Quantitative Arterial Analysis Report SR IOD Templates
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## Quantitative Arterial Analysis Report SR IOD Templates

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 | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
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 | Condition | 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 | Condition | 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

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | 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 | Condition | 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

| NL | 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

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | 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.

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