates specific to the Hemodynamic Report; it does not show common structural templates such as TID 300 “Measurement”.

### Note

Figure A-6 shows the relationship of templates; it does not show the structural hierarchy of Content Items in the IOD. See Figure L-1 “Hemodynamics Report Structure” in PS3.17 .

### TID 3500 Hemodynamics Report

The Hemodynamic Report template is the root structure for the representation of measurements acquired during a procedure in a cardiac catheterization lab.

Type:

  Extensible

Order:

  Significant

Root:

  Yes

Table TID 3500. Hemodynamics Report

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122120, DCM, "Hemodynamics Report") | 1 | M |  | Root node
2 | > | HAS OBS CONTEXT | INCLUDE | DTID 1002 “Observer Context” | 1-n | M |  |
3 | > |  | INCLUDE | DTID 3601 “Procedure Context” | 1 | M |  |
4 | > | HAS OBS CONTEXT | INCLUDE | DTID 3602 “Cardiovascular Patient Characteristics” | 1 | M |  |
5 | > | HAS ACQ CONTEXT | INCLUDE | DTID 3603 “Procedure Environmental Characteristics” | 1 | U |  |
6 | > | CONTAINS | INCLUDE | DTID 3501 “Hemodynamics Measurement Group” | 1-n | M |  |
7 | > | CONTAINS | INCLUDE | DTID 3570 “Summary, Hemodynamics” | 1 | U |  |

### TID 3501 Hemodynamics Measurement Group

The Hemodynamic Measurement Group template provides a structure for measurements acquired during a single procedure phase in a cardiac catheterization lab.

Type:

  Extensible

Order:

  Significant

Table TID 3501. Hemodynamics Measurement Group

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (121070, DCM, "Findings") | 1 | M |  |
2 | > | HAS ACQ CONTEXT | CODE | EV (G-72BB, SRT, "Catheterization Procedure Phase") | 1 | M |  | DCID 3651 “Hemodynamic Measurement Phase”
3 | > | HAS ACQ CONTEXT | INCLUDE | DTID 3520 “Hemodynamic Clinical Context” | 1 | U |  |
4 | > | HAS ACQ CONTEXT | TEXT | EV (121124, DCM, "Procedure Action ID") | 1 | U |  |
5 | > | CONTAINS | INCLUDE | DTID 3510 “Vital Signs” | 1-n | U |  |
6 | > | CONTAINS | INCLUDE | DTID 3504 “Arterial Pressure Measurement” | 1-n | U |  |
7 | > | CONTAINS | INCLUDE | DTID 3505 “Atrial Pressure Measurement” | 1-n | U |  |
8 | > | CONTAINS | INCLUDE | DTID 3506 “Venous Pressure Measurement” | 1-n | U |  |
9 | > | CONTAINS | INCLUDE | DTID 3507 “Ventricular Pressure Measurement” | 1-n | U |  |
10 | > | CONTAINS | INCLUDE | DTID 3508 “Gradient Measurement” | 1-n | U |  |
11 | > | CONTAINS | INCLUDE | DTID 3509 “Blood Velocity Measurement” | 1-n | U |  |
12 | > | CONTAINS | INCLUDE | DTID 3515 “Cardiac Output Measurement by Indicator Dilution” | 1-n | U |  |
13 | > | CONTAINS | INCLUDE | DTID 3516 “Blood Lab Measurements” | 1-n | U |  |
14 | > | CONTAINS | INCLUDE | DTID 3560 “Derived Hemodynamic Measurements” | 1-n | U |  |
15 | > | CONTAINS | INCLUDE | DTID 3714 “ECG Lead Measurements” | 1-n | U |  |

Content Item Descriptions

Row 4 | Procedure Action ID allows linkage between the hemodynamic measurements recorded in this Template and a procedure step or phase recorded in the Procedure Log, e.g., using TID 3100 “Procedure Action”.

### TID 3504 Arterial Pressure Measurement

The Arterial Pressure Measurement Template consists of a CONTAINER, with an acquisition context of the measurement anatomic site, and containing systolic, diastolic, and mean measurements. This implies that the name of the measurement is effectively post-coordinated from the measurement name, the Hemodynamic Measurement Group container (procedure phase) name, and the acquisition context (finding site) value.

Type:

  Extensible

Order:

  Significant

Table TID 3504. Arterial Pressure Measurement

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (P2-36102, SRT, "Arterial pressure measurements") | 1 | M |  |
2 | > |  | INCLUDE | DTID 3530 “Hemodynamic Acquisition Context” | 1 | M |  | $LocationName = EV (G-C0E3, SRT, "Finding Site") $LocationValue = DCID 3606 “Arterial Source Locations”
3 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (8480-6, LN, "Intravascular arterial Systolic pressure") $Units = DCID 3500 “Pressure Units”
4 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (8462-4, LN, "Intravascular arterial Diastolic pressure") $Units = DCID 3500 “Pressure Units”
5 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (8478-0, LN, "Intravascular arterial mean pressure") $Units = DCID 3500 “Pressure Units”
6 | > | CONTAINS | INCLUDE | DTID 3550 “Pressure Waveform Measurements” | 1-n | U |  |

### TID 3505 Atrial Pressure Measurement

The Atrial Pressure Measurement Template consists of a CONTAINER, with an acquisition context of the measurement anatomic site, and containing a-wave, v-wave, and mean measurements. This implies that the name of the measurement is effectively post-coordinated from the measurement name, the Hemodynamic Measurement Group container (procedure phase) name, and the acquisition context (finding site) value.

Type:

  Extensible

Order:

  Significant

Table TID 3505. Atrial Pressure Measurement

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122121, DCM, "Atrial pressure measurements") | 1 | M |  |
2 | > |  | INCLUDE | DTID 3530 “Hemodynamic Acquisition Context” | 1 | M |  | $LocationName = EV (G-C0E3, SRT, "Finding Site") $LocationValue = DCID 3608 “Atrial Source Locations”
3 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (109016, DCM, "A-wave peak pressure") $Units = DCID 3500 “Pressure Units”
4 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (109034, DCM, "V-wave peak pressure") $Units = DCID 3500 “Pressure Units”
5 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (F-31150, SRT, "Mean blood pressure") $Units = DCID 3500 “Pressure Units”
6 | > | CONTAINS | INCLUDE | DTID 3550 “Pressure Waveform Measurements” | 1-n | U |  |

### TID 3506 Venous Pressure Measurement

The Venous Pressure Measurement Template consists of a CONTAINER, with an acquisition context of the measurement anatomic site, and containing a mean measurement. This implies that the name of the measurement is effectively post-coordinated from the measurement name, the Hemodynamic Measurement Group container (procedure phase) name, and the acquisition context (finding site) value.

Type:

  Extensible

Order:

  Significant

Table TID 3506. Venous Pressure Measurement

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (P2-36110, SRT, "Venous pressure measurements") | 1 | M |  |
2 | > |  | INCLUDE | DTID 3530 “Hemodynamic Acquisition Context” | 1 | M |  | $LocationName = EV (G-C0E3, SRT, "Finding Site") $LocationValue = DCID 3607 “Venous Source Locations”
3 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (F-31150, SRT, "Mean blood pressure") $Units = DCID 3500 “Pressure Units”
4 | > | CONTAINS | INCLUDE | DTID 3550 “Pressure Waveform Measurements” | 1-n | U |  |

### TID 3507 Ventricular Pressure Measurement

The Ventricular Pressure Measurement Template consists of a CONTAINER, with an acquisition context of the measurement anatomic site, and containing systolic and end-diastolic measurements. This implies that the name of the measurement is effectively post-coordinated from the measurement name, the Hemodynamic Measurement Group container (procedure phase) name, and the acquisition context (finding site) value.

Type:

  Extensible

Order:

  Significant

Table TID 3507. Ventricular Pressure Measurement

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122122, DCM, "Ventricular pressure measurements") | 1 | M |  |
2 | > |  | INCLUDE | DTID 3530 “Hemodynamic Acquisition Context” | 1 | M |  | $LocationName = EV (G-C0E3, SRT, "Finding Site") $LocationValue = DCID 3609 “Ventricular Source Locations”
3 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | MC | IFF $LocationValue selected in row 2 is (T-32600, SRT, "Left Ventricle") or subsite thereof | $Measurement = EV (F-03E0D, SRT, "Left Ventricular Systolic blood pressure") $Units = DCID 3500 “Pressure Units”
4 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | MC | IFF $LocationValue selected in row 2 is (T-32600, SRT, "Left Ventricle") or subsite thereof | $Measurement = EV (F-03E0E, SRT, "Left Ventricular End Diastolic pressure") $Units = DCID 3500 “Pressure Units”
5 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | MC | IFF $LocationValue selected in row 2 is (T-32500, SRT, "Right Ventricle") or subsite thereof | $Measurement = EV (F-03DFE, SRT, "Right Ventricular Systolic blood pressure") $Units = DCID 3500 “Pressure Units”
6 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | MC | IFF $LocationValue selected in row 2 is (T-32500, SRT, "Right Ventricle") or subsite thereof | $Measurement = EV (F-03E02, SRT, "Right Ventricular End Diastolic pressure") $Units = DCID 3500 “Pressure Units”
7 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | MC | IFF $LocationValue selected in row 2 is (T-32400, SRT, "Common Ventricle") | $Measurement = EV (122194, DCM, "Ventricular Systolic blood pressure") $Units = DCID 3500 “Pressure Units”
8 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | MC | IFF $LocationValue selected in row 2 is (T-32400, SRT, "Common Ventricle") | $Measurement = EV (122191, DCM, "Ventricular End Diastolic pressure") $Units = DCID 3500 “Pressure Units”
9 | > | CONTAINS | INCLUDE | DTID 3550 “Pressure Waveform Measurements” | 1-n | U |  |

### TID 3508 Gradient Measurement

The Gradient Measurement Template consists of a CONTAINER, with an acquisition context of the measurement anatomic site, and containing the gradient measurement. This implies that the name of the measurement is effectively post-coordinated from the measurement name, the Hemodynamic Measurement Group container (procedure phase) name, and the acquisition context (finding site) value.

Type:

  Extensible

Order:

  Significant

Table TID 3508. Gradient Measurement

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122123, DCM, "Gradient assessment") | 1 | M |  |
2 | > |  | INCLUDE | DTID 3530 “Hemodynamic Acquisition Context” | 1 | MC | XOR with Rows 3 & 4 IFF single location is appropriate | $LocationName = EV (G-C0E3, SRT, "Finding Site") $LocationValue = DCID 3610 “Gradient Source Locations”
3 | > |  | INCLUDE | DTID 3530 “Hemodynamic Acquisition Context” | 1 | MC | XOR with Row 2 IFF a dual location is appropriate | $LocationName = EV (121116, DCM, "Proximal Finding Site") $LocationValue = DCID 3630 “Cardiovascular Anatomic Locations”
4 | > |  | INCLUDE | DTID 3530 “Hemodynamic Acquisition Context” | 1 | MC | XOR with Row 2 IFF a dual location is appropriate | $LocationName = EV (121117, DCM, "Distal Finding Site") $LocationValue = DCID 3630 “Cardiovascular Anatomic Locations”
5 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | M |  | $Measurement = EV (F-023F7, SRT, "Pressure Gradient") $Units = DCID 3500 “Pressure Units” $Derivation = DCID 3627 “Measurement Type”
6 | > | CONTAINS | INCLUDE | DTID 3550 “Pressure Waveform Measurements” | 1-n | U |  |

Content Item Descriptions

Row 5 | Is used to encode the gradient measurements. Uses TID 300 “Measurement” for the content item structure of the measurements. That template allows an INFERRED FROM relationship to other numeric measurements used in the computation or derivation of the current measurement. In the case of a gradient measurement, the pressure measurements at the distal and proximal locations may thus be explicitly conveyed.

### TID 3509 Blood Velocity Measurement

The Blood Velocity Measurement Template consists of a CONTAINER, with an acquisition context of the measurement anatomic site, and containing primary (not derived) velocity measurements, e.g., from a Doppler catheter. Derived velocity measurements may be recorded using TID 3560 “Derived Hemodynamic Measurements”.

Type:

  Extensible

Order:

  Significant

Table TID 3509. Blood Velocity Measurement

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122124, DCM, "Blood velocity measurements") | 1 | M |  |
2 | > |  | INCLUDE | DTID 3530 “Hemodynamic Acquisition Context” | 1 | M |  | $LocationName = EV (G-C0E9, SRT, "Procedure site") $LocationValue = BCID 3606 “Arterial Source Locations”
3 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | M |  | $Measurement = DCID 3612 “Blood Velocity Measurements” $Units = EV (mm/s, UCUM, "mm/s")
4 | > | CONTAINS | INCLUDE | DTID 3550 “Pressure Waveform Measurements” | 1-n | U |  |

### TID 3510 Vital Signs

The Vital Signs template consists of a CONTAINER containing the various vital signs measurements. These measurements may be acquired automatically from patient monitoring equipment, or may be entered based on manual measurements.

Type:

  Extensible

Order:

  Significant

Table TID 3510. Vital Signs

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (8716-3, LN, "Vital Signs") | 1 | M |  |
2 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (F-008EC, SRT, "Systolic blood pressure") $Units = DCID 3500 “Pressure Units” $Method = BCID 3560 “Blood Pressure Methods”
3 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (F-008ED, SRT, "Diastolic blood pressure") $Units = DCID 3500 “Pressure Units”
4 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (8867-4, LN, "Heart rate") $Units = EV ({H.B.}/min, UCUM, "BPM")
5 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (8310-5, LN, "Body temperature") $Units = EV (Cel, UCUM, "C")
6 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = DCID 3526 “Blood Gas Saturation” $Units = EV (%, UCUM, "%")
7 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (F-043E7, SRT, "Respiration rate") $Units = EV (/min, UCUM, "breaths/min")
8 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122195, DCM, "Pulse Strength") $Units = DT ({0:4}, UCUM, "range 0:4")
9 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (F-009EA, SRT, "Pain Score") $Units = DT ({1:10}, UCUM, "range 1:10")
10 | > | CONTAINS | CODE | DT (8884-9, LN, "Cardiac Rhythm") | 1 | U |  | BCID 3415 “Cardiac Rhythms”
11 | > | CONTAINS | CODE | DT (9304-7, LN, "Respiration Rhythm") | 1 | U |  | BCID 3416 “Respiration Rhythms”

### TID 3515 Cardiac Output Measurement by Indicator Dilution

The Cardiac Output Measurement by Indicator Dilution template consists of a CONTAINER containing the measurement and significant parameters of the technical method. If the measurement is based on a DICOM Hemodynamic Waveform SOP Instance, that object may also be referenced.

### Note

Fick Cardiac Output is encoded in TID 3560 “Derived Hemodynamic Measurements”.

Type:

  Extensible

Order:

  Significant

Table TID 3515. Cardiac Output Measurement By Indicator Dilution

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (P2-34201, SRT, "Cardiac Output measurement") | 1 | M |  |
2 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (8737-9, LN, "Cardiac Output by Indicator Dilution") $Units = EV (l/min, UCUM, "l/min") $Method = DCID 3628 “Cardiac Output Methods” $WavePurpose = DT (121112, DCM, "Source of Measurement")
3 | > | HAS ACQ CONTEXT | NUM | EV (122319, DCM, "Catheter Size") | 1 | MC | IFF Row 2 indicates a thermal method | UNITS = DCID 3510 “Catheter Size Units”
4 | > | HAS ACQ CONTEXT | NUM | EV (122320, DCM, "Injectate Temperature") | 1 | MC | IFF Row 2 indicates a thermal method | UNITS = EV (Cel, UCUM, "C")
5 | > | HAS ACQ CONTEXT | NUM | EV (122321, DCM, "Injectate Volume") | 1 | M |  | UNITS = DT (ml, UCUM, "ml")
6 | > | HAS ACQ CONTEXT | NUM | EV (122322, DCM, "Calibration Factor") | 1 | M |  | UNITS = DT (1, UCUM, "no units")

### TID 3516 Blood Lab Measurements

The Blood Lab Measurements template provides for the recording of measurements made on blood samples obtained during a catheterization procedure. The type and anatomic source of the blood is recorded as acquisition context. The results from the blood chemistry measurement system are quoted; the measurement names may be pre-coordinated with the type or source of the blood, or generic measurement names may be reported. In the latter case, the full measurement concept name may be effectively post-coordinated using the recorded acquisition context.

Type:

  Extensible

Order:

  Significant

Table TID 3516. Blood Lab Measurements

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122125, DCM, "Blood lab measurements") | 1 | M |  |
2 | > | HAS ACQ CONTEXT | CODE | EV (R-00254, SRT, "Specimen Type") | 1 | M |  | DCID 3520 “Blood Source Type”
3 | > | HAS ACQ CONTEXT | CODE | EV (G-C0E9, SRT, "Procedure site") | 1 | M |  | BCID 3630 “Cardiovascular Anatomic Locations”
4 | > |  | INCLUDE | DTID 1000 “Quotation” | 1 | U |  |
5 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (718-7, LN, "Hemoglobin") $Units = DT (g/dl, UCUM, "g/dl")
6 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3524 “Blood Gas Pressures” $Units = DCID 3500 “Pressure Units”
7 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3525 “Blood Gas Content” $Units = DT (ml/dl, UCUM, "ml/dl")
8 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3528 “Blood pH” $Units = EV ([pH], UCUM, "pH")
9 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3526 “Blood Gas Saturation” $Units = EV (%, UCUM, "%")
10 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3527 “Blood Base Excess” $Units = DT (meq/dl, UCUM, "meq/dl")
11 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122183, DCM, "Blood temperature") $Units = EV (Cel, UCUM, "C")

### TID 3520 Hemodynamic Clinical Context

The Clinical Context template allows the recording of information about the patient's clinical state that may affect interpretation of the hemodynamic measurements. This Template includes several coded conditions (e.g., complications, drugs, physiological challenges, etc.), each of which may have a Concept Modifier of "Relative Time". This Modifier indicates the temporal relationship of the hemodynamic measurements to the conditions recorded in this template. E.g., the Content Item structure:

[CONTAINER] "Findings"

>HAS ACQ CONTEXT "Cath Procedure Phase" "Post-intervention phase"

>HAS ACQ CONTEXT [CONTAINER] "Clinical Context"

>>CONTAINS [CODE] "Complication" "Arrhythmia"

>>>HAS CONCEPT MOD [CODE] "Relative Time" "After"

>CONTAINS [CONTAINER] "Arterial Measurements"…

conveys the semantics that this group of measurements for the post-intervention phase of a cath procedure was made after an occurrence of arrhythmia in the patient.

In the absence of a Relative Time modifier, the acquisition context is during the identified event or state.

Type:

  Extensible

Order:

  Significant

Table TID 3520. Hemodynamic Clinical Context

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122127, DCM, "Clinical Context") | 1 | M |  |
2 | > | CONTAINS | CODE | EV (109054, DCM, "Patient State") | 1-n | U |  | BCID 3602 “Hemodynamic Patient State”
3 | > | CONTAINS | TEXT | EV (109054, DCM, "Patient State") | 1 | U |  |
4 | > | CONTAINS | INCLUDE | DTID 3521 “Relative Time” | 1-n | U |  | $ConditionName = EV (DD-60002, SRT, "Complication of Procedure") $ConditionValue = DCID 3413 “Adverse Outcomes”
5 | > | CONTAINS | INCLUDE | DTID 3521 “Relative Time” | 1-n | U |  | $ConditionName = EV (122086, DCM, "Contrast administered") $ConditionValue = BCID 12 “Radiographic Contrast Agent”
6 | > | CONTAINS | INCLUDE | DTID 3521 “Relative Time” | 1-n | U |  | $ConditionName = EV (122083, DCM, "Drug administered") $ConditionValue = BCID 10 “Interventional Drug”
7 | > | CONTAINS | INCLUDE | DTID 3521 “Relative Time” | 1-n | U |  | $ConditionName = EV (109059, DCM, "Physiological challenges") $ConditionValue = BCID 3271 “Hemodynamic Physiological Challenges”
8 | > | CONTAINS | INCLUDE | DTID 3521 “Relative Time” | 1-n | U |  | $ConditionName = EV (122138, DCM, "Circulatory Support") $ConditionValue = DCID 3553 “Circulatory Support”
9 | > | CONTAINS | INCLUDE | DTID 3521 “Relative Time” | 1-n | U |  | $ConditionName = EV (P2-2200A, SRT, "Ventilatory assistance") $ConditionValue = DCID 3554 “Ventilation”
10 | > | CONTAINS | INCLUDE | DTID 3521 “Relative Time” | 1-n | U |  | $ConditionName = EV (P2-35000, SRT, "Cardiac Pacing") $ConditionValue = BCID 3555 “Pacing”
11 | > | CONTAINS | INCLUDE | DTID 3521 “Relative Time” | 1-n | U |  | $ConditionName = EV (P0-0000, SRT, "Procedure") $ConditionValue = BCID 3405 “Procedure Action Values”

### TID 3521 Relative Time

The Relative Time template is invoked by 3520 Hemodynamic Acquisition Context template. It specifies an applicable clinical context condition and the time of the current measurements relative to that condition.

Table TID 3521. Parameters

Parameter Name | Parameter Usage
--- | ---
$ConditionName | Coded term for Concept Name of condition
$ConditionValue | Context Group for condition values

Type:

  Non-Extensible

Order:

  Significant

Table TID 3521. Relative Time

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | $ConditionName | 1 | M |  | $ConditionValue
2 | > | HAS CONCEPT MOD | CODE | EV (G-D709, SRT, "Relative time") | 1 | U |  | BCID 3600 “Relative Times”

### TID 3530 Hemodynamic Acquisition Context

The Hemodynamic Acquisition Context template is invoked by the various hemodynamic measurement templates.

Table TID 3530. Parameters

Parameter Name | Parameter Usage
--- | ---
$LocationName | Coded term for Concept Name of measurement location
$LocationValue | Context Group for appropriate anatomic locations

Type:

  Extensible

Order:

  Significant

Table TID 3530. Hemodynamic Acquisition Context

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | HAS CONCEPT MOD | CODE | $LocationName | 1 | M |  | $LocationValue
2 | > | HAS CONCEPT MOD | CODE | EV (G-A1F8, SRT, "Topographical modifier") | 1 | U |  | BCID 3019 “Cardiovascular Anatomic Location Modifiers”
3 |  | HAS ACQ CONTEXT | CODE | EV (G-C036, SRT, "Measurement Method ") | 1 | U |  | BCID 3241 “Hemodynamic Measurement Techniques”
4 |  | HAS ACQ CONTEXT | WAVEFORM | DT (121112, DCM, "Source of Measurement") | 1 | UC | XOR Row 5 |
5 |  | HAS ACQ CONTEXT | TCOORD | DT (121112, DCM, "Source of Measurement") | 1 | UC | XOR Row 4 |
6 | > | SELECTED FROM | WAVEFORM |  | 1 | M |  |

### TID 3550 Pressure Waveform Measurements

The Pressure Waveform Measurements template is invoked by the various hemodynamic measurement templates for recording general measurements made in conjunction with the specific required measurements for that anatomic location.

Type:

  Extensible

Order:

  Significant

Table TID 3550. Pressure Waveform Measurements

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3611 “Pressure Measurements” $Units = DCID 3500 “Pressure Units”
2 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3612 “Blood Velocity Measurements” $Units = EV (mm/s, UCUM, "mm/s")
3 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3613 “Hemodynamic Time Measurements” $Units = DT (ms, UCUM, "ms")
4 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (F-32100, SRT, "Cardiac Output") $Units = EV (l/min, UCUM, "l/min")
5 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (F-32120, SRT, "Stroke Volume") $Units = DT (ml, UCUM, "ml")
6 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (10230-1, LN, "LV Ejection Fraction") $Units = EV (%, UCUM, "%")
7 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (8867-4, LN, "Heart rate") $Units = DT ({H.B.}/min, UCUM, "BPM")
8 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (F-043E7, SRT, "Respiration rate") $Units = DT (/min, UCUM, "breaths/min")
9 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (109025, DCM, "Max dp/dt") $Units = DT (mm[Hg]/s, UCUM, "mmHg/s")
10 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (109026, DCM, "Max neg dp/dt") $Units = DT (mm[Hg]/s, UCUM, "mmHg/s")
11 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122190, DCM, "Max dp/dt/P") $Units = DT (/s, UCUM, "/s")
12 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122192, DCM, "Indicator appearance time") $Units = DT (s, UCUM, "s")
13 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122193, DCM, "Maximum pressure acceleration") $Units = DT (mm[Hg]/s2, UCUM, "mmHg/s/s")
14 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3617 “Valve Flows” $Units = DT (ml/min, UCUM, "ml/min")

### TID 3560 Derived Hemodynamic Measurements

The Derived Hemodynamic Measurements Template consists of a CONTAINER containing measurements derived from one or more other measurements. These measurements are associated with a particular procedure phase, but not necessarily with a particular anatomic location.

Type:

  Extensible

Order:

  Significant

Table TID 3560. Derived Hemodynamic Measurements

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122126, DCM, "Derived Hemodynamic Measurements") | 1 | U |  |
2 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3614 “Valve Areas, Non-mitral” $Units = EV (cm2, UCUM, "cm2") $Equation = DT (122262, DCM, "Area = Flow / 44.5 * sqrt(Gradient[mmHg]) ")
3 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (F-02320, SRT, "Mitral Valve Area") $Units = EV (cm2, UCUM, "cm2") $Equation = DT (122263, DCM, "MVA = Flow / 38.0 * sqrt(Gradient[mmHg]) ")
4 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3615 “Valve Areas” $ModType = EV (121425, DCM, "Index") $ModValue = EV (8277-6, LN, "Body Surface Area") $Units = DT (cm2/m2, UCUM, "cm2/m2")
5 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3616 “Hemodynamic Period Measurements” $Units = DT (s/min, UCUM, "s/min")
6 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3617 “Valve Flows” $Units = DT (ml/s, UCUM, "ml/s")
7 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (F-32110, SRT, "Cardiac Index") $Units = DT (l/min/m2, UCUM, "l/min/m2")
8 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3529 “Arterial / Venous Content” $Units = DT (ml/dl, UCUM, "ml/dl")
9 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3618 “Hemodynamic Flows” $Units = DT (l/min, UCUM, "l/min")
10 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (8736-1, LN, "FICK Cardiac Output") $Units = DT (l/min, UCUM, "l/min")
11 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (8750-2, LN, "FICK Cardiac Index") $Units = DT (l/min/m2, UCUM, "l/min/m2")
12 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122229, DCM, "Arteriovenous difference") $Units = DT (ml/dl, UCUM, "ml/dl")
13 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = BCID 3620 “Hemodynamic Ratios” $Units = DT ({ratio}, UCUM, "ratio")
14 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122237, DCM, "Corrected Sinus Node Recovery Time") $Units = DT (ms, UCUM, "ms")
15 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (8861-7, LN, "Left Ventricular Stroke Work") $Units = DT (gf.m, UCUM, "gf.m")
16 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (8862-5, LN, "Right Ventricular Stroke Work") $Units = DT (gf.m, UCUM, "gf.m")
17 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (8863-3, LN, "Left Ventricular Stroke Work Index") $Units = DT (gf.m/m2, UCUM, "gf.m/m2")
18 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (8864-1, LN, "Right Ventricular Stroke Work Index") $Units = DT (gf.m/m2, UCUM, "gf.m/m2")
19 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122238, DCM, "Max volume normalized to 50mmHg pulse pressure") $Units = DT (ml, UCUM, "ml")
20 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122239, DCM, "Oxygen Consumption") $Units = DT (ml/min, UCUM, "ml/min") $Equation = BCID 3664 “Oxygen Consumption Equations and Tables”
21 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (19217-9, LN, "Oxygen partial pressure at 50% saturation (P50) ") $Units = DCID 3500 “Pressure Units” $Equation = BCID 3666 “P50 Equations”
22 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (11556-8, LN, "Blood Oxygen partial pressure") $Units = DCID 3500 “Pressure Units”
23 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3618 “Hemodynamic Flows” $ModType = EV (121425, DCM, "Index") $ModValue = EV (8277-6, LN, "Body Surface Area") $Units = DT (l/min/m2, UCUM, "l/min/m2")
24 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3619 “Hemodynamic Resistance Measurements” $Units = BCID 3502 “Hemodynamic Resistance Units”
25 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3619 “Hemodynamic Resistance Measurements” $ModType = EV (121425, DCM, "Index") $ModValue = EV (8277-6, LN, "Body Surface Area") $Units = BCID 3503 “Indexed Hemodynamic Resistance Units”
26 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122227, DCM, "Left to Right Flow") $Units = DT (l/min, UCUM, "l/min")
27 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122228, DCM, "Right to Left Flow") $Units = DT (l/min, UCUM, "l/min")
28 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (F-32120, SRT, "Stroke Volume") $Units = DT (ml, UCUM, "ml")
29 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (F-32120, SRT, "Stroke Volume") $ModType = EV (121425, DCM, "Index") $ModValue = EV (8277-6, LN, "Body Surface Area") $Units = DT (ml/m2, UCUM, "ml/m2")
30 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (F-042BA, SRT, "Total blood volume") $Units = DT (l, UCUM, "l")
31 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3667 “Framingham Scores” $Units = DT (%, UCUM, "%") $Equation = DCID 3668 “Framingham Tables”

### TID 3570 Summary, Hemodynamics

This Template allows the recording of any significant numeric measurements or findings.

Type:

  Extensible

Order:

  Significant

Table TID 3570. Summary, Hemodynamics

| 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 | INCLUDE | DTID 300 “Measurement” | 1-n | U |  |
4 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1-n | U |  | DCID 3640 “Hypertension”
5 | >> |  | INCLUDE | DTID 1350 “Negation Modifier, Presence of Finding” | 1 | U |  |
6 | >> | HAS PROPERTIES | CODE | EV (G-C197, SRT, "Severity") | 1 | U |  | DCID 3716 “Severity”
7 | > | CONTAINS | CODE | DCID 3641 “Hemodynamic Assessments” | 1-n | U |  | DCID 3642 “Degree Findings”
8 | >> | HAS PROPERTIES | CODE | EV (G-C0B2, SRT, "Condition") | 1 | U |  | EV (R-102B9, SRT, "Large v-wave")
9 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1 | U |  | EV (R-102BA, SRT, "Diastolic pressure equalization")

### TID 3601 Procedure Context

The Procedure Context template describes acquisition context for measurements made or events recorded in a procedure.

Type:

  Extensible

Order:

  Significant

Table TID 3601. Procedure Context

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | HAS ACQ CONTEXT | TEXT | EV (121065, DCM, "Procedure Description") | 1 | U |  | Defaults to Study Description (0008,1030) of the General Study Module
2 |  | HAS ACQ CONTEXT | CODE | EV (G-C0E8, SRT, "Has Intent") | 1 | U |  | BCID 3629 “Procedure Intent”
3 |  | HAS ACQ CONTEXT | CODE | EV (G-C09C, SRT, "Procedure Priority") | 1 | U |  | BCID 3414 “Procedure Urgency”
4 |  | HAS OBS CONTEXT | CODE | EV (121023, DCM, "Procedure Code") | 1-n | U |  | Defaults to Procedure Code Sequence (0008,1032) of General Study Module

### TID 3602 Cardiovascular Patient Characteristics

This template describes the characteristics of the patient that are specific to the current clinical presentation (visit). Patient Characteristic concepts in this template, which may replicate attributes in the Patient Study Module, are included here as possible targets of by-reference relationships from other content items in the SR tree.

### Note

Several of the concepts in this template duplicate concepts in TID 1007 “Subject Context, Patient”. The difference in use is that this template has those concepts as primary observations of the patient, while in TID 1007 “Subject Context, Patient” the concepts are used to set (or reset) the context for other observations.

Type:

  Extensible

Order:

  Significant

Table TID 3602. Cardiovascular Patient Characteristics

| 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 | M |  | UNITS = EV (cm, UCUM, "cm")
5 | > | CONTAINS | NUM | EV (29463-7, LN, "Patient Weight") | 1 | M |  | UNITS = EV (kg, UCUM, "kg")
6 | > | CONTAINS | NUM | EV (122221, DCM, "Thorax diameter, sagittal") | 1 | U |  | UNITS = EV (cm, UCUM, "cm")
7 | > | CONTAINS | NUM | EV (8277-6, LN, "Body Surface Area") | 1 | MC | IF BSA used for indexed measurements in SOP Instance | UNITS = EV (m2, UCUM, "m2")
8 | >> | INFERRED FROM | CODE | EV (8278-4, LN, "Body Surface Area Formula") | 1 | U |  | BCID 3663 “Body Surface Area Equations”
9 | > | CONTAINS | NUM | EV (F-01860, SRT, "Body Mass Index") | 1 | U |  | UNITS = EV (kg/m2, UCUM, "kg/m2")
10 | >> | INFERRED FROM | CODE | EV (121420, DCM, "Equation") | 1 | U |  | DT (122265, DCM, "BMI = Wt/Ht^2")
11 | > | CONTAINS | NUM | EV (8867-4, LN, "Heart Rate") | 1 | U |  | UNITS = EV ({H.B.}/min, UCUM, "BPM")
12 | > | CONTAINS | NUM | EV (F-008EC, SRT, "Systolic Blood Pressure") | 1 | U |  | UNITS = DCID 3500 “Pressure Units”
13 | > | CONTAINS | NUM | EV (F-008ED, SRT, "Diastolic Blood Pressure") | 1 | U |  | UNITS = DCID 3500 “Pressure Units”
14 | > | CONTAINS | CODE | DT (8884-9, LN, "Cardiac Rhythm") | 1 | U |  | BCID 3415 “Cardiac Rhythms”
15 | > | CONTAINS | NUM | EV (F-03D8C, SRT, "Chest Circumference") | 1 | U |  | UNITS = EV (cm, UCUM, "cm")
16 | > | CONTAINS | TEXT | EV (F-009E4, SRT, "Breast size") | 1 | U |  | Bra size as text string
17 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1 | U |  | DCID 3202 “Chest Pain”
18 | > | CONTAINS | CODE | EV (F-04FCC, SRT, "Functional capacity") | 1 | U |  | DCID 3719 “Canadian Clinical Classification”
19 | > | CONTAINS | CODE | EV (F-04FCC, SRT, "Functional capacity") | 1 | U |  | DCID 3736 “NYHA Classification”
20 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1-n | U |  |
21 | > | CONTAINS | TEXT | EV (121110, DCM, "Patient Presentation") | 1 | U |  |

Content Item Descriptions

Rows 11-13 | Cardiac vital signs, for use when the SR SOP Instance does not record vital signs at multiple procedure phases or stages.
Row 16 | Breast size for interpretation of attenuation in nuclear medicine imaging

### TID 3603 Procedure Environmental Characteristics

Type:

  Extensible

Order:

  Significant

Table TID 3603. Procedure Environmental Characteristics

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122222, DCM, "Procedure Environmental Characteristics") | 1 | M |  |
2 | > | CONTAINS | NUM | EV (122223, DCM, "Room oxygen concentration") | 1 | U |  | UNITS = EV (%, UCUM, "%")
3 | > | CONTAINS | NUM | EV (122224, DCM, "Room temperature") | 1 | U |  | UNITS = EV (Cel, UCUM, "C")
4 | > | CONTAINS | NUM | EV (122225, DCM, "Room Barometric pressure") | 1 | U |  | UNITS = DT (mbar, UCUM, "millibar")

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