IVUS Report Templates

IVUS Report Templates
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TID 3250 IVUS Report

The IVUS Report template is the root structure for the representation of IVUS measurements acquired during a catheterization procedure.

Type:: Extensible
Order:: Significant
Root:: Yes

Table TID 3250. IVUS Report

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1			CONTAINER	EV (122325, DCM, "IVUS Report")	1	M	Root node
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	U
4	>		INCLUDE	DTID 3601 “Procedure Context”	1	U
5	>	CONTAINS	INCLUDE	DTID 3602 “Cardiovascular Patient Characteristics”	1	U
6	>	CONTAINS	CONTAINER	EV (111028, DCM, "Image Library")	1	U
7	>>	CONTAINS	IMAGE	No purpose of reference	1-n	U
8	>	CONTAINS	INCLUDE	DTID 3251 “IVUS Vessel”	1-n	M

TID 3251 IVUS Vessel

The IVUS Vessel template provides a structure for grouping one or more lesions analyzed and/or treated during a single phase of a catheterization procedure, according to vessel (or arterial location).

Type:: Extensible
Order:: Significant

Table TID 3251. IVUS Vessel

	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	U		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	>>	HAS CONCEPT MOD	CODE	EV (G-C171, SRT, "Laterality")	1	UC	IFF anatomy has laterality	DCID 244 “Laterality”
5	>	HAS ACQ CONTEXT	CODE	EV (G-72BB, SRT, "Catheterization Procedure Phase")	1	U		DCID 3480 “IVUS Procedure Phases”
6	>	CONTAINS	CODE	EV (122134, DCM, "Vessel Morphology")	1-n	U		CID 3712 “Vessel Descriptors”
7	>	CONTAINS	INCLUDE	DTID 3819 “Common Findings”	1-n	U
8	>	CONTAINS	CODE	EV (115, NCDR [2.0b], "Dissection in segment")	1	U		DCID 230 “Yes-No”
9	>	CONTAINS	INCLUDE	DTID 3252 “IVUS Lesion”	1-n	U

TID 3252 IVUS Lesion

The IVUS Lesion template provides a structure for grouping measurements and observations made on a single lesion during an Intravascular Ultrasound Procedure.

Type:: Extensible
Order:: Significant

Table TID 3252. IVUS Lesion

	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	>	HAS OBS CONTEXT	TEXT	EV (121151, DCM, "Lesion Identifier")	1	M		Up to 3 numeric characters
3	>>	HAS CONCEPT MOD	CODE	EV (G-C0E3, SRT, "Finding Site")	1-n	U		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	>	HAS ACQ CONTEXT	INCLUDE	DTID 3107 “Device Used”	1-n	U
6	>	CONTAINS	INCLUDE	DTID 3253 “IVUS Measurements”	1	MC	One or both of rows 6 & 7 must be present
7	>	CONTAINS	INCLUDE	DTID 3254 “IVUS Qualitative Assessments”	1	MC	One or both of rows 6 & 7 must be present
8	>	CONTAINS	INCLUDE	DTID 3819 “Common Findings”	1-n	U

Content Item Descriptions

Row 2	Lesion Identifier is specified as a numeric text string in order to facilitate trans-coding to DICOM Attribute (0018,3105) Lesion Number and to formats for outcomes registries, such as the ACC National Cardiovascular Data Registry™. Note Also see TID 3105 “Lesion Identification and Properties”.
Row 3	Finding site may span multiple segments with the proximal and distal extent specified by separate items. These may not be totally contained with the segment specified at the Vessel level.

TID 3253 IVUS Measurements

The IVUS measurements template groups together simple distance, area and angle measurements, along with derived measurements that made during an IVUS procedure. Refer to the " ACC Clinical Expert Consensus Document on Standards for Acquisition, measurement and Reporting of Intravascular Ultrasound Studies (IVUS) "for more information.

Type:: Extensible
Order:: Significant

Table TID 3253. IVUS Measurements

	VT	Concept Name	VM	Req Type	Value Set Constraint
1	INCLUDE	DTID 300 “Measurement”	1-n	U	$Measurement = DCID 3481 “IVUS Distance Measurements” $Units = EV (mm, UCUM, "mm") $Derivation = DCID 3488 “Min/Max/Mean” $TargetSite = BCID 3486 “Vascular Measurement Sites”
2	INCLUDE	DTID 300 “Measurement”	1-n	U	$Measurement = DCID 3482 “IVUS Area Measurements” $Units = EV (mm2, UCUM, "mm2") $Derivation = DCID 3488 “Min/Max/Mean” $TargetSite = BCID 3486 “Vascular Measurement Sites”
3	INCLUDE	DTID 300 “Measurement”	1-n	U	$Measurement = DCID 3483 “IVUS Longitudinal Measurements” $Units = EV (mm, UCUM, "mm")
4	INCLUDE	DTID 300 “Measurement”	1-n	U	$Measurement = EV (122355, DCM, "Arc of Calcium") $Units = EV (deg, UCUM, "degrees") $TargetSite = BCID 3486 “Vascular Measurement Sites”
5	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (R-101BA, SRT, "Lumen Area Stenosis") $Units = EV (%, UCUM, "%")
6	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (122354, DCM, "Plaque Burden") $Units = EV (%, UCUM, "%") $TargetSite = BCID 3486 “Vascular Measurement Sites”
7	INCLUDE	DTID 300 “Measurement”	1-n	U	$Measurement = DCID 3484 “IVUS Indices and Ratios” $Units = EV ({ratio}, UCUM, "ratio") $TargetSite = BCID 3486 “Vascular Measurement Sites”
8	INCLUDE	DTID 3255 “IVUS Volume Measurement”	1-n	U
9	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (122339, DCM, "Stent Volume Obstruction") $Units = EV (%, UCUM, "%")

TID 3254 IVUS Qualitative Assessments

The IVUS Qualitative Assessments template groups together the qualitative properties of a lesion that are observed during an IVUS procedure. Refer to the "ACC Clinical Expert Consensus Document on Standards for Acquisition, measurement and Reporting of Intravascular Ultrasound Studies (IVUS) " for more information.

Type:: Extensible
Order:: Significant

Table TID 3254. IVUS Qualitative Assessments

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1			CODE	EV (122133, DCM, "Lesion Morphology")	1-n	U	DCID 3491 “IVUS Lesion Morphologies”
2			CODE	EV (121071, DCM, "Finding")	1-n	U	DCID 3494 “IVUS Non Morphological Findings”
3	>		INCLUDE	DTID 1350 “Negation Modifier, Presence of Finding”	1	U
4			CODE	EV (121071, DCM, "Finding")	1	U	EV (D3-81310, SRT, "Arterial Dissection")
5	>	HAS CONCEPT MOD	CODE	EV (122387, DCM, "Dissection Classification")	1	U	DCID 3492 “Vascular Dissection Classifications”
6	>		INCLUDE	DTID 1350 “Negation Modifier, Presence of Finding”	1	U
7			CODE	EV (122391, DCM, "Relative Stenosis Severity")	1	U	DCID 3493 “IVUS Relative Stenosis Severities”
8			CODE	EV (108, NCDR [2.0b], "Previously Dilated Lesion ")	1	U	DCID 3750 “Previously Dilated Lesion”
9			CODE	EV (121071, DCM, "Finding")	1	U	EV (122393, DCM, "Restenotic Lesion")
10	>		INCLUDE	DTID 1350 “Negation Modifier, Presence of Finding”	1	U
11			CODE	EV (111009, DCM, "Calcification Type")	1	U	DCID 3489 “Calcium Distribution”

TID 3255 IVUS Volume Measurement

The IVUS Volume Measurement Template contains information describing an IVUS Volumetric measurement

Type:: Extensible
Order:: Significant

Table TID 3255. IVUS Volume Measurement

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1			INCLUDE	DTID 300 “Measurement”	1	M	$Measurement = DCID 3485 “IVUS Volume Measurements” $Units = EV (mm3, UCUM, "mm3") $TargetSite = BCID 3487 “Intravascular Volumetric Regions”
2	>	HAS PROPERTIES	NUM	EV (122336, DCM, "Vascular Volume measurement length")	1	U	UNITS = DT (mm, UCUM, "mm")
3	>	HAS PROPERTIES	NUM	EV (122337, DCM, "Relative position")	1	U	UNITS = DT (mm, UCUM, "mm")
4	>>	HAS CONCEPT MOD	CODE	EV (122340, DCM, "Fiducial feature")	1	M	DCID 3496 “IVUS Fiducial Points”

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