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.

Implantation Plan SR Document IOD Template Structure

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.

Implant Assembly and Components Terminology

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.

References to Registration Objects

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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