Quantitative Ventricular Analysis Report SR IOD Templates

Quantitative Ventricular Analysis Report SR IOD Templates
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The templates that comprise the Quantitative Ventricular Analysis SR are interconnected as in Figure A-3:

Figure A-3. Quantitative Ventricular Analysis Report SR IOD Template Structure

TID 3202 Ventricular Analysis

The Ventricular Analysis Template provides a CONTAINER with a structure for reporting the result of the ventricular analysis.

Type:: Extensible
Order:: Significant

Table TID 3202. Ventricular Analysis

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			CONTAINER	EV (122292, DCM, "Quantitative Ventriculography 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	>	CONTAINS	CONTAINER	EV (122144, DCM, "Quantitative Analysis")	1-n	M
6	>>	HAS OBS CONTEXT	INCLUDE	DTID 1002 “Observer Context”	1-n	U
7	>>	HAS OBS CONTEXT	TEXT	EV (111001, DCM, "Algorithm Name")	1	M
8	>>	HAS OBS CONTEXT	TEXT	EV (111003, DCM, "Algorithm Version")	1	M
9	>>	HAS OBS CONTEXT	TEXT	EV (122405, DCM, "Algorithm Manufacturer")	1	M
10	>>	CONTAINS	IMAGE	EV (121112, DCM, "Source of Measurement")	1-n	M
11	>>>	HAS CONCEPT MOD	CODE	EV (G-A60B, SRT, "Cardiac Phase")	1	M		DCID 12233 “Cardiac Phase”
12	>>>	HAS CONCEPT MOD	CODE	EV (111031, DCM, "Image View")	1	MC	If Biplane Analysis	DCID 3466 “Plane Identification”
13	>>	HAS ACQ CONTEXT	INCLUDE	DTID 3205 “Calibration”	1-2	U	VM = 1: Single plane analysis, VM = 2: Biplane analysis	$CalibrationPlane = DCID 3466 “Plane Identification”
14	>>	HAS ACQ CONTEXT	INCLUDE	DTID 3520 “Hemodynamic Clinical Context”	1	U
15	>>	CONTAINS	INCLUDE	DTID 3206 “VA Main Results”	1	M
16	>>	CONTAINS	INCLUDE	DTID 3207 “AA Main Results”	1	U
17	>>	CONTAINS	INCLUDE	DTID 3208 “Frame-to-Frame Results”	1	U
18	>>	CONTAINS	INCLUDE	DTID 3209 “Centerline Wall Motion”	1-2	U	VM = 1: Single plane analysis, VM = 2: Biplane analysis
19	>>	CONTAINS	INCLUDE	DTID 3210 “Radial Based Wall Motion”	1-2	U	VM = 1: Single plane analysis, VM = 2: Biplane analysis
20	>>	CONTAINS	INCLUDE	DTID 3211 “Landmark Based Wall Motion”	1-2	U	VM = 1: Single plane analysis, VM = 2: Biplane analysis

Content Item Descriptions

Row 7	Identifies the Ventricular Analysis program
Row 8	Identifies the Ventricular Analysis program version
Row 9	Identifies the Ventricular Analysis program manufacturer
Row 10	Identifies the ES and ED images on which the analysis is based, for frame by frame analysis the analyzed image are specified in the frame by frame results (3208) template

TID 3205 Calibration

The Calibration Template consists of a CONTAINER, with a structure for reporting of the calibration of images used in the analysis.

Table TID 3205. Parameters

Parameter Name	Parameter Usage
$CalibrationPlane	XA Imaging plane

Type:: Extensible
Order:: Significant

Table TID 3205. Calibration

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			CONTAINER	EV (122505, DCM, "Calibration")	1	M
2	>	HAS CONCEPT MOD	CODE	EV (111031, DCM, "Image View")	1	U		$CalibrationPlane
3	>	HAS OBS CONTEXT	TEXT	EV (111001, DCM, "Algorithm Name")	1	MC	IF different from Analysis program specified in the invoking template
4	>	HAS OBS CONTEXT	TEXT	EV (111003, DCM, "Algorithm Version")	1	MC	IF different from Analysis program specified in the invoking template
5	>	HAS OBS CONTEXT	TEXT	EV (122405, DCM, "Algorithm Manufacturer")	1	MC	IF different from Analysis program specified in the invoking template
6	>	CONTAINS	CODE	EV (122422, DCM, "Calibration Method")	1	M		DCID 3452 “Calibration Methods”
7	>	CONTAINS	CODE	EV (122421, DCM, "Calibration Object")	1	MC	If row 6 value specifies Calibration Object Used	DCID 3451 “Calibration Objects”
8	>	CONTAINS	NUM	EV (122423, DCM, "Calibration Object Size")	1	MC	If row 6 value specifies Calibration Object Used	DCID 3510 “Catheter Size Units”
9	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M		$Measurement = EV (111026, DCM, "Horizontal Pixel Spacing") $Unit = DT (mm/{pixel}, UCUM, "mm/pixel") $ImagePurpose = EV (121112, DCM, "Source of Measurement")
10	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M		$Measurement = EV (111066, DCM, "Vertical Pixel Spacing") $Unit = DT (mm/{pixel}, UCUM, "mm/pixel") $ImagePurpose = EV (121112, DCM, "Source of Measurement")
11	>	CONTAINS	IMAGE	No purpose of reference	1	U

Content Item Descriptions

Row 3	Identifies the Calibration program
Row 4	Identifies the Calibration program version
Row 5	Identifies the Calibration program manufacturer
Row 7	Besides a Sphere and a Catheter, a Distance can be identified as a Calibration Object. In this case a distance measurement of a known dimension of the object is used to calculate the pixel size.
Row 8	The catheter size units is also used to specify the size of other calibration objects (e.g., sphere)
Row 9, 10	Spacing in the patient body. Point to a single frame containing the image used for calibration if applicable, the actual measurements may be indicated by a SCOORD (see TID 320 “Image or Spatial Coordinates”, row 3)
Row 11	Secondary Capture image with calibration position

TID 3206 VA Main Results

The VA Main Results Template consists of a CONTAINER with a structure for reporting the main ventricular analysis measurements.

Type:: Extensible
Order:: Significant

Table TID 3206. VA Main Results

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	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 3462 “Chamber Identification”
3	>	CONTAINS	CODE	EV (122429, DCM, "Volume Method")	1	M	DCID 3453 “Cardiac Volume Methods”
4	>	CONTAINS	NUM	EV (122435, DCM, "Regression Volume Exponent")	1	U	Unit = DT (1, UCUM, "no units")
5	>	CONTAINS	NUM	EV (122431, DCM, "Regression Slope ED")	1	U	Unit = DT ({ratio}, UCUM, "ratio")
6	>	CONTAINS	NUM	EV (122432, DCM, "Regression Offset ED")	1	U	Unit = DT (ml, UCUM, "ml")
7	>	CONTAINS	NUM	EV (122433, DCM, "Regression Slope ES")	1	U	Unit = DT ({ratio}, UCUM, "ratio")
8	>	CONTAINS	NUM	EV (122434, DCM, "Regression Offset ES")	1	U	Unit = DT (ml, UCUM, "ml")
9	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M	$Measurement = DCID 3467 “Ejection Fraction” $Unit = DT (%, UCUM, "%")
10	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = DCID 3468 “ED Volume” $Unit = DT (ml, UCUM, "ml")
11	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = DCID 3469 “ES Volume” $Unit = DT (ml, UCUM, "ml")
12	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (F-32120, SRT, "Stroke Volume") $Unit = DT (ml, UCUM, "ml")
13	>	CONTAINS	NUM	EV (8867-4, LN, "Heart Rate")	1	U	Unit = DT ({H.B.}/min, UCUM, "BPM")
14	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = DCID 3468 “ED Volume” $ModType = EV (121425, DCM, "Index") $ModValue = DCID 3455 “Index Methods” $Unit = DT (ml/m2, UCUM, "ml/m2")
15	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = DCID 3468 “ED Volume” $ModType = EV (121425, DCM, "Index") $ModValue = EV (29463-7, LN, "Patient Weight") $Unit = DT (ml/kg, UCUM, "ml/kg")
16	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = DCID 3469 “ES Volume” $ModType = EV (121425, DCM, "Index") $ModValue = DCID 3455 “Index Methods” $Unit = DT (ml/m2, UCUM, "ml/m2")
17	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = DCID 3469 “ES Volume” $ModType = EV (121425, DCM, "Index") $ModValue = EV (29463-7, LN, "Patient Weight") $Unit = DT (ml/kg, UCUM, "ml/kg")
18	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (F-32120, SRT, "Stroke Volume") $ModType = EV (121425, DCM, "Index") $ModValue = DCID 3455 “Index Methods” $Unit = DT (ml/m2, UCUM, "ml/m2")
19	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (F-32120, SRT, "Stroke Volume") $ModType = EV (121425, DCM, "Index") $ModValue = EV (29463-7, LN, "Patient Weight") $Unit = DT (ml/kg, UCUM, "ml/kg")
20	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (F-32100, SRT, "Cardiac Output") $Unit = DT (l/min, UCUM, "l/min")
21	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (F-32110, SRT, "Cardiac Index") $ModType = EV (121425, DCM, "Index") $ModValue = DCID 3455 “Index Methods” $Unit = DT (l/min/m2, UCUM, "l/min/m2")
22	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (122445, DCM, "Wall Thickness") $Unit = DT (mm, UCUM, "mm")
23	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (122446, DCM, "Wall Volume") $Unit = DT (ml, UCUM, "ml")
24	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (122447, DCM, "Wall Mass") $Unit = DT (g, UCUM, "gram")
25	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (122447, DCM, "Wall Mass") $ModType = EV (121425, DCM, "Index") $ModValue = DCID 3455 “Index Methods” $Unit = DT (g/m2, UCUM, "gram/m2")
26	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (122447, DCM, "Wall Mass") $ModType = EV (121425, DCM, "Index") $ModValue = EV (29463-7, LN, "Patient Weight") $Unit = DT (g/kg, UCUM, "gram/kg")
27	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = EV (122448, DCM, "Wall Stress") $Unit = DT (dyn/cm2, UCUM, "dynes/cm2")
28	>	CONTAINS	IMAGE	No purpose of reference	1-n	U

Content Item Descriptions

Row 28

Secondary Capture image with ED and/or ES contours

TID 3207 AA Main Results

The AA Main Results Template consists of a CONTAINER with a structure for reporting the main atrial analysis measurements.

Type:: Extensible
Order:: Significant

Table TID 3207. AA Main Results

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	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 3462 “Chamber Identification”
3	>	CONTAINS	CODE	EV (122429, DCM, "Volume Method")	1	M	DCID 3453 “Cardiac Volume Methods”
4	>	CONTAINS	NUM	EV (122435, DCM, "Regression Volume Exponent")	1	U	Unit = DT (1, UCUM, "no units")
5	>	CONTAINS	NUM	EV (122431, DCM, "Regression Slope ED")	1	U	Unit = DT ({ratio}, UCUM, "ratio")
6	>	CONTAINS	NUM	EV (122432, DCM, "Regression Offset ED")	1	U	Unit = DT (ml, UCUM, "ml")
7	>	CONTAINS	NUM	EV (122433, DCM, "Regression Slope ES")	1	U	Unit = DT ({ratio}, UCUM, "ratio")
8	>	CONTAINS	NUM	EV (122434, DCM, "Regression Offset ES")	1	U	Unit = DT (ml, UCUM, "ml")
9	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = DCID 3468 “ED Volume” $Unit = DT (ml, UCUM, "ml")
10	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	U	$Measurement = DCID 3469 “ES Volume” $Unit = DT (ml, UCUM, "ml")
11	>	CONTAINS	IMAGE	No purpose of reference	1-n	U

Content Item Descriptions

Row 11

Secondary Capture image with ED and/or ES contours

TID 3208 Frame-to-Frame Results

The Frame-to-Frame Result Template consists of a CONTAINER providing measurements derived from the angiographic images on frame-by-frame basis.

Type:: Extensible
Order:: Significant

Table TID 3208. Frame-To-Frame Result

	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 (111004, DCM, "Analysis Performed")	1	M		EV (122499, DCM, "Frame to Frame Analysis")
3	>	CONTAINS	IMAGE	EV (121112, DCM, "Source of Measurement")	1-2	M	VM = 1: Single plane analysis, VM = 2: Biplane analysis
4	>	CONTAINS	CODE	EV (122429, DCM, "Volume Method")	1	M		DCID 3453 “Cardiac Volume Methods”
5	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1-n	M		$Measurement = DCID 3471 “Estimated Volumes” $TargetSite = DCID 3462 “Chamber Identification” $Unit = DT (ml, UCUM, "ml")
6	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1-n	U		$Measurement = EV (122445, DCM, "Wall Thickness") $Unit = DT (mm, UCUM, "mm")
7	>	CONTAINS	IMAGE	No purpose of reference	1-n	U

Content Item Descriptions

Row 3	Identifies each frame analyzed, using the multi-valued Referenced Frame Number (0008,1160) attribute of the IMAGE content item.
Row 5, 6	Includes one measurement for each frame referenced in Row 3.
Row 7	Secondary Capture image with ventricular contours

TID 3209 Centerline Wall Motion

The Centerline Wall Motion Template consists of a CONTAINER providing measurements of the centerline wall motion.

Type:: Extensible
Order:: Significant

Table TID 3209. Centerline Wall Motion

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1			CONTAINER	EV (121070, DCM, "Findings")	1	M
2	>	HAS CONCEPT MOD	CODE	EV (111004, DCM, "Analysis Performed")	1	M	EV (122449, DCM, "Centerline Wall Motion Analysis")
3	>>	HAS CONCEPT MOD	CODE	EV (122410, DCM, "Contour Realignment")	1	M	DCID 3458 “Contour Realignment”
4	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	100	M	$Measurement = EV (122450, DCM, "Normalized Chord Length") $Unit = DT (%, UCUM, "%")
5	>	CONTAINS	NUM	EV (122411, DCM, "Threshold Value")	1	M	Values shall be 1, 2 or 3 UNITS = EV ({sd}, UCUM, "Standard Deviations")
6	>	CONTAINS	CONTAINER	EV (122451, DCM, "Abnormal Region")	1-6	U
7	>>	CONTAINS	CODE	EV (F-32050, SRT, "Cardiac Wall Motion")	1	M	DCID 3703 “Wall Motion”
8	>>	CONTAINS	CODE	EV (R-404F0, SRT, "Circumferential Extent")	1	U	DCID 3460 “Circumferential Extent”
9	>>	CONTAINS	NUM	EV (122452, DCM, "First Chord of Abnormal Region")	1	M	Unit = DT (1, UCUM, "no unit")
10	>>	CONTAINS	NUM	EV (122453, DCM, "Last Chord of Abnormal Region")	1	M	Unit = DT (1, UCUM, "no unit")
11	>	CONTAINS	CONTAINER	EV (122417, DCM, "Regional Abnormal Wall Motion ")	1-4	U
12	>>	HAS CONCEPT MOD	CODE	EV (G-C03E, SRT, "Finding Site")	1	M	DCID 3461 “Regional Extent”
13	>>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M	$Measurement = EV (122459, DCM, "Territory Region Severity") $ModType = EV (F-32050, SRT, "Cardiac Wall Motion") $ModValue = DCID 3703 “Wall Motion” $Unit = DT ({sd}, UCUM, "Standard Deviations")
14	>>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M	$Measurement = EV (122461, DCM, "Opposite Region Severity") $ModType = EV (F-32050, SRT, "Cardiac Wall Motion") $ModValue = DCID 3703 “Wall Motion” $Unit = DT ({sd}, UCUM, "Standard Deviations")
15	>	CONTAINS	IMAGE	No purpose of reference	1	U

Content Item Descriptions

Row 4	Normalized lengths of the chords determined between ED and ES contour. The measurement template allows the specification of the statistical properties of the normal population and of the chord measurement relative to the population.
Row 8	If the Circumferential Extent is not specified no limitations to the boundaries for regions are assumed.
Row 11	The Regional Abnormal Wall Motion container holds the information on the severity of the decreased or increased wall motion of the 4 predefined regions as described in [Sheehan, 1986].
Row 12	The name of the region with an abnormal ventricular wall motion as described in [Sheehan, 1986].
Row 13	The severity of the wall motion abnormality expressed in Standard Deviations above or below normal in the territory region as described in [Sheehan, 1986].
Row 14	The severity of the wall motion abnormality expressed in Standard Deviations above or below normal in the opposite region as described in [Sheehan, 1986].
Row 15	Secondary Capture image with centerline analysis result

TID 3210 Radial Based Wall Motion

The Radial Based Wall Motion Template consists of a CONTAINER providing measurements of the radial based wall motion.

Type:: Extensible
Order:: Significant

Table TID 3210. Radial Based Wall Motion

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1			CONTAINER	EV (121070, DCM, "Findings")	1	M
2	>	HAS CONCEPT MOD	CODE	EV (111004, DCM, "Analysis Performed")	1	M	EV (122493, DCM, "Radial Based Wall Motion Analysis")
3	>>	HAS CONCEPT MOD	CODE	EV (122410, DCM, "Contour Realignment")	1	M	DCID 3458 “Contour Realignment”
4	>	CONTAINS	CONTAINER	EV (121070, DCM, "Findings")	1-n	M
5	>>	HAS CONCEPT MOD	CODE	EV (G-C0E3, SRT, "Finding Site")	1	M	DCID 3718 “Myocardial Wall Segments in Projection”
6	>>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M	$Measurement = EV (122495, DCM, "Regional Contribution to Ejection Fraction") $Unit = DT (%, UCUM, "%")
7	>>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1-n	U	$Measurement = EV (122496, DCM, "Radial Shortening") $Unit = DT (%, UCUM, "%")
8	>	CONTAINS	IMAGE	No purpose of reference	1	U

Content Item Descriptions

Row 6	The CREF values of the 6 regions determined for the radial based wall motion
Row 7	The shortening of the measured radials within the region
Row 8	Secondary Capture image with radial based analysis result

TID 3211 Landmark Based Wall Motion

The Landmark Based Wall Motion Template consists of a CONTAINER providing measurements of the landmark based wall motion.

Type:: Extensible
Order:: Significant

Table TID 3211. Landmark Based Wall Motion

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1			CONTAINER	EV (121070, DCM, "Findings")	1	M
2	>	HAS CONCEPT MOD	CODE	EV (111004, DCM, "Analysis Performed")	1	M	EV (122497, DCM, "Landmark Based Wall Motion Analysis")
3	>>	HAS CONCEPT MOD	CODE	EV (122410, DCM, "Contour Realignment")	1	M	DCID 3458 “Contour Realignment”
4	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1-n	M	$Measurement = EV (122498, DCM, "Slice Contribution to Ejection Fraction") $Unit = DT (%, UCUM, "%")
5	>	CONTAINS	CONTAINER	EV (121070, DCM, "Findings")	5	M
6	>>	HAS CONCEPT MOD	CODE	EV (G-C0E3, SRT, "Finding Sites")	1	M	DCID 3718 “Myocardial Wall Segments in Projection”
7	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1	M	$Measurement = EV (122495, DCM, "Regional Contribution to Ejection Fraction") $Unit = DT (%, UCUM, "%")
8	>	CONTAINS	IMAGE	No purpose of reference	1	U

Content Item Descriptions

Row 8

Secondary Capture image with Landmark Based Analysis result

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