A Structured Reporting Templates (Normative)

A Structured Reporting Templates (Normative)
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TID 300 Measurement

This Template provides a general structure for a numeric measurement, together with evaluations of its normality and/or significance, and the inference source(s) for its value. This structure is instantiated by inclusion of this Template with specific contextual parameters from a parent Template.

Table TID 300. Parameters

Parameter Name	Parameter Usage
$Measurement	Coded term or Context Group for Concept Name of measurement
$Units	Units of Measurement
$ModType	Modifier Name for Concept Name of measurement
$ModValue	Modifier Value for Concept Name of measurement
$Method	Value for Measurement Method
$Derivation	Value for Measurement Derivation
$TargetSite	Value for Anatomic Location of measurement
$TargetSiteMod	Modifier Value for Anatomic Location of measurement
$Equation	Coded term or Context Group for the equation or table from which the measurement was derived or computed
$ImagePurpose	Purpose of Reference for an image used as a source of the measurement
$WavePurpose	Purpose of Reference for a waveform used as a source of the measurement
$RefAuthority	Bibliographic reference or authority for statistical properties of a reference population
$RangeAuthority	Bibliographic reference or authority for the normal range of the measurement
$DerivationParameter	Coded term or Context Group for Concept Name of a derivation parameter
$DerivationParameterUnits	Units of derivation parameter

Type:: Extensible
Order:: Significant

Table TID 300. Measurement

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			NUM	$Measurement	1	M		UNITS = $Units
2	>	HAS CONCEPT MOD	CODE	$ModType	1-n	U		$ModValue
3	>	HAS CONCEPT MOD	CODE	EV (G-C036, SRT, "Measurement Method")	1	U		$Method
4	>	HAS CONCEPT MOD	CODE	EV (121401, DCM, "Derivation")	1	U		$Derivation
5	>	HAS CONCEPT MOD	CODE	EV (G-C0E3, SRT, "Finding Site")	1	U		$TargetSite
6	>>	HAS CONCEPT MOD	CODE	EV (G-C171, SRT, "Laterality")	1	U		DCID 244 “Laterality”
7	>>	HAS CONCEPT MOD	CODE	DT (G-A1F8, SRT, "Topographical modifier")	1	U		$TargetSiteMod
8	>	HAS PROPERTIES	INCLUDE	DTID 310 “Measurement Properties”	1	U		$RefAuthority = $RefAuthority $RangeAuthority = $RangeAuthority
9	>	INFERRED FROM	NUM	$DerivationParameter	1-n	UC	XOR Row 10	UNITS = $DerivationParameterUnits
10	>	R-INFERRED FROM	NUM	$DerivationParameter	1-n	UC	XOR Row 9	UNITS = $DerivationParameterUnits
11	>	INFERRED FROM	INCLUDE	DTID 315 “Equation or Table”	1	UC	XOR Row 12	$Equation = $Equation
12	>	INFERRED FROM	TEXT	DCID 228 “Equation or Table”	1	UC	XOR Row 11
13	>		INCLUDE	DTID 320 “Image or Spatial Coordinates”	1-n	U		$Purpose = $ImagePurpose
14	>		INCLUDE	DTID 321 “Waveform or Temporal Coordinates”	1-n	U		$Purpose = $WavePurpose
15	>		INCLUDE	DTID 1000 “Quotation”	1	U
16	>	HAS CONCEPT MOD	TEXT	EV (121050, DCM, "Equivalent Meaning of Concept Name")	1	U
17	>	HAS OBS CONTEXT	INCLUDE	DTID 4108 “Tracking Identifier”	1	U
18	>	INFERRED FROM	COMPOSITE	EV (126100, DCM, "Real World Value Map used for measurement")	1	U		SOP Class UID shall be Real World Value Mapping Storage ("1.2.840.10008.5.1.4.1.1.67")

Content Item Descriptions

Rows 2, 3, 4, 5	The HAS CONCEPT MOD items allow the explicit definition of terms for post-coordination of the measurement concept name. Additional post-coordinated modifier terms may be included in a SOP Instance based on this template, in accordance with section 6.2.4, or as defined by templates that invoke this template and explicitly define additional post-coordinated modifiers (e.g., TID 5203).
Rows 9, 10	The INFERRED FROM items allow the specification (by-value or by-reference) of numeric values that were used in the derivation of the numeric measurement of Row 1. The nature of the inference is not explicitly conveyed; it may be implicit in the Concept Names of the measurements. Inference by-reference is valid only in SOP Classes that permit the INFERRED FROM relationship by-reference.
Row 16	Equivalent Meaning of Concept Name allows the creating application to specify the preferred composed concept name representing the measurement and the associated post-coordinated concept modifiers. The concept modifiers may include those specified in this template, in a template that invokes this template, or at the option of the creating application in accordance with section 6.2.4. This composed concept name may be rendered by a display application.
Row 18	Row 18 is a reference to an RWV that describes how measurements were made in units that differ from the stored pixel values in the images referenced in Row 13. E.g., for a PET SUVbw measurement, the mapping from activity/concentration units in the referenced image that was used (and which may be reused for measurements in the future) may be encoded in a referenced RWV instance. This reference overrides any reference in an including template (such as for a Measurement Group).

TID 310 Measurement Properties

This Template provides the properties of a numeric measurement, including evaluations of its normality and/or significance, its relationship to a reference population, and an indication of its selection from a set of measurements.

Table TID 310. Parameters

Parameter Name	Parameter Usage
$RefAuthority	Bibliographic reference or authority for statistical properties of a reference population
$RangeAuthority	Bibliographic reference or authority for the normal range of the measurement

Type:: Extensible
Order:: Significant

Table TID 310. Measurement Properties

	VT	Concept Name	VM	Req Type	Value Set Constraint
1	CODE	EV (121402, DCM, "Normality")	1	U	DCID 222 “Normality Codes”
2	INCLUDE	DTID 311 “Measurement Statistical Properties”	1	U	$RefAuthority = $RefAuthority
3	INCLUDE	DTID 312 “Normal Range Properties”	1	U	$RangeAuthority = $RangeAuthority
4	CODE	EV (121403, DCM, "Level of Significance")	1	U	DCID 220 “Level of Significance”
5	NUM	DCID 225 “Measurement Uncertainty Concepts”	1-n	U
6	CODE	EV (121404, DCM, "Selection Status")	1	U	DCID 224 “Selection Method”

TID 311 Measurement Statistical Properties

This Template provides the statistical properties of a reference population for a numeric measurement, and/or the position of a measurement in such a reference population.

Table TID 311. Parameters

Parameter Name	Parameter Usage
$RefAuthority	Bibliographic reference or authority for statistical properties of a reference population

Type:: Extensible
Order:: Significant

Table TID 311. Measurement Statistical Properties

	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1	NUM	DCID 221 “Measurement Range Concepts”	1-n	M
2	TEXT	EV (121405, DCM, "Population description")	1	U
3	TEXT	EV (121406, DCM, "Reference Authority")	1	UC	XOR row 4
4	CODE	EV (121406, DCM, "Reference Authority")	1	UC	XOR row 3	$RefAuthority

TID 312 Normal Range Properties

This Template provides the normal range of values for a numeric measurement.

Table TID 312. Parameters

Parameter Name	Parameter Usage
$RangeAuthority	Bibliographic reference or authority for the normal range of the measurement

Type:: Extensible
Order:: Significant

Table TID 312. Normal Range Properties

	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1	NUM	DCID 223 “Normal Range Values”	1-n	M
2	TEXT	EV (121407, DCM, "Normal Range description")	1	U
3	TEXT	EV (121408, DCM, "Normal Range Authority")	1	UC	XOR row 4
4	CODE	EV (121408, DCM, "Normal Range Authority")	1	UC	XOR row 3	$RangeAuthority

TID 315 Equation or Table

Table TID 315. Parameters

Parameter Name	Parameter Usage
$Equation	Coded term or Context Group for the equation or table from which a measurement was derived or computed

Type:: Extensible
Order:: Significant

Table TID 315. Equation or Table

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1			CODE	DCID 228 “Equation or Table”	1	M	$Equation
2	>	HAS PROPERTIES	NUM		1-n	U
3	>	R-HAS PROPERTIES	NUM		1-n	U

Content Item Descriptions

Row 2	The HAS PROPERTIES allows the specification of the numeric values used as input to the equation or table identified in Row 1.
Row 3	The HAS PROPERTIES allows the specification by-reference of the numeric values used as input to the equation or table. This row is valid only in SOP Classes that permit the HAS PROPERTIES relationship by-reference.

Note

For example, if Row 1 identifies a specific Body Surface Area equation, Rows 2 and 3 can be used to convey (by-value or by-reference) the Patient Height and Patient Weight numeric measurements used in the BSA computation.

TID 320 Image or Spatial Coordinates

This Template provides a general structure for inference from an image, either as a whole, or with specific spatial coordinates, as a single included Template in the invoking Template. If allowed by the IOD, the Image Content Item may be included by-reference.

Table TID 320. Parameters

Parameter Name	Parameter Usage
$Purpose	Purpose of Reference for an image used as a source of the measurement

Type:: Extensible
Order:: Significant

Table TID 320. Image or Spatial Coordinates

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition
1		INFERRED FROM	IMAGE	$Purpose	1	MC	XOR Rows 2, 3
2		R-INFERRED FROM	IMAGE		1	MC	XOR Rows 1, 3
3		INFERRED FROM	SCOORD	$Purpose	1	MC	XOR Rows 1, 2
4	>	SELECTED FROM	IMAGE		1	MC	XOR Row 5
5	>	R-SELECTED FROM	IMAGE		1	MC	XOR Row 4

TID 321 Waveform or Temporal Coordinates

This Template provides a general structure for referencing a waveform, either as a whole, or with specific temporal coordinates, as a single included Template in the invoking Template. If allowed by the IOD, the Waveform Content Item may be included by-reference.

Table TID 321. Parameters

Parameter Name	Parameter Usage
$Purpose	Purpose of Reference for a waveform used as a source of the measurement

Type:: Extensible
Order:: Significant

Table TID 321. Waveform or Temporal Coordinates

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition
1		INFERRED FROM	WAVEFORM	$Purpose	1	MC	XOR Rows 2, 3
2		R-INFERRED FROM	WAVEFORM		1	MC	XOR Rows 1, 3
3		INFERRED FROM	TCOORD	$Purpose	1	MC	XOR Rows 1, 2
4	>	SELECTED FROM	WAVEFORM		1	MC	XOR Row 5
5	>	R-SELECTED FROM	WAVEFORM		1	MC	XOR Row 4

TID 350 References to Supporting Evidence

This template provides references to supporting evidence in the form of DICOM composite objects. This includes references to images, spatial coordinates on images, and other composite objects, such as Structured Reports.

Type:: Non-Extensible
Order:: Significant

Table TID 350. References to Supporting Evidence

	NL	Rel with Parent	VT	Concept Name	VM	Req Type
1			IMAGE	BCID 7003 “Diagnostic Imaging Report Purposes of Reference”	1-n	U
2			SCOORD	BCID 7003 “Diagnostic Imaging Report Purposes of Reference”	1-n	U
3	>	SELECTED FROM	IMAGE		1	M
4			COMPOSITE	DT (122073, DCM, "Current procedure evidence")	1-n	U
5	>	HAS CONCEPT MOD	CODE	EV (121144, DCM, "Document Title")	1	U

TID 351 Previous Reports

This general template provides a means to reference previous structured reporting composite object instances.

Type:: Extensible
Order:: Significant

Table TID 351. Previous Reports

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			CONTAINER	EV (111549, DCM, "Previous Reports")	1	M
2	>	CONTAINS	COMPOSITE		1-n	M

Content Item Descriptions

Row 2

Concept Name may be the Root Concept Name (title) of a Structured Report composite object instance.

TID 1000 Quotation

Unless otherwise specified, content in an SR tree is "directly" observed. When material is quoted (from a source that is either a document or something spoken), then it is necessary to specify:

the fact that one is quoting
who is doing the quoting
the source of the quote
who is being quoted, and who and what the quote is about

This template establishes a mechanism for quoting by specifying:

the fact that one is quoting, by the presence of the contents of the template in the tree
that the "observer context" above the invocation of this template establishes who is doing the quoting
the source of the quote, by the values of the content items in this template
who is being quoted, and who and what the quote is about, by the observation context that is established at the start of the quoted material

This template may be invoked recursively, to nest quotes within quotes. In essence, the chain of who is quoting whom can be established by maintaining a "stack" of observer context.

If a dimension of observation context is the same in the quoted material as in the enclosing tree, then the observation context does not need to be respecified (e.g., the quote may be about the same subject or procedure). Typically, the observer context would change (unless one were quoting oneself).

In the case of quoting something that was spoken, the "observer" is the person speaking.

TID 1000 is attached using HAS OBS CONTEXT relationships to the top node of the material that is being quoted. The presence of the Quoted Source concept signals the fact that the material is quoted rather than directly observed.

Type:: Extensible
Order:: Significant

Table TID 1000. Quotation

	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1	HAS OBS CONTEXT	CODE	EV (121001, DCM, "Quotation Mode")	1	M		EV (121003, DCM, "Document") EV (121004, DCM, "Verbal")
2	HAS OBS CONTEXT	COMPOSITE	EV (121002, DCM, "Quoted Source")	1	MC	Required if quoted material source is a DICOM composite object
3	HAS OBS CONTEXT	INCLUDE	DTID 1001 “Observation Context”	1	M

NL

Rel with Parent

VT

Concept Name

VM

Req Type

Condition

Value Set Constraint

1

HAS OBS CONTEXT

CODE

EV (121001, DCM, "Quotation Mode")

1

M

EV (121003, DCM, "Document")

EV (121004, DCM, "Verbal")

2

HAS OBS CONTEXT

COMPOSITE

EV (121002, DCM, "Quoted Source")

1

MC

Required if quoted material source is a DICOM composite object

3

HAS OBS CONTEXT

INCLUDE

DTID 1001 “Observation Context”

1

M

TID 1001 Observation Context

Specifies attributes of observation context that may be defined, extended or replaced at any location in the SR tree.

This includes attributes that specify:

who or what the observation is about ("subject context")
what procedure the observation is about ("procedure context")
who or what is making the observation ("observer context")

Establishing context includes two aspects of each dimension: identification and description (e.g., patient name and ID vs. patient's age, height or weight).

Whenever one dimension of context is changed or an attribute is added, all attributes of that dimension of context are "flushed", that is they need to be repeated in their entirety. For example, when the subject is changed from patient (name, id) to fetus (number), then the parameters of the patient are discarded. E.g., the patient's ID does not apply to the fetus.

"Extending" the same class and dimension of observation context isn't feasible, since one cannot "null out" or remove a previously set attribute. Any time a dimension of observation context is "replaced", any attributes that are unspecified remain unspecified (i.e., they are not inherited).

Type:: Non-Extensible
Order:: Significant

Table TID 1001. Observation Context

	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1	HAS OBS CONTEXT	INCLUDE	DTID 1002 “Observer Context”	1-n	MC	Required if all aspects of observer context are not inherited.	Defaults to the attributes of the Author Observer Sequence (0040,A078), or the Verifying Observer Sequence (0040,A073) if the Author Observer Sequence is not present
2	HAS OBS CONTEXT	INCLUDE	DTID 1005 “Procedure Context”	1	MC	Required if all aspects of procedure context are not inherited.
3	HAS OBS CONTEXT	INCLUDE	DTID 1006 “Subject Context”	1	MC	Required if all aspects of observation subject context are not inherited.

TID 1002 Observer Context

The observer (person or device) that created the Content Items to which this context applies.

Whenever this template is invoked, all previously inherited attributes of Observer Context are discarded and replaced.

There may be more than one observer, as this template may be invoked with a VM 1-n, and both person and device observers. In such a case, the Content Items of TID 1003 “Person Observer Identifying Attributes” and TID 1004 “Device Observer Identifying Attributes” shall be included in the order in which the values of Observer Type are specified. Since TID 1003 “Person Observer Identifying Attributes” and TID 1004 “Device Observer Identifying Attributes” both include a single mandatory Content Item as their first Content Item, which observer is being described can be determined

Type:: Non-Extensible
Order:: Significant

Table TID 1002. Observer Context

	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1	HAS OBS CONTEXT	CODE	EV (121005, DCM, "Observer Type")	1	MC	IF Observer type is device	DCID 270 “Observer Type” Defaults to (121006, DCM, "Person")
2	HAS OBS CONTEXT	INCLUDE	DTID 1003 “Person Observer Identifying Attributes”	1	MC	IFF Row 1 value = (121006, DCM, "Person") or Row 1 is absent
3	HAS OBS CONTEXT	INCLUDE	DTID 1004 “Device Observer Identifying Attributes”	1	MC	IFF Row 1 value = (121007, DCM, "Device")

NL

Rel with Parent

VT

Concept Name

VM

Req Type

Condition

Value Set Constraint

1

HAS OBS CONTEXT

CODE

EV (121005, DCM, "Observer Type")

1

MC

IF Observer type is device

DCID 270 “Observer Type”

Defaults to (121006, DCM, "Person")

2

HAS OBS CONTEXT

INCLUDE

DTID 1003 “Person Observer Identifying Attributes”

1

MC

IFF Row 1 value = (121006, DCM, "Person") or Row 1 is absent

3

HAS OBS CONTEXT

INCLUDE

DTID 1004 “Device Observer Identifying Attributes”

1

MC

IFF Row 1 value = (121007, DCM, "Device")

TID 1003 Person Observer Identifying Attributes

This template contains identifying (and optionally descriptive) attributes of persons that are observers.

Type:: Extensible
Order:: Significant

Table TID 1003. Person Observer Identifying Attributes

	VT	Concept Name	VM	Req Type	Value Set Constraint
1	PNAME	EV (121008, DCM, "Person Observer Name")	1	M
2	TEXT	EV (121009, DCM, "Person Observer's Organization Name")	1	U	Defaults to Institution Name (0008,0080) of the General Equipment Module
3	CODE	EV (121010, DCM, "Person Observer's Role in the Organization")	1	U	BCID 7452 “Organizational Roles”
4	CODE	EV (121011, DCM, "Person Observer's Role in this Procedure")	1	U	BCID 7453 “Performing Roles”

TID 1004 Device Observer Identifying Attributes

This template (derived from the DICOM General Equipment Module of PS3.3) contains identifying (and optionally descriptive) attributes of devices that are observers.

Type:: Extensible
Order:: Significant

Table TID 1004. Device Observer Identifying Attributes

	VT	Concept Name	VM	Req Type	Value Set Constraint
1	UIDREF	EV (121012, DCM, "Device Observer UID")	1	M
2	TEXT	EV (121013, DCM, "Device Observer Name")	1	U	Defaults to value of Station Name (0008,1010) in General Equipment Module
3	TEXT	EV (121014, DCM, "Device Observer Manufacturer")	1	U	Defaults to value of Manufacturer (0008,0070) in General Equipment Module
4	TEXT	EV (121015, DCM, "Device Observer Model Name")	1	U	Defaults to value of Manufacturer's Model Name (0008,1090) in General Equipment Module
5	TEXT	EV (121016, DCM, "Device Observer Serial Number")	1	U	Defaults to value of Device Serial Number (0018,1000) in General Equipment Module
6	TEXT	EV (121017, DCM, "Device Observer Physical Location During Observation")	1	U
7	CODE	EV (113876, DCM, "Device Role in Procedure")	1-n	U	BCID 7445 “Device Participating Roles”

Content Item Descriptions

Row 7

If the device performing the observations has other roles, e.g., as the irradiating device in a dose report, this may be recorded here, if not implicit.

TID 1005 Procedure Context

This template contains identifying (and optionally descriptive) attributes of the procedure that is the source of evidence being interpreted.

Whenever this template is invoked, all previously inherited attributes of Procedure Context are discarded and replaced.

Note

If an observed digital image is identified by other than a DICOM UID, a Study Instance UID must be generated for the non-DICOM evidence. The same must be done to document interpretation of hard-copy radiographs generated outside of the scope of the DICOM system.

Type:: Non-Extensible
Order:: Significant

Table TID 1005. Procedure Context

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1			UIDREF	EV (121018, DCM, "Procedure Study Instance UID")	1	U	Defaults to Study Instance UID (0020, 000D) of General Study Module
2			UIDREF	EV (121019, DCM, "Procedure Study Component UID")	1-n	U
3			TEXT	EV (121020, DCM, "Placer Number")	1	U
4	>	HAS CONCEPT MOD	TEXT	EV (110190, DCM, "Issuer of Identifier")	1	U	See note
5			TEXT	EV (121021, DCM, "Filler Number")	1	U
6	>	HAS CONCEPT MOD	TEXT	EV (110190, DCM, "Issuer of Identifier")	1	U	See note
7			TEXT	EV (121022, DCM, "Accession Number")	1	U	Defaults to (0008,0050)
8	>	HAS CONCEPT MOD	TEXT	EV (110190, DCM, "Issuer of Identifier")	1	U	See note
9			CODE	EV (121023, DCM, "Procedure Code")	1-n	U	Defaults to Procedure Code Sequence (0008,1032) of General Study Module

Content Item Descriptions

Rows 5, 6

The issuer shall be formatted in accordance with the HL7v2 Hierarchic Designator Data Type. That format is [ Namespace ID]^[ Universal ID^ Universal ID Type], where Namespace IDidentifies an entity within the local namespace or domain, Universal IDis a universal or unique identifier for an entity, and Universal ID Typespecifies the standard format of the Universal ID (see HL7 v2 Section 2.A.33).

TID 1006 Subject Context

This template contains identifying (and optionally descriptive) attributes of the subject of the observation.

Subject context identifies (and optionally) describes the subject of the observation, whether it be a patient (human or animal), a fetus (human or animal), a specimen, or a device.

Type:: Non-Extensible
Order:: Significant

Table TID 1006. Subject Context

	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1	CODE	EV (121024, DCM, "Subject Class")	1	MC	IF subject is not the Patient	DCID 271 “Observation Subject Class” Defaults to (121025, DCM, "Patient")
2	INCLUDE	DTID 1007 “Subject Context, Patient”	1	UC	IFF Row 1 value = (121025, DCM, "Patient") or Row 1 is absent	May be used for human or animal patients
3	INCLUDE	DTID 1008 “Subject Context, Fetus”	1	UC	IFF Row 1 value = (121026, DCM, "Fetus")	May be used for human or animal fetuses
4	INCLUDE	DTID 1009 “Subject Context, Specimen”	1	UC	IFF Row 1 value = (121027, DCM, "Specimen")
5	INCLUDE	DTID 1010 “Subject Context, Device”	1	UC	IFF Row 1 value = (121192, DCM, "Device Subject")

TID 1007 Subject Context, Patient

Identifies (and optionally describes) a patient who is the subject.

Type:: Extensible
Order:: Significant

Table TID 1007. Subject Context, Patient

	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1	UIDREF	EV (121028, DCM, "Subject UID")	1	U		E.g., SOP Instance UID of Detached Patient Instance
2	PNAME	EV (121029, DCM, "Subject Name")	1	MC	Required if not inherited.	Defaults to value of Patient's Name (0010,0010) in Patient Module
3	CODE	EV (121030, DCM, "Subject ID")	1	MC	Required if not inherited.	Defaults to value of Patient ID (0010,0020) in Patient Module
4	DATE	EV (121031, DCM, "Subject Birth Date")	1	U		Defaults to value of Patient's Birth Date (0010,0030) in Patient Module
5	CODE	EV (121032, DCM, "Subject Sex")	1	U		Defaults to value equivalent to Patient's Sex (0010,0040) in Patient Module DCID 7455 “Sex”
6	NUM	EV (121033, DCM, "Subject Age")	1	U		Defaults to value of Patient's Age (0010,1010) in Patient Study Module UNITS = DCID 7456 “Units of Measure for Age”
7	CODE	EV (121034, DCM, "Subject Species")	1	MC	Required if not inherited.	DCID 7454 “Species” Defaults to (L-85B00, SRT, "homo sapiens").
8	CODE	EV (121035, DCM, "Subject Breed")	1	U		Defaults to value of Patient Breed Code Sequence (0010,2293) in General Patient Module DCID 7480 “Breed”

TID 1008 Subject Context, Fetus

Identifies (and optionally describes) a fetus who is the subject.

Type:: Extensible
Order:: Significant

Table TID 1008. Subject Context, Fetus

	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1	PNAME	EV (121036, DCM, "Mother of fetus")	1	U		Defaults to an observation subject that is a patient prior to replacing the Observation Subject Class with Fetus.
2	UIDREF	EV (121028, DCM, "Subject UID")	1	U		For longitudinal tracking of individual fetuses
3	TEXT	EV (121030, DCM, "Subject ID")	1	MC	IF row 4 is absent	For longitudinal tracking of individual fetuses (human readable value e.g., "A" or "1")
4	TEXT	EV (11951-1, LN, "Fetus ID")	1	MC	IF row 3 is absent	For separation of multiple fetuses during this procedure e.g., fetus '1" of '2" … not for longitudinal comparisons.; i.e., the "m" of fetus "m" of "n"
5	NUM	EV (11878-6, LN, "Number of Fetuses by US")	1	U	XOR Row 6	UNITS = EV (1, UCUM, "no units")
6	NUM	EV (55281-0, LN, "Number of Fetuses")	1	UC	XOR Row 5	UNITS = EV (1, UCUM, "no units")

Content Item Descriptions

Row 5, 6

The "n" of fetus "m" of "n"; either the code for the ultrasound method (Row 5) or for the non-specific method (Row 6) may be used

TID 1009 Subject Context, Specimen

Identifies (and optionally describes) a specimen that is the subject.

Type:: Extensible
Order:: Significant

Table TID 1009. Subject Context, Specimen

	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1	UIDREF	EV (121039, DCM, "Specimen UID")	1	U
2	INCLUDE	DTID 1007 “Subject Context, Patient”	1	UC	IFF the source of the specimen is a human or animal patient
3	TEXT	EV (121041, DCM, "Specimen Identifier")	1	U
4	TEXT	EV (111724, DCM, "Issuer of Specimen Identifier")	1	U		See content item descriptions
5	CODE	EV (R-00254, SRT, "Specimen Type")	1	U		DCID 8103 “Anatomic Pathology Specimen Types”
6	TEXT	EV (111700, DCM, "Specimen Container Identifier")	1	U

Content Item Descriptions

Rows 5, 6

The Issuer of Specimen Identifier shall be formatted in accordance with the HL7 v2 Hierarchic Designator data type (see HL7 v2.6 Section 2.A.33), i.e., [ Namespace ID]^[ Universal ID^Universal ID Type]

TID 1010 Subject Context, Device

Identifies (and optionally describes) a device that is the subject of observations.

Type:: Extensible
Order:: Significant

Table TID 1010. Subject Context, Device

	VT	Concept Name	VM	Req Type
1	TEXT	EV (121193, DCM, "Device Subject Name")	1	M
2	UIDREF	EV (121198, DCM, "Device Subject UID")	1	U
3	TEXT	EV (121194, DCM, "Device Subject Manufacturer")	1	U
4	TEXT	EV (121195, DCM, "Device Subject Model Name")	1	U
5	TEXT	EV (121196, DCM, "Device Subject Serial Number")	1	U
6	TEXT	EV (121197, DCM, "Device Subject Physical Location during observation")	1	U

TID 1020 Person Participant

This template describes a person participating in an activity as other than an observer or subject. E.g., for a dose report documenting an irradiating procedure, participants include the person administering the irradiation and the person authorizing the irradiation.

This Template is included with specific contextual parameters from a parent Template.

Table TID 1020. Parameters

Parameter Name	Parameter Usage
$PersonProcedureRole	Coded term or Context Group for the Concept Name that describes the nature of the person's participation in this procedure.

Type:: Extensible
Order:: Significant

Table TID 1020. Person Participant

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1			PNAME	EV (113870, DCM, "Person Name")	1	M
2	>	HAS PROPERTIES	CODE	EV (113875, DCM, "Person Role in Procedure")	1	M	$PersonProcedureRole
3	>	HAS PROPERTIES	TEXT	EV (113871, DCM, "Person ID")	1	U
4	>	HAS PROPERTIES	TEXT	EV (113872, DCM, "Person ID Issuer")	1	U
5	>	HAS PROPERTIES	TEXT	EV (113873, DCM, "Organization Name")	1	U
6	>	HAS PROPERTIES	CODE	EV (113874, DCM, "Person Role in Organization")	1	U	BCID 7452 “Organizational Roles”

Content Item Descriptions

Row 1	The name of the person participating in the role identified in Row 2.
Row 2	The procedural role played by the person in this procedure.
Row 6	The organizational role played by the person in the organization.

TID 1021 Device Participant

This template describes a device participating in an activity as other than an observer or subject. E.g., for a dose report documenting an irradiating procedure, participants include the irradiating device.

This Template is included with specific contextual parameters from a parent Template.

Table TID 1021. Parameters

Parameter Name	Parameter Usage
$DeviceProcedureRole	Coded term or Context Group for the Concept Name that describes the nature of the device's participation in this procedure.

Type:: Extensible
Order:: Significant

Table TID 1021. Device Participant

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1			CODE	EV (113876, DCM, "Device Role in Procedure")	1	M	$DeviceProcedureRole
2	>	HAS PROPERTIES	TEXT	EV (113877, DCM, "Device Name")	1	U
3	>	HAS PROPERTIES	TEXT	EV (113878, DCM, "Device Manufacturer")	1	M
4	>	HAS PROPERTIES	TEXT	EV (113879, DCM, "Device Model Name")	1	M
5	>	HAS PROPERTIES	TEXT	EV (113880, DCM, "Device Serial Number")	1	M
6	>	HAS PROPERTIES	UIDREF	EV (121012, DCM, "Device Observer UID")	1	M

Content Item Descriptions

Row 1	If no Device Procedure Role is provided, BCID 7445 “Device Participating Roles” may be used.
Row 2	This may be used for the name by which the organization manages the device.

TID 1200 Language Designation

Defines a mechanism for specifying a language, optionally with designation of the country in which that language applies.

Note

For example, the French language could be specified unmodified, or French as written in France or Canada could be distinguished.
The language codes specified in CID 5000 “Languages” optionally allow the encoding of the country of language in the code value for the language. Encoding of the country of language in a separate subsidiary Concept Modifier content item is allowed for backward compatibility with previous editions of the Standard.

Type:: Extensible
Order:: Significant

Table TID 1200. Language Designation

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			CODE	EV (121045, DCM, "Language")	1	M		DCID 5000 “Languages”
2	>	HAS CONCEPT MOD	CODE	EV (121046, DCM, "Country of Language")	1	U		DCID 5001 “Countries”

TID 1201 Language of Value

Defines a mechanism for specifying the language in which the value of the parent content item (only) is written. Does not specify the language of the Concept Name of the parent content item, nor of any other descendants of the parent content item.

Note

The language codes specified in CID 5000 “Languages” optionally allow the encoding of the country of language in the code value for the language. Encoding of the country of language in a separate subsidiary Concept Modifier content item is allowed for backward compatibility with previous editions of the Standard.

Type:: Non-Extensible
Order:: Significant

Table TID 1201. Language of Value

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1		HAS CONCEPT MOD	CODE	EV (121047, DCM, "Language of Value")	1	M		DCID 5000 “Languages”
2	>	HAS CONCEPT MOD	CODE	EV (121046, DCM, "Country of Language")	1	U		DCID 5001 “Countries”

TID 1202 Language of Name and Value

Defines a mechanism for specifying the language in which the value and the Concept Name of the parent content item (only) is written. Does not specify the language of any other descendants of the parent content item.

Note

The language codes specified in CID 5000 “Languages” optionally allow the encoding of the country of language in the code value for the language. Encoding of the country of language in a separate subsidiary Concept Modifier content item is allowed for backward compatibility with previous editions of the Standard.

Type:: Extensible
Order:: Significant

Table TID 1202. Language of Name and Value

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1		HAS CONCEPT MOD	CODE	EV (121048, DCM, "Language of Name and Value")	1	M		DCID 5000 “Languages”
2	>	HAS CONCEPT MOD	CODE	EV (121046, DCM, "Country of Language")	1	U		DCID 5001 “Countries”

TID 1204 Language of Content Item and Descendants

Defines a mechanism for specifying the language in which the value and the Concept Name of the parent content item and any other descendants of the parent content item is written.

Note

The language codes specified in CID 5000 “Languages” optionally allow the encoding of the country of language in the code value for the language. Encoding of the country of language in a separate subsidiary Concept Modifier content item is allowed for backward compatibility with previous editions of the Standard.

Type:: Non-Extensible
Order:: Significant

Table TID 1204. Language of Content Item and Descendants

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1		HAS CONCEPT MOD	CODE	EV (121049, DCM, "Language of Content Item and Descendants")	1	M		DCID 5000 “Languages”
2	>	HAS CONCEPT MOD	CODE	EV (121046, DCM, "Country of Language")	1	U		DCID 5001 “Countries”

TID 1210 Equivalent Meaning(s) of Concept Name

Defines a mechanism for specifying one or more equivalent meanings for the Concept Name of the parent content item.

Type:: Non-Extensible
Order:: Significant

Table TID 1210. Equivalent Meaning(s) of Concept Name

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1		HAS CONCEPT MOD	TEXT	EV (121050, DCM, "Equivalent Meaning of Concept Name")	1-n	MC	XOR Row 3	Plain text equivalent of code meaning of the concept name of the content item being modified, in the specified language from the specified country, using the default character set or a character set selected from Specified Character Set
2	>		INCLUDE	DTID 1201 “Language of Value”	1	U
3		HAS CONCEPT MOD	CODE	EV (121050, DCM, "Equivalent Meaning of Concept Name")	1-n	MC	XOR Row 1
4	>		INCLUDE	DTID 1201 “Language of Value”	1	U

TID 1211 Equivalent Meaning(s) of Value

Defines a mechanism for specifying one or more equivalent meanings for the Value of the parent content item.

Type:: Extensible
Order:: Significant

Table TID 1211. Equivalent Meaning(s) of Value

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1		HAS CONCEPT MOD	TEXT	EV (121051, DCM, "Equivalent Meaning of Value")	1-n	MC	XOR Row 3	Plain text equivalent of code meaning of the value of the content item being modified, in the specified language from the specified country, using the default character set or a character set selected from Specified Character Set
2	>		INCLUDE	DTID 1201 “Language of Value”	1	U
3		HAS CONCEPT MOD	CODE	EV (121051, DCM, "Equivalent Meaning of Value")	1-n	MC	XOR Row 1
4	>		INCLUDE	DTID 1201 “Language of Value”	1	U

Note

For example, to describe a longer, more meaningful equivalent (in the same language) for a procedure code than is defined in a coding scheme:

CODE: (121023, DCM, "Procedure Code") = (50291CC, ICD10PCS, "IMAGING:CNS:CT:SELLA:LOWOSMOLAR:IT, U, E:2PLANE3D")

> HAS CONCEPT MOD TEXT: (121051, DCM, "Equivalent meaning of value") = "imaging study central nervous system of the sella turcica/pituitary gland with low osmolar contrast intrathecal, unenhanced and enhanced, in two planes with 3D reconstructions"
For example, to specify a concept name and value in both French and English in Canada:

CODE:(T-D0005, SRT, "Anatomical structure") = (T-04000, SRT, "Breast")

> HAS CONCEPT MOD CODE: (121048, DCM, "Language of name and value") = (en-CA, RFC3066, "English, Canada")

> HAS CONCEPT MOD CODE: (121050, DCM, "Equivalent meaning of concept name") = (T-D0005, SRT, " Structure de l'anatomie ")

>> HAS CONCEPT MOD CODE: (121047, DCM, " Langue de la valeur ") = (fr-CA, RFC3066, " Français, Canadien ")

> HAS CONCEPT MOD CODE: (121051, DCM, "Equivalent meaning of value") = (T-04000, SRT, " Sein ")

>> HAS CONCEPT MOD CODE: (121047, DCM, " Langue de la valeur ") = (fr-CA, RFC3066, " Français, Candie ")

TID 1350 Negation Modifier, Presence of Finding

Concept Name Modifier for negation of the presence of a finding represented by a post-coordinated concept.

Note

For example, negation modifier applied to "distention" in the post-coordinated structure:

CODE: "anatomic location" = "bile duct"

> HAS PROPERTY CODE: "morphology" = "distention"

>> HAS CONCEPT MOD CODE: "presence of property" = "absent"

means: "bile duct distention not present"
The presence-negation modifier modifies the entire post-coordinated concept, not just the source content item of the HAS CONCEPT MOD relationship. The entire branch of the tree from the content item is included in the post-coordinated structure that is negated.

Type:: Extensible
Order:: Significant

Table TID 1350. Negation Modifier, Presence of Finding

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1		HAS CONCEPT MOD	CODE	EV (121052, DCM, "Presence of property")	1	M		DCID 240 “Present-Absent”

TID 1400 Linear Measurement

Type:: Extensible
Order:: Significant

Table TID 1400. Linear Measurement

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			NUM	DCID 7470 “Linear Measurements”	1	M		UNITS = DCID 7460 “Units of Linear Measurement”
2	>	INFERRED FROM	SCOORD	EV (121055, DCM, "Path")	1	UC	XOR Row 5	GRAPHIC TYPE = {POLYLINE, CIRCLE, ELLIPSE}
3	>>	R-SELECTED FROM	IMAGE		1	MC	XOR Row 4
4	>>	SELECTED FROM	IMAGE		1	MC	XOR Row 3
5	>	INFERRED FROM	SCOORD	EV (121230, DCM, "Path Vertex")	2-n	UC	XOR Row 2	GRAPHIC TYPE = {POINT}
6	>>	R-SELECTED FROM	IMAGE		1	MC	XOR Row 7
7	>>	SELECTED FROM	IMAGE		1	MC	XOR Row 6
8	>	HAS OBS CONTEXT	INCLUDE	DTID 4108 “Tracking Identifier”	1	U

Content Item Descriptions

Row 2	Path shall represent the measured path or a projection of the measured path in the image. The Graphic Type (0070,0023) of the Path SCOORD shall be: an open POLYLINE with two different points (to measure length, diameter, distance, proximity, etc), a CIRCLE or ELLIPSE (to measure circumference) or an open or closed POLYLINE (closed polygon) to measure path length (open) or perimeter (closed).
Row 5 "Path Vertex"	A measured path that traverses two or more images (e.g., the ends of the path are in different cross-sectional plane images) shall be identified by vertices along the path. The Path Vertices shall be ordered by the order of their SCOORD Content Items to identify the measured path. The Graphic Type (0070,0023) of each SCOORD shall be POINT

TID 1401 Area Measurement

Type:: Extensible
Order:: Significant

Table TID 1401. Area Measurement

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			NUM	DCID 7471 “Area Measurements”	1	M		Value shall be > 0 UNITS = DCID 7461 “Units of Area Measurement”
2	>	INFERRED FROM	SCOORD	EV (121056, DCM, "Area Outline")	1	MC	IF concept name of Row 1 is (G-A16A, SRT, "Area of defined region"), and IFF Row 5 or 6 not present.	GRAPHIC TYPE = not {MULTIPOINT}
3	>>	R-SELECTED FROM	IMAGE		1	MC	XOR Row 4
4	>>	SELECTED FROM	IMAGE		1	MC	XOR Row 3
5	>	INFERRED FROM	IMAGE	EV (121214, DCM, "Referenced Segmentation Frame")	1	MC	IF concept name of Row 1 is (G-A16A, SRT, "Area of defined region"), and IFF Row 2 or 6 not present.	Reference shall be to a Segmentation Image, with a single value specified in Referenced Frame Number
6	>	R- INFERRED FROM	IMAGE		1	MC	IF concept name of Row 1 is (G-A16A, SRT, "Area of defined region"), and IFF Row 2 or 5 not present.	Reference shall be to a Segmentation Image, with a single value specified in Referenced Frame Number
7	>	HAS PROPERTIES	CODE	EV (G-C036, SRT, "Measurement Method")	1	U		DCID 7473 “General Area Calculation Methods”
8	>	HAS OBS CONTEXT	INCLUDE	DTID 4108 “Tracking Identifier”	1	U

Content Item Descriptions

Row 2 "Area Outline"

A Graphic Type of POINT implies that the object is a single pixel and the object's area is the area of the pixel. Otherwise the type shall be a closed POLYLINE (start and end point the same) or a CIRCLE or an ELLIPSE.

Rows 5, 6

Referenced Frame Number (0008,1160) is an attribute of the IMAGE Content Item.

If the Referenced Segmentation SOP Instance has Segmentation Type (0062,0001) value BINARY, it identifies the area of defined (measured) region by pixel values in the referenced frame with value 1. For Segmentation Type value FRACTIONAL, the area is computed by an implementation dependent method.

Frame number shall be specified even if the Segmentation SOP Instance has only a single frame.

TID 1402 Volume Measurement

Type:: Extensible
Order:: Significant

Table TID 1402. Volume Measurement

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			NUM	DCID 7472 “Volume Measurements”	1	M		Value shall be > 0 UNITS = DCID 7462 “Units of Volume Measurement”
2	>	INFERRED FROM	SCOORD	EV (121057, DCM, "Perimeter Outline")	1-n	UC	XOR row 5, 6	GRAPHIC TYPE = not {MULTIPOINT}
3	>>	R-SELECTED FROM	IMAGE		1	MC	XOR Row 4
4	>>	SELECTED FROM	IMAGE		1	MC	XOR Row 3
5	>	INFERRED FROM	IMAGE	EV (121191, DCM, "Referenced Segment")	1	UC	XOR row 2, 6	Reference shall be to a Segmentation Image, with a value specified in Referenced Segment Number
6	>	R- INFERRED FROM	IMAGE		1	UC	XOR row 2, 5	Reference shall be to a Segmentation Image, with a value specified in Referenced Segment Number
7	>	HAS PROPERTIES	CODE	EV (G-C036, SRT, "Measurement Method")	1	U		DCID 7474 “General Volume Calculation Methods”
8	>	HAS OBS CONTEXT	INCLUDE	DTID 4108 “Tracking Identifier”	1	U

Content Item Descriptions

Row 2 "Perimeter Outline"

The two dimensional perimeter of the volume's intersection with or projection into the image. A Graphic Type of POINT implies that the volume's intersection or projection in a plane is a single pixel. A single pixel projection perimeter cannot cause a volume calculation to become 0.

Otherwise the type shall be a closed POLYLINE (start and end point the same) or a CIRCLE or an ELLIPSE.

Rows 5, 6

Referenced Segment Number (0062,000B) is an attribute of the IMAGE Content Item.

If the Referenced Segmentation SOP Instance has Segmentation Type (0062,0001) value BINARY, it identifies the defined (measured) volume by pixel/voxel values in the frames of the referenced segment with value 1. For Segmentation Type value FRACTIONAL, the volume is computed by an implementation dependent method.

Segment number shall be specified even if the Segmentation SOP Instance has only a single segment.

TID 1404 Numeric Measurement

Type:: Extensible
Order:: Significant

Table TID 1404. Numeric Measurement

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			NUM	No baseline CID	1	M		UNITS = DCID 82 “Units of Measurement”
2	>	INFERRED FROM	SCOORD	No baseline CID	1-n	UC	XOR Row 5, 6
3	>>	R-SELECTED FROM	IMAGE		1	MC	XOR Row 4
4	>>	SELECTED FROM	IMAGE		1	MC	XOR Row 3
5	>	R-INFERRED FROM	IMAGE	BCID 7003 “Diagnostic Imaging Report Purposes of Reference”	1-n	UC	XOR Row 2, 6
6	>	INFERRED FROM	IMAGE	BCID 7003 “Diagnostic Imaging Report Purposes of Reference”	1-n	UC	XOR Row 2, 5
7	>	HAS OBS CONTEXT	INCLUDE	DTID 4108 “Tracking Identifier”	1	U

Content Item Descriptions

Row 2	The SCOORD may indicate the points or area where the measurement was taken (e.g., a POINT showing the pixel location of a density measurement, or an open POLYLINE of three points showing the calculation of an angle).
Rows 3, 5	Valid only in IODs that permit relationships by-reference.

TID 1406 Three Dimensional Linear Measurement

Type:: Extensible
Order:: Significant

Table TID 1406. Three Dimensional Linear Measurement

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1			NUM	DCID 7470 “Linear Measurements”	1	M	UNITS = DCID 7460 “Units of Linear Measurement”
2	>	INFERRED FROM	SCOORD3D	EV (121055, DCM, "Path")	1	M	GRAPHIC TYPE = {POLYLINE, ELLIPSE, POLYGON}
3	>	HAS OBS CONTEXT	INCLUDE	DTID 4108 “Tracking Identifier”	1	U

Content Item Descriptions

Rows 5, 6

Path shall represent the measured path in a reference coordinate space. The Graphic Type (0070,0023) of the Path SCOORD3D shall be:

an open POLYLINE with two or more different (x,y,z) triplets (to measure length, diameter, distance, proximity, etc.),
an ELLIPSE (to measure circumference) or
a closed POLYGON to measure perimeter, where the (x,y,z) triplets are coplanar.

TID 1410 Planar ROI Measurements

This Template provides a general structure to report one or more measurements for some metric, e.g., density, flow, or concentration, over a planar region of interest in an image. The ROI may be specified by an SCOORD on an image, or by a Segmentation Image.

Table TID 1410. Parameters

$Measurement	Coded term or Context Group for Concept Name of measurement
$Units	Units for the measurement
$ModType	Modifier Name for Concept Name of measurement
$ModValue	Modifier Value for Concept Name of measurement
$Method	Value for Measurement Method
$Derivation	Value for Measurement Derivation
$TargetSite	Value for Anatomic Location of measurement
$TargetSiteMod	Modifier Value for Anatomic Location of measurement
$Equation	Coded term or Context Group for the equation or table from which the measurement was derived or computed
$RefAuthority	Bibliographic reference or authority for statistical properties of a reference population
$RangeAuthority	Bibliographic reference or authority for the normal range of the measurement
$DerivationParameter	Coded term or Context Group for Concept Name of a derivation parameter
$DerivationParameterUnits	Units of derivation parameter
$QualitativeEvaluations	Evaluations encoded with code or text responses

Type:: Extensible
Order:: Significant

Table TID 1410. Planar ROI Measurements

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			CONTAINER	EV (125007, DCM, "Measurement Group")	1	M
2	>	HAS OBS CONTEXT	TEXT	DT (112039, DCM, "Tracking Identifier")	1	M
3	>	HAS OBS CONTEXT	UIDREF	EV (112040, DCM, "Tracking Unique Identifier")	1	M
4	>	CONTAINS	INCLUDE	DTID 1502 “Time Point Context”	1	U
5	>	CONTAINS	SCOORD	EV (111030, DCM, "Image Region")	1	MC	XOR Row 7	GRAPHIC TYPE = not {MULTIPOINT}
6	>>	SELECTED FROM	IMAGE		1	M
7	>	CONTAINS	IMAGE	EV (121214, DCM, "Referenced Segmentation Frame")	1	MC	XOR Row 5	Reference shall be to a Segmentation Image, with a single value specified in Referenced Frame Number, and with a single value specified in Referenced Segment Number
8	>	CONTAINS	IMAGE	EV (121233, DCM, "Source image for segmentation")	1	MC	IFF Row 7
9	>	CONTAINS	IMAGE	EV (121200, DCM, "Illustration of ROI")	1	U
10	>	CONTAINS	COMPOSITE	EV (126100, DCM, "Real World Value Map used for measurement")	1	U		SOP Class UID shall be Real World Value Mapping Storage ("1.2.840.10008.5.1.4.1.1.67")
11	>	CONTAINS	INCLUDE	DTID 1419 “ROI Measurements”	1	M		$Measurement = $Measurement $Units = $Units $ModType = $ModType $ModValue = $ModValue $Method = $Method $Derivation = $Derivation $TargetSite = $TargetSite $TargetSiteMod = $TargetSiteMod $Equation = $Equation $RefAuthority = $RefAuthority $RangeAuthority = $RangeAuthority $DerivationParameter = $DerivationParameter $DerivationParameterUnits = $DerivationParameterUnits
12	>	CONTAINS	CODE	$QualitativeEvaluations	1-n	U
13	>	CONTAINS	TEXT	$QualitativeEvaluations	1-n	U

Content Item Descriptions

Rows 2, 3	The Tracking Identifier and Tracking Unique Identifier are defined as a text label or unique identifier (respectively) used for tracking a finding or feature, potentially across multiple reporting objects, over time. As such, they are distinct from the Observation UID (0040,A171), which is unique identifier of the specific Content Item and its subsidiary Content Items that constitute an individual observation, and would be different for different observations on different occasions of the same finding or feature.
Rows 6, 7	Referenced Frame Number (0008,1160) is an attribute of the IMAGE Content Item, and shall be present with a single value. If the Referenced Segmentation SOP Instance has Segmentation Type (0062,0001) value BINARY, it identifies the area of defined (measured) region of interest by pixel values in the referenced frame with value 1. For Segmentation Type value FRACTIONAL, the area is computed by an implementation dependent method. Frame number shall be specified even if the Segmentation SOP Instance has only a single frame.
Row 8	Identifies the source image that was segmented to identify the ROI, and whose properties are described in this container.
Row 9	This referenced image may contain a "screen shot" illustrating a rendered version of the ROI.
Row 10	The reference to an RWV in Row 10 allows measurements to be made in units that differ from the stored pixel values in the images referenced elsewhere in the template. E.g., for a PET SUVbw measurement, the mapping from activity/concentration units in the referenced image that was used (and which may be reused for measurements in the future) may be encoded in a referenced RWV instance. This reference applies to any measurements in included templates, unless overridden).
Rows 12, 13	Allows encoding a flat list of name-value pairs that are coded questions with coded or text answers, for example, to record categorical observations related to the subject of the measurement group.

TID 1411 Volumetric ROI Measurements

This Template provides a general structure to report one or more measurements for some metric, e.g., density, flow, or concentration, over a volumetric region of interest in a set of images or a Frame of Reference. The volumetric ROI may be specified by a set of SCOORDs on an image set representing a volume, by a volumetric Segmentation Image, by a volume defined in a Surface Segmentation, or by a SCOORD3D.

Table TID 1411. Parameters

$Measurement	Coded term or Context Group for Concept Name of measurement
$Units	Units for the measurement
$ModType	Modifier Name for Concept Name of measurement
$ModValue	Modifier Value for Concept Name of measurement
$Method	Value for Measurement Method
$Derivation	Value for Measurement Derivation
$TargetSite	Value for Anatomic Location of measurement
$TargetSiteMod	Modifier Value for Anatomic Location of measurement
$Equation	Coded term or Context Group for the equation or table from which the measurement was derived or computed
$RefAuthority	Bibliographic reference or authority for statistical properties of a reference population
$RangeAuthority	Bibliographic reference or authority for the normal range of the measurement
$DerivationParameter	Coded term or Context Group for Concept Name of a derivation parameter
$DerivationParameterUnits	Units of derivation parameter
$QualitativeEvaluations	Evaluations encoded with code or text responses

Type:: Extensible
Order:: Significant

Table TID 1411. Volumetric ROI Measurements

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			CONTAINER	EV (125007, DCM, "Measurement Group")	1	M
2	>	HAS OBS CONTEXT	TEXT	DT (112039, DCM, "Tracking Identifier")	1	M
3	>	HAS OBS CONTEXT	UIDREF	EV (112040, DCM, "Tracking Unique Identifier")	1	M
4	>	CONTAINS	INCLUDE	DTID 1502 “Time Point Context”	1	U
5	>	CONTAINS	SCOORD	EV (111030, DCM, "Image Region")	1-n	MC	XOR Rows 7, 10	GRAPHIC TYPE = not {MULTIPOINT}
6	>>	SELECTED FROM	IMAGE		1	M
7	>	CONTAINS	IMAGE	EV (121191, DCM, "Referenced Segment")	1	MC	XOR Rows 5, 10	Reference shall be to a Segmentation Image or Surface Segmentation object, with a single value specified in Referenced Segment Number
8	>	CONTAINS	IMAGE	EV (121233, DCM, "Source image for segmentation")	1-n	MC	XOR Row 9 and IFF Row 7
9	>	CONTAINS	UIDREF	EV (121232, DCM, "Source series for image segmentation")	1	MC	XOR Row 8 and IFF Row 7
10	>	CONTAINS	SCOORD3D	EV (121231, DCM, "Volume Surface")	1	MC	XOR Rows 5, 7	GRAPHIC TYPE = {ELLIPSOID}
11	>	CONTAINS	IMAGE	EV (121233, DCM, "Source image for segmentation")	1-n	MC	XOR Row 12 and IFF Row 10
12	>	CONTAINS	UIDREF	EV (121232, DCM, "Source series for segmentation")	1	MC	XOR Row 11 and IFF Row 10
13	>	CONTAINS	IMAGE	EV (121200, DCM, "Illustration of ROI")	1-n	U
14	>	CONTAINS	COMPOSITE	EV (126100, DCM, "Real World Value Map used for measurement")	1	U		SOP Class UID shall be Real World Value Mapping Storage ("1.2.840.10008.5.1.4.1.1.67")
15	>	CONTAINS	INCLUDE	DTID 1419 “ROI Measurements”	1	M		$Measurement = $Measurement $Units = $Units $ModType = $ModType $ModValue = $ModValue $Method = $Method $Derivation = $Derivation $TargetSite = $TargetSite $TargetSiteMod = $TargetSiteMod $Equation = $Equation $RefAuthority = $RefAuthority $RangeAuthority = $RangeAuthority $DerivationParameter = $DerivationParameter $DerivationParameterUnits = $DerivationParameterUnits
16	>	CONTAINS	CODE	$QualitativeEvaluations	1-n	U
17	>	CONTAINS	TEXT	$QualitativeEvaluations	1-n	U

Content Item Descriptions

Rows 2, 3	The Tracking Identifier and Tracking Unique Identifier are defined as a text label or unique identifier (respectively) used for tracking a finding or feature, potentially across multiple reporting objects, over time. As such, they are distinct from the Observation UID (0040,A171), which is unique identifier of the specific Content Item and its subsidiary Content Items that constitute an individual observation, and would be different for different observations on different occasions of the same finding or feature.
Rows 6, 7	Referenced Segment Number (0062,000B) is an attribute of the IMAGE Content Item, and shall be present with a single value. If the Referenced SOP Instance is a Segmentation Image, it shall have a defined Frame of Reference. If it has Segmentation Type (0062,0001) value BINARY, it identifies the volume of defined (measured) region of interest by voxel values in the referenced segment with value 1. If it has Segmentation Type value FRACTIONAL, the volume is defined by an implementation dependent method. If the referenced SOP Instance is a Surface Segmentation, the referenced segment shall constitute a finite volume. It identifies the volume of the defined (measured) region of interest by the interior of the finite volume. Segment number shall be specified even if the Segmentation SOP Instance has only a single segment.
Rows 8, 11	Identifies the source images that were segmented to identify the ROI, when, for example a subset of images in a series was used.
Rows 9, 12	Identifies the source series of images that were segmented to identify the ROI, when, for example an entire set of images in a series was used.
Row 13	These referenced images may contain "screen shot" illustrating rendered versions of the ROI.
Row 14	The reference to an RWV in Row 14 allows measurements to be made in units that differ from the stored pixel values in the images referenced elsewhere in the template. E.g., for a PET SUVbw measurement, the mapping from activity/concentration units in the referenced image that was used (and which may be reused for measurements in the future) may be encoded in a referenced RWV instance. This reference applies to any measurements in included templates, unless overridden).
Rows 16, 17	Allows encoding a flat list of name-value pairs that are coded questions with coded or text answers, for example, to record categorical observations related to the subject of the measurement group.

TID 1419 ROI Measurements

This Template encodes measurements for some metric, e.g., density, flow, or concentration.

Table TID 1419. Parameters

$Measurement	Coded term or Context Group for Concept Name of measurement
$Units	Units for the measurement
$ModType	Modifier Name for Concept Name of measurement
$ModValue	Modifier Value for Concept Name of measurement
$Method	Value for Measurement Method
$Derivation	Value for Measurement Derivation
$TargetSite	Value for Anatomic Location of measurement
$TargetSiteMod	Modifier Value for Anatomic Location of measurement
$Equation	Coded term or Context Group for the equation or table from which the measurement was derived or computed
$RefAuthority	Bibliographic reference or authority for statistical properties of a reference population
$RangeAuthority	Bibliographic reference or authority for the normal range of the measurement
$DerivationParameter	Coded term or Context Group for Concept Name of a derivation parameter
$DerivationParameterUnits	Units of derivation parameter

Type:: Extensible
Order:: Significant

Table TID 1419. ROI Measurements

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1		HAS CONCEPT MOD	CODE	EV (G-C036, SRT, "Measurement Method")	1	U		$Method
2		HAS CONCEPT MOD	CODE	EV (G-C0E3, SRT, "Finding Site")	1	U		$TargetSite
3	>	HAS CONCEPT MOD	CODE	EV (G-C171, SRT, "Laterality")	1	U		DCID 244 “Laterality”
4	>	HAS CONCEPT MOD	CODE	DT (G-A1F8, SRT, "Topographical modifier")	1	U		$TargetSiteMod
5			NUM	$Measurement	1-n	M		UNITS = $Units
6	>	HAS CONCEPT MOD	CODE	$ModType	1-n	U		$ModValue
7	>	HAS CONCEPT MOD	CODE	EV (G-C036, SRT, "Measurement Method")	1	U		$Method
8	>	HAS CONCEPT MOD	CODE	EV (121401, DCM, "Derivation")	1	U		$Derivation
9	>	HAS CONCEPT MOD	CODE	EV (G-C0E3, SRT, "Finding Site")	1	U		$TargetSite
10	>>	HAS CONCEPT MOD	CODE	EV (G-C171, SRT, "Laterality")	1	U		DCID 244 “Laterality”
11	>>	HAS CONCEPT MOD	CODE	DT (G-A1F8, SRT, "Topographical modifier")	1	U		$TargetSiteMod
12	>	HAS PROPERTIES	INCLUDE	DTID 310 “Measurement Properties”	1	U		$RefAuthority = $RefAuthority $RangeAuthority = $RangeAuthority
13	>	INFERRED FROM	NUM	$DerivationParameter	1-n	UC	XOR Row 14	$DerivationParameterUnits
14	>	R-INFERRED FROM	NUM	$DerivationParameter	1-n	UC	XOR Row 13	$DerivationParameterUnits
15	>	INFERRED FROM	INCLUDE	DTID 315 “Equation or Table”	1	UC	XOR Row 16	$Equation = $Equation
16	>	INFERRED FROM	TEXT	DCID 228 “Equation or Table”	1	UC	XOR Row 15
17	>		INCLUDE	DTID 1000 “Quotation”	1	U
18	>	HAS CONCEPT MOD	TEXT	EV (121050, DCM, "Equivalent Meaning of Concept Name")	1	U
19	>	CONTAINS	COMPOSITE	EV (126100, DCM, "Real World Value Map used for measurement")	1	U		SOP Class UID shall be Real World Value Mapping Storage ("1.2.840.10008.5.1.4.1.1.67")

Content Item Descriptions

Row 5	Specifies the metric for which measurements are reported, e.g., density, flow, or concentration. This metric is computed at each sample point (e.g., pixel or voxel) in an ROI (defined in the invoking template), but those individual point measurements are not encoded. Instead, just the summary measurements for the ROI are encoded, and the means of computing a single value is defined in Row 8 Derivation (e.g., mean).
Rows 1, 2, 3, 4, 6, 7, 8, 9, 10, 11	The HAS CONCEPT MOD items allow the explicit definition of terms for post-coordination of the measurement concept name. Additional post-coordinated modifier terms may be included in a SOP Instance based on this template, in accordance with section 6.2.4, or as defined by templates that invoke this template and explicitly define additional post-coordinated modifiers.
Rows 13, 14	The INFERRED FROM items allow the specification (by-value or by-reference) of numeric values that were used in the derivation of the numeric measurement of Row 1. The nature of the inference is not explicitly conveyed; it may be implicit in the Concept Names of the measurements. Inference by-reference is valid only in SOP Classes that permit the INFERRED FROM relationship by-reference.
Row 18	Equivalent Meaning of Concept Name allows the creating application to specify the preferred composed concept name representing the measurement and the associated post-coordinated concept modifiers. The concept modifiers may include those specified in this template, in a template that invokes this template, or at the option of the creating application in accordance with section 6.2.4. This composed concept name may be rendered by a display application.
Row 19	The reference to an RWV in Row 19 allows measurements to be made in units that differ from the stored pixel values in the images referenced in the parent template. E.g., for a PET SUVbw measurement, the mapping from activity/concentration units in the referenced image that was used (and which may be reused for measurements in the future) may be encoded in a referenced RWV instance. This reference overrides any reference in an including template (such as for a Measurement Group).

TID 1420 Measurements Derived From Multiple ROI Measurements

This Template encodes measurements for some metric, e.g., density, flow, or concentration, which are acquired over some defined sampling (e.g., over successive time slots in a dynamic contrast enhanced acquisition).

Table TID 1420. Parameters

$Measurement	Coded term or Context Group for Concept Name of measurement
$MeasurementUnits	Units for the measurement
$ModType	Modifier Name for Concept Name of measurement
$ModValue	Modifier Value for Concept Name of measurement
$Method	Value for Measurement Method
$Derivation	Value for Measurement Derivation
$TargetSite	Value for Anatomic Location of measurement
$TargetSiteMod	Modifier Value for Anatomic Location of measurement
$Equation	Coded term or Context Group for the equation or table from which the measurement was derived or computed
$RefAuthority	Bibliographic reference or authority for statistical properties of a reference population
$RangeAuthority	Bibliographic reference or authority for the normal range of the measurement
$StatisticalRefAuthority	Bibliographic reference or authority for statistical properties of a reference population
$StatisticalRangeAuthority	Bibliographic reference or authority for the normal range of the measurement
$DerivationParameter	Coded term or Context Group for Concept Name of a derivation parameter
$DerivationParameterUnits	Units of derivation parameter

Type:: Extensible
Order:: Non-Significant

Table TID 1420. Measurements Derived From Multiple ROI Measurements

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			NUM	DCID 7465 “Measurements Derived From Multiple ROI Measurements”	1-n	M
2	>	R-INFERRED FROM	INCLUDE	DTID 1410 “Planar ROI Measurements”	1-n	MC	XOR Row 3	$Measurement = $Measurement $Units = $MeasurementUnits $ModType = $ModType $ModValue = $ModValue $Method = $Method $Derivation = $Derivation $TargetSite = $TargetSite $TargetSiteMod = $TargetSiteMod $Equation = $Equation $RefAuthority = $RefAuthority $RangeAuthority = $RangeAuthority $DerivationParameter = $DerivationParameter $DerivationParameterUnits = $DerivationParameterUnits
3	>	R-INFERRED FROM	INCLUDE	DTID 1411 “Volumetric ROI Measurements”	1-n	MC	XOR Row 2	$Measurement = $Measurement $Units = $MeasurementUnits $ModType = $ModType $ModValue = $ModValue $Method = $Method $Derivation = $Derivation $TargetSite = $TargetSite $TargetSiteMod = $TargetSiteMod $Equation = $Equation $RefAuthority = $RefAuthority $RangeAuthority = $RangeAuthority $DerivationParameter = $DerivationParameter $DerivationParameterUnits = $DerivationParameterUnits
4	>	HAS PROPERTIES	INCLUDE	DTID 310 “Measurement Properties”	1	U		$RefAuthority = $RefAuthority $RangeAuthority = $RangeAuthority

Content Item Descriptions

Row 1	Specifies the type of derived measurement reported, e.g., the mean of the individual ROI mean density values. Note that the units may be different from the units in the ROI measurements
Rows 2, 3	The measurement values of each ROI that contributes to the derived measurement, e.g., the mean density within an ROI. These are specified by reference, so as to not have to repeat the ROI information when it contributes to multiple derived measurements (e.g., if both mean and SD of ROI mean density values were specified).

TID 1500 Measurement Report

This root template encodes a list of Measurement Groups each containing lists of measurements, together with any derived measurements.

Each Measurement Group is identified by Tracking ID and UIDs.

An image library is available to describe characteristics of the images referenced by the measurements, if any.

Type:: Extensible
Order:: Non-Significant
Root:: Yes

Table TID 1500. Measurement Report

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			CONTAINER	DCID 7021 “Measurement Report Document Titles”	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 1001 “Observation Context”	1	M
4	>	HAS CONCEPT MOD	CODE	EV (121058, DCM, "Procedure reported")	1-n	M		BCID 100 “Quantitative Diagnostic Imaging Procedures”
5	>	CONTAINS	INCLUDE	DTID 1600 “Image Library”	1	M
6	>	CONTAINS	CONTAINER	EV (126010, DCM, "Imaging Measurements")	1	C	IF row 10 and 12 are absent
7	>>	CONTAINS	INCLUDE	DTID 1410 “Planar ROI Measurements”	1-n	U		$Measurement = BCID 7469 “Generic Intensity and Size Measurements” $Units = BCID 7181 “Abstract Multi-dimensional Image Model Component Units” $Derivation = BCID 7464 “General Region of Interest Measurement Modifiers” $Method = BCID 6147 “Response Criteria”
8	>>	CONTAINS	INCLUDE	DTID 1411 “Volumetric ROI Measurements”	1-n	U		$Measurement = BCID 7469 “Generic Intensity and Size Measurements” $Units = BCID 7181 “Abstract Multi-dimensional Image Model Component Units” $Derivation = BCID 7464 “General Region of Interest Measurement Modifiers” $Method = BCID 6147 “Response Criteria”
9	>>	CONTAINS	INCLUDE	DTID 1501 “Measurement Group”	1-n	U		$Measurement = BCID 7469 “Generic Intensity and Size Measurements” $Units = BCID 7181 “Abstract Multi-dimensional Image Model Component Units” $Derivation = BCID 7464 “General Region of Interest Measurement Modifiers” $Method = BCID 6147 “Response Criteria”
10	>	CONTAINS	CONTAINER	EV (126011, DCM, "Derived Imaging Measurements")	1	C	IF row 6 and 12 are absent
11	>>	CONTAINS	INCLUDE	DTID 1420 “Measurements Derived From Multiple ROI Measurements”	1-n	U
12	>	CONTAINS	CONTAINER	EV (C0034375, UMLS, "Qualitative Evaluations")	1	C	IF row 6 and 10 are absent
13	>>	CONTAINS	CODE		1-n	U
14	>>	CONTAINS	TEXT		1-n	U

Content Item Descriptions

Rows 6, 10, 12	The conditions require that all except one of the "heading" containers is present, though each may be empty.
Rows 7, 8, 9	The baseline context groups defined allow for generic intensity and size measurements, regardless of the geometry of the ROI (e.g., linear distance can be measured on volumes, or volume can be estimated from a linear distance), and being baseline, do not constrain the invoker from using other appropriate concepts specific to the application.
Row 9	A Measurement Group is used to contain one or more individual measurements that are invocations of TID 300, consistent with TIDs 1410 and 1411, which both already have Measurement Group containers as their roots.
Rows 12, 13, 14	These content items allow encoding a flat list of name-value pairs that are coded questions with coded or text answers, for example, to record categorical observations related to the entire subject of the report rather than specific measurement groups.

TID 1501 Measurement Group

This template groups Measurements into a Measurement Group.

Each Measurement Group is identified by Tracking ID and UIDs, and may be described as having being made at a particular time point.

Measurement groups may contain various common measurement modifiers that are shared by all measurements in the group, such as method and finding site.

Table TID 1501. Parameters

Parameter Name	Parameter Usage
$Measurement	Coded term or Context Group for Concept Name of measurement
$Units	Units of Measurement
$ModType	Modifier Name for Concept Name of measurement
$ModValue	Modifier Value for Concept Name of measurement
$Method	Value for Measurement Method
$Derivation	Value for Measurement Derivation
$TargetSite	Value for Anatomic Location of measurement
$TargetSiteMod	Modifier Value for Anatomic Location of measurement
$Equation	Coded term or Context Group for the equation or table from which the measurement was derived or computed
$ImagePurpose	Purpose of Reference for an image used as a source of the measurement
$WavePurpose	Purpose of Reference for a waveform used as a source of the measurement
$RefAuthority	Bibliographic reference or authority for statistical properties of a reference population
$RangeAuthority	Bibliographic reference or authority for the normal range of the measurement
$DerivationParameter	Coded term or Context Group for Concept Name of a derivation parameter
$DerivationParameterUnits	Units of derivation parameter
$QualitativeEvaluations	Evaluations encoded with code or text responses

Type:: Extensible
Order:: Non-Significant
Root:: No

Table TID 1501. Measurement Group

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1		CONTAINS	CONTAINER	EV (125007, DCM, "Measurement Group")	1	M
2	>	HAS OBS CONTEXT	TEXT	DT (112039, DCM, "Tracking Identifier")	1	M
3	>	HAS OBS CONTEXT	UIDREF	EV (112040, DCM, "Tracking Unique Identifier")	1	M
4	>	CONTAINS	INCLUDE	DTID 1502 “Time Point Context”	1	U
5	>	HAS CONCEPT MOD	CODE	EV (G-C036, SRT, "Measurement Method")	1	U	$Method
6	>	HAS CONCEPT MOD	CODE	EV (G-C0E3, SRT, "Finding Site")	1	U	$TargetSite
7	>>	HAS CONCEPT MOD	CODE	EV (G-C171, SRT, "Laterality")	1	U	DCID 244 “Laterality”
8	>>	HAS CONCEPT MOD	CODE	DT (G-A1F8, SRT, "Topographical modifier")	1	U	$TargetSiteMod
9	>	CONTAINS	COMPOSITE	EV (126100, DCM, "Real World Value Map used for measurement")	1	U	SOP Class UID shall be Real World Value Mapping Storage ("1.2.840.10008.5.1.4.1.1.67")
10	>	CONTAINS	INCLUDE	DTID 300 “Measurement”	1-n	M	$Measurement = $Measurement $Units = $Units $ModType = $ModType $ModValue = $ModValue $Method = $Method $Derivation = $Derivation $TargetSite = $TargetSite $TargetSiteMod = $TargetSiteMod $Equation = $Equation $RefAuthority = $RefAuthority $RangeAuthority = $RangeAuthority $DerivationParameter = $DerivationParameter $DerivationParameterUnits = $DerivationParameterUnits
11	>	CONTAINS	CODE	$QualitativeEvaluations	1-n	U
12	>	CONTAINS	TEXT	$QualitativeEvaluations	1-n	U

Content Item Descriptions

Rows 2, 3, 10	The included TID 300 already contains an optional inclusion of TID 1408 Tracking Identifier, which in turns allows for either or both Tracking Identifier and Tracking Unique Identifier content items; the intent of Rows 2 and 3 is not to send these content items twice, but rather to specialize their use such that their presence is mandatory, consistent with TIDs 1410 and 1411.
Row 9	The reference to an RWV in Row 9 allows measurements to be made in units that differ from the stored pixel values in the images referenced elsewhere in the template. E.g., for a PET SUVbw measurement, the mapping from activity/concentration units in the referenced image that was used (and which may be reused for measurements in the future) may be encoded in a referenced RWV instance. This reference applies to any measurements in included templates, unless overridden).
Rows 11, 12	Allows encoding a flat list of name-value pairs that are coded questions with coded or text answers, for example, to record categorical observations related to the subject of the measurement group.

TID 1502 Time Point Context

This template describes information about the time point, for example, at which a measurement was obtained.

Type:: Extensible
Order:: Non-Significant
Root:: No

Table TID 1502. Time Point Context

	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1	HAS OBS CONTEXT	TEXT	EV (126070, DCM, "Subject Time Point Identifier")	1	U
2	HAS OBS CONTEXT	TEXT	EV (126071, DCM, "Protocol Time Point Identifier")	1	U
3	HAS OBS CONTEXT	TEXT	EV (C2348792, UMLS, "Time Point")	1	M
4	HAS OBS CONTEXT	CODE	EV (126072, DCM, "Time Point Type")	1-n	U	BCID 6146 “Time Point Types”
5	HAS OBS CONTEXT	NUM	EV (126073, DCM, "Time Point Order")	1	U	UNITS = EV (1, UCUM, "no units")

Content Item Descriptions

Row 1	Usually the same value as the Clinical Trial Time Point ID (0012,0050) attribute in the Clinical Trial Study Module, though not confined to clinical trial use. May or may not be human readable, and not required to be a DICOM UID.
Row 2	All of the subjects within a treatment protocol that are examined at a particular scheduled time point (e.g., "baseline", "pre-treatment", "first post-treatment") will have the same Protocol Time Point Identifier, but different Subject Time Point Identifiers. However, in different protocols, the Protocol Time Point Identifiers for the same conceptual “time point” will be different. E.g., the “baseline” time point will have different Protocol Time Point Identifiers in different protocols. May or may not be human readable, and not required to be a DICOM UID.
Row 3	Typically a short pre-defined label that has the same scope as Protocol Time Point Identifier (i.e., same conceptual time point within a treatment protocol) but is human-readable and understandable, e.g., "BASELINE" or "TP0", "TP1", etc. Usually the same value as Clinical Trial Time Point Description (0012,0051) attribute in the Clinical Trial Study Module, though not confined to clinical trial use. The Concept Name is selected as (C2348792, UMLS, "Time Point") (which is (C68568, NCIt, "Time Point"), defined as "a specific point in the time continuum, including those established relative to an event") in order to be compatible with external terminologies.
Row 4	More than one type is permitted, e.g., a time point may be "posttreatment" as well as "unscheduled" or "nadir", etc.
Row 5	The order is expected to be monotonically increasing within a particular scope of usage, but is not required to start at 0 or 1, nor required to increase in increments of 1 or even the same increment (e.g., to allow for retrospective insertion of unscheduled time points). In clinical usage, the Time Point Order would be expected to be temporally increasing, but in a clinical trial may be a randomized reading order rather than a temporal order.

TID 1600 Image Library

The Image Library contains references to images and and selected attributes describing them that facilitate analysis without having to retrieve the entire set of referenced images.

Type:: Extensible
Order:: Non-Significant

Table TID 1600. Image Library

	NL	Rel with Parent	VT	Concept Name	VM	Req Type
1			CONTAINER	EV (111028, DCM, "Image Library")	1	M
2	>	CONTAINS	CONTAINER	EV (126200, DCM, "Image Library Group")	1-n	U
3	>>	HAS ACQ CONTEXT	INCLUDE	DTID 1602 “Image Library Entry Descriptors”	1	U
4	>>	CONTAINS	INCLUDE	DTID 1601 “Image Library Entry”	1-n	U

TID 1601 Image Library Entry

Each instance of the Image Library Entry template contains the Image SOP Class and Instance UIDs, and selected attributes for an image that facilitate analysis without having to retrieve the entire set of referenced images.

Type:: Extensible
Order:: Non-Significant

Table TID 1601. Image Library Entry

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			IMAGE		1	M
2	>	HAS ACQ CONTEXT	INCLUDE	DTID 1602 “Image Library Entry Descriptors”	1	U

TID 1602 Image Library Entry Descriptors

This template contains selected attributes for an image or group of images. The descriptive information may be copied from images or derived.

Type:: Extensible
Order:: Non-Significant

Table TID 1602. Image Library Entry Descriptors

	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1	HAS ACQ CONTEXT	CODE	EV (121139, DCM, "Modality")	1	U
2	HAS ACQ CONTEXT	CODE	EV (123014, DCM, "Target Region")	1	U	DCID 4031 “Common Anatomic Regions”
3	HAS ACQ CONTEXT	CODE	EV (111027, DCM, "Image Laterality")	1	U
4	HAS ACQ CONTEXT	DATE	EV (111060, DCM, "Study Date")	1	U
5	HAS ACQ CONTEXT	TIME	EV (111061, DCM, "Study Time")	1	U
6	HAS ACQ CONTEXT	DATE	EV (111018, DCM, "Content Date")	1	U
7	HAS ACQ CONTEXT	TIME	EV (111019, DCM, "Content Time")	1	U
8	HAS ACQ CONTEXT	DATE	EV (126201, DCM, "Acquisition Date")	1	U
9	HAS ACQ CONTEXT	TIME	EV (126202, DCM, "Acquisition Time")	1	U
10	HAS ACQ CONTEXT	UIDREF	EV (112227, DCM, "Frame of Reference UID")	1	U
11	HAS ACQ CONTEXT	NUM	EV (110910, DCM, "Pixel Data Rows")	1	U	UNITS = EV ({pixels}, UCUM, "pixels")
12	HAS ACQ CONTEXT	NUM	EV (110911, DCM, "Pixel Data Columns")	1	U	UNITS = EV ({pixels}, UCUM, "pixels")
13	HAS ACQ CONTEXT	INCLUDE	DTID 1603 “Image Library Entry Descriptors for Projection Radiography”	1	U
14	HAS ACQ CONTEXT	INCLUDE	DTID 1604 “Image Library Entry Descriptors for Cross-Sectional Modalities”	1	U
15	HAS ACQ CONTEXT	INCLUDE	DTID 1605 “Image Library Entry Descriptors for CT”	1	U
16	HAS ACQ CONTEXT	INCLUDE	DTID 1606 “Image Library Entry Descriptors for MR”	1	U
17	HAS ACQ CONTEXT	INCLUDE	DTID 1607 “Image Library Entry Descriptors for PET”	1	U

Content Item Descriptions

Target Region

The value of Anatomic Region Sequence (0008,2218) in the Image IOD, or a code derived from Body Part Examined (0018,0015) using the mapping described in Annex L.

TID 1603 Image Library Entry Descriptors for Projection Radiography

This template contains selected attributes for a projection radiography image or group of such images. The descriptive information may be copied from images or derived.

Type:: Extensible
Order:: Non-Significant

Table TID 1603. Image Library Entry Descriptors for Projection Radiography

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1		HAS ACQ CONTEXT	CODE	EV (111031, DCM, "Image View")	1	U
2	>	HAS CONCEPT MOD	CODE	EV (111032, DCM, "Image View Modifier")	1-n	U
3		HAS ACQ CONTEXT	TEXT	EV (111044, DCM, "Patient Orientation Row")	1	U
4		HAS ACQ CONTEXT	TEXT	EV (111043, DCM, "Patient Orientation Column")	1	U
5		HAS ACQ CONTEXT	NUM	EV (111026, DCM, "Horizontal Pixel Spacing")	1	U	UNITS = EV (mm, UCUM, "millimeter")
6		HAS ACQ CONTEXT	NUM	EV (111066, DCM, "Vertical Pixel Spacing")	1	U	UNITS = EV (mm, UCUM, "millimeter")
7		HAS ACQ CONTEXT	NUM	EV (112011, DCM, "Positioner Primary Angle")	1	U
8		HAS ACQ CONTEXT	NUM	EV (112012, DCM, "Positioner Secondary Angle")	1	U

Content Item Descriptions

Patient Orientation Row	First (row) and second (column) components of Patient Orientation (0020,0020) in the Image IOD. See Section C.7.6.1.1.1 “Patient Orientation” in PS3.3 .
Patient Orientation Column
Horizontal Imager Pixel Spacing	The row (first) component of Imager Pixel Spacing (0018,1164) in the Image IOD. See Section C.8.11.4 “DX Detector Module” in PS3.3 .
Vertical Imager Pixel Spacing	The column (second) component of Imager Pixel Spacing (0018,1164) in the Image IOD. See Section C.8.11.4 “DX Detector Module” in PS3.3 .

TID 1604 Image Library Entry Descriptors for Cross-Sectional Modalities

This template contains selected attributes for a cross-sectional image or group of such images. The descriptive information may be copied from images or derived.

Type:: Extensible
Order:: Non-Significant

Table TID 1604. Image Library Entry Descriptors for Cross-Sectional Modalities

	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1	HAS ACQ CONTEXT	NUM	EV (111026, DCM, "Horizontal Pixel Spacing")	1	U	UNITS = EV (mm, UCUM, "millimeter")
2	HAS ACQ CONTEXT	NUM	EV (111066, DCM, "Vertical Pixel Spacing")	1	U	UNITS = EV (mm, UCUM, "millimeter")
3	HAS ACQ CONTEXT	NUM	EV (112226, DCM, "Spacing between slices")	1	U	UNITS = EV (mm, UCUM, "millimeter")
4	HAS ACQ CONTEXT	NUM	EV (112225, DCM, "Slice Thickness")	1	U	UNITS = EV (mm, UCUM, "millimeter")
5	HAS ACQ CONTEXT	NUM	EV (110901, DCM, "Image Position (Patient) X")	1	U	UNITS = EV (mm, UCUM, "millimeter")
6	HAS ACQ CONTEXT	NUM	EV (110902, DCM, "Image Position (Patient) Y")	1	U	UNITS = EV (mm, UCUM, "millimeter")
7	HAS ACQ CONTEXT	NUM	EV (110903, DCM, "Image Position (Patient) Z")	1	U	UNITS = EV (mm, UCUM, "millimeter")
8	HAS ACQ CONTEXT	NUM	EV (110904, DCM, "Image Orientation (Patient) Row X")	1	U	UNITS = EV ({-1:1}, UCUM, "{-1:1}")
9	HAS ACQ CONTEXT	NUM	EV (110905, DCM, "Image Orientation (Patient) Row Y")	1	U	UNITS = EV ({-1:1}, UCUM, "{-1:1}")
10	HAS ACQ CONTEXT	NUM	EV (110906, DCM, "Image Orientation (Patient) Row Z")	1	U	UNITS = EV ({-1:1}, UCUM, "{-1:1}")
11	HAS ACQ CONTEXT	NUM	EV (110907, DCM, "Image Orientation (Patient) Column X")	1	U	UNITS = EV ({-1:1}, UCUM, "{-1:1}")
12	HAS ACQ CONTEXT	NUM	EV (110908, DCM, "Image Orientation (Patient) Column Y")	1	U	UNITS = EV ({-1:1}, UCUM, "{-1:1}")
13	HAS ACQ CONTEXT	NUM	EV (110909, DCM, "Image Orientation (Patient) Column Z")	1	U	UNITS = EV ({-1:1}, UCUM, "{-1:1}")

Content Item Descriptions

Horizontal Imager Pixel Spacing	The row (first) component of Pixel Spacing (0028,0030) in the Image IOD. See Section 10.7.1.1 “Pixel Spacing” in PS3.3 and Section C.7.6.2 “Image Plane Module” in PS3.3 .
Vertical Imager Pixel Spacing	The column (second) component of Pixel Spacing (0028,0030) in the Image IOD. See Section 10.7.1.1 “Pixel Spacing” in PS3.3 and Section C.7.6.2 “Image Plane Module” in PS3.3 .

TID 1605 Image Library Entry Descriptors for CT

This template contains selected attributes for a CT image or group of such images. The descriptive information may be copied from images or derived.

Type:: Extensible
Order:: Non-Significant

Table TID 1605. Image Library Entry Descriptors for CT

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1		HAS ACQ CONTEXT	CODE	EV (113820, DCM, "CT Acquisition Type")	1	U		DCID 10013 “CT Acquisition Type”
2		HAS ACQ CONTEXT	CODE	EV (113961, DCM, "Reconstruction Algorithm")	1	U		DCID 10033 “CT Reconstruction Algorithm”

Content Item Descriptions

CT Acquisition Type	A code derived from the value of Acquisition Type (0018,9302) in the Image IOD. See Section C.8.15.3.2 “CT Acquisition Type Macro” in PS3.3 .
Reconstruction Algorithm	A code derived from the value of Reconstruction Algorithm (0018,9315) in the Image IOD. See Section C.8.15.3.7 “CT Reconstruction Macro” in PS3.3 .

TID 1606 Image Library Entry Descriptors for MR

This template contains selected attributes for a MR image or group of such images. The descriptive information may be copied from images or derived.

Type:: Extensible
Order:: Non-Significant

Table TID 1606. Image Library Entry Descriptors for MR

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1		HAS ACQ CONTEXT	TEXT	EV (110909, DCM, "Pulse Sequence Name")	1	U

Content Item Descriptions

Pulse Sequence Name

The value of Pulse Sequence Name (0018,9005) or Sequence Name (0018,0024) in the Image IOD. See Section C.8.13.4 “MR Pulse Sequence Module” in PS3.3 .

TID 1607 Image Library Entry Descriptors for PET

This template contains selected attributes for a PET image or group of such images. The descriptive information may be copied from images or derived.

Note

The content of this template is similar to that in TID 15101 NM/PET Protocol Context, but is in the form of an SR template rather than a Protocol Context Template, and the content items are not nested as modifiers. There is also some similarity to TID 3307 NM/PET Perfusion Measurement Group.

Type:: Extensible
Order:: Non-Significant

Table TID 1607. Image Library Entry Descriptors for PET

	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1	HAS ACQ CONTEXT	CODE	EV (C-10072, SRT, "Radionuclide")	1	U	DCID 4020 “PET Radionuclide”
2	HAS ACQ CONTEXT	CODE	EV (F-61FDB, SRT, "Radiopharmaceutical agent")	1	U	DCID 4021 “PET Radiopharmaceutical”
3	HAS ACQ CONTEXT	NUM	EV (R-42806, SRT, "Half-life of radiopharmaceutical")	1	U	UNITS = (s, UCUM, "s")
4	HAS ACQ CONTEXT	DATETIME	EV (123003, DCM, "Radiopharmaceutical Start Date Time")	1	U
4	HAS ACQ CONTEXT	DATETIME	EV (123004, DCM, "Radiopharmaceutical Stop Time")	1	U
5	HAS ACQ CONTEXT	NUM	EV (123005, DCM, "Radiopharmaceutical Volume")	1	U	UNITS = DT (cm3, UCUM, "cm3")
6	HAS ACQ CONTEXT	NUM	EV (123006, DCM, "Radionuclide Total Dose")	1	U	UNITS = DT (Bq, UCUM, "Bq")
7	HAS ACQ CONTEXT	NUM	EV (123007, DCM, "Radiopharmaceutical Specific Activity")	1	U	UNITS = DT (Bq/mol, UCUM, "Bq/mol")
8	HAS ACQ CONTEXT	CODE	EV (G-C340, SRT, "Route of Administration")	1	U	BCID 11 “Route of Administration”
9	HAS ACQ CONTEXT	NUM	EV (123009, DCM, "Radionuclide Syringe Counts")	1	U	UNITS = DT ({counts}/s, UCUM "counts/s")
10	HAS ACQ CONTEXT	NUM	EV (123010, DCM, "Radionuclide Residual Syringe Counts")	1	U	UNITS = DT ({counts}/s, UCUM "counts/s")
10	HAS ACQ CONTEXT	NUM	EV (126203, DCM, "PET Radionuclide Incubation Time")	1	U	UNITS = EV (min, UCUM, "min")
12	HAS ACQ CONTEXT	NUM	EV (14749-6, LN, "Glucose")	1	U	UNITS = EV (mmol/l, UCUM, "mmol/l")
13	HAS ACQ CONTEXT	DATE	EV (109081, DCM, "Glucose Measurement Date")	1	M
14	HAS ACQ CONTEXT	TIME	EV (109082, DCM, "Glucose Measurement Time")	1	M

Content Item Descriptions

Half-life of radiopharmaceutical

The units for half life are chosen to be seconds, to match the units used for Radionuclide Half Life (0018,1075). See Section C.8.9.2 “PET Isotope Module” in PS3.3 .

TID 2000 Basic Diagnostic Imaging Report

Basic report template for general diagnostic imaging interpretation reports.

Can only be instantiated at the root node and cannot be included in other templates.

Type:: Non-Extensible
Order:: Significant
Root:: Yes

Table TID 2000. Basic Diagnostic Imaging Report

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1			CONTAINER	BCID 7000 “Diagnostic Imaging Report Document Titles”	1	M
2	>	HAS CONCEPT MOD	CODE	EV (121058, DCM, "Procedure reported")	1-n	U
3	>	HAS CONCEPT MOD	CODE	EV (122142, DCM, "Acquisition Device Type")	1-n	U	DCID 29 “Acquisition Modality”
4	>	HAS CONCEPT MOD	CODE	EV (123014, DCM, "Target Region")	1-n	U
5	>	HAS CONCEPT MOD	INCLUDE	DTID 1204 “Language of Content Item and Descendants”	1	M
6	>	HAS CONCEPT MOD	INCLUDE	DTID 1210 “Equivalent Meaning(s) of Concept Name”	1-n	U
7	>	HAS OBS CONTEXT	INCLUDE	DTID 1001 “Observation Context”	1	M
8	>	CONTAINS	CONTAINER	BCID 7001 “Diagnostic Imaging Report Headings”	1-n	U
9	>>	HAS OBS CONTEXT	INCLUDE	DTID 1001 “Observation Context”	1	U
10	>>		INCLUDE	DTID 2002 “Report Narrative”	1	M

No content items other than those defined in Observation Context TID 1001 “Observation Context” may be the target of a HAS OBS CONTEXT relationship when TID 2000 “Basic Diagnostic Imaging Report” is invoked.

Content Item Descriptions

Rows 2, 3, 4

The content of rows 2, 3, and 4 shall not be inconsistent with the meaning of the report title of row 1. If the report title does not include the concepts of the procedure type, modality, or target site (e.g., the generic "Diagnostic Imaging Report"), these rows may provide post-coordination of those concepts. If the report title does include such concepts (e.g., "CT Head Report"), they may be encoded duplicatively to support report categorization and search.

TID 2001 Basic Diagnostic Imaging Report Observations

Individual numeric or image observations that may be useful for inclusion as individual findings or as the source of inferences in a report.

Type:: Non-Extensible
Order:: Significant

Table TID 2001. Basic Diagnostic Imaging Report Observations

	VT	Concept Name	VM	Req Type	Condition
1	IMAGE	BCID 7003 “Diagnostic Imaging Report Purposes of Reference”	1	MC	XOR Rows 2, 3, 4, 5.
2	INCLUDE	DTID 1400 “Linear Measurement”	1	MC	XOR Rows 1, 3, 4, 5. Shall not be present if the NUM value type is not supported by the IOD.
3	INCLUDE	DTID 1401 “Area Measurement”	1	MC	XOR Rows 1, 2, 4, 5. Shall not be present if the NUM value type is not supported by the IOD.
4	INCLUDE	DTID 1402 “Volume Measurement”	1	MC	XOR Rows 1, 2, 3, 5. Shall not be present if the NUM value type is not supported by the IOD.
5	INCLUDE	DTID 1404 “Numeric Measurement”	1	MC	XOR Rows 1, 2, 3, 4. Shall not be present if the NUM value type is not supported by the IOD.

TID 2002 Report Narrative

The Report Narrative allows recording of text, code, and numeric observations. The order of Content Items in the template is not significant; the order of Content Items in a SOP Instance may be significant to the narrative flow of the report.

Type:: Non-Extensible
Order:: Non-Significant

Table TID 2002. Report Narrative

	NL	Rel with Parent	VT	Concept Name	VM	Req Type
1		CONTAINS	CODE	BCID 7002 “Diagnostic Imaging Report Elements”	1-n	U
2	>	INFERRED FROM	INCLUDE	DTID 2001 “Basic Diagnostic Imaging Report Observations”	1-n	U
3		CONTAINS	TEXT	BCID 7002 “Diagnostic Imaging Report Elements”	1-n	U
4	>	INFERRED FROM	INCLUDE	DTID 2001 “Basic Diagnostic Imaging Report Observations”	1-n	U
5		CONTAINS	INCLUDE	DTID 2001 “Basic Diagnostic Imaging Report Observations”	1-n	U

TID 2005 Transcribed Diagnostic Imaging Report

Basic report template for general diagnostic imaging interpretation reports produced in a dictation/transcription workflow. SR documents encoded using this template are intended to be transformable to HL7 Clinical Document Architecture format (see Section X.3 “Transcribed Diagnostic Imaging CDA Instance Content” in PS3.17 and Annexes in PS3.20).

This template can be instantiated only at the root node, and cannot be included in other templates.

Observation Context shall be inherited from outside the SR Content tree, and shall not be changed within the Content tree. To satisfy the requirement that Observer Context is inherited, either or both the Author Observer Sequence (0040,A078) or the Verifying Observer Sequence (0040,A073) from the SR Document Module must be present in the SOP Instance.

Note

See Section C.17.5 “Observation Context Encoding” in PS3.3 .

Type:: Non-Extensible
Order:: Significant
Root:: Yes

Table TID 2005. Transcribed Diagnostic Imaging Report

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Value Set Constraint
1			CONTAINER	BCID 7000 “Diagnostic Imaging Report Document Titles”	1	M
2	>	HAS CONCEPT MOD	CODE	EV (121058, DCM, "Procedure reported")	1-n	U
3	>	HAS CONCEPT MOD	CODE	EV (122142, DCM, "Acquisition Device Type")	1-n	U	DCID 29 “Acquisition Modality”
4	>	HAS CONCEPT MOD	CODE	EV (123014, DCM, "Target Region")	1-n	U
5	>	HAS CONCEPT MOD	CODE	EV (121049, DCM, "Language of Content Item and Descendants")	1	M	DCID 5000 “Languages”
6	>	CONTAINS	CONTAINER	BCID 7001 “Diagnostic Imaging Report Headings”	1-n	M
7	>>	CONTAINS	TEXT	BCID 7002 “Diagnostic Imaging Report Elements”	1	U
8	>	CONTAINS	CONTAINER	EV (55113-5, LN, "Key Images")	1-n	U
9	>>	CONTAINS	TEXT	EV (113012, DCM, "Key Object Description")	1	U
10	>>	CONTAINS	IMAGE	Purpose of Reference is not used	1-n	M

Content Item Descriptions

Rows 2, 3, 4	The content of rows 2, 3, and 4 shall not be inconsistent with the meaning of the report title of row 1. If the report title does not include the concepts of the procedure type, modality, or target site (e.g., the generic "Diagnostic Imaging Report"), these rows may provide post-coordination of those concepts. If the report title does include such concepts (e.g., "CT Head Report"), they may be encoded duplicatively to support report categorization and search.
Row 6	CONTAINER Concept Name may be absent.
Row 10	IMAGE Concept Name shall be absent

TID 2006 Imaging Report With Conditional Radiation Exposure and Protection Information

This template is used for general imaging reports for both radiation producing and non-radiation producing modalities.

For radiation producing modalities, radiation exposure and protection information is required, such as to support nationally-specific legal or standard requirements.

It contains mandatory sections, each of which may appear only once in objects instantiated from the template, including the medical content of the report that comprises relevant medical history data, information on the current request (i.e., clinical question that is expected to be answered by the requested procedure), impressions on the current imaging procedure that has been performed, and radiation exposure and protection information.

This template is a specialization of TID 2000 “Basic Diagnostic Imaging Report”, in that it uses the same structure of headings and content, but mandates the presence and order of specific headings, and extends the subordinate content with specific content items.

Type:: Non-Extensible
Order:: Non-Significant
Root:: Yes

Table TID 2006. Imaging Report With Conditional Radiation Exposure and Protection Information

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			CONTAINER	BCID 7000 “Diagnostic Imaging Report Document Titles”	1	M		Root node
2	>	HAS CONCEPT MOD	CODE	EV (121058, DCM, "Procedure reported")	1-n	U
3	>	HAS CONCEPT MOD	INCLUDE	DTID 1204 “Language of Content Item and Descendants”	1	M
4	>	HAS CONCEPT MOD	INCLUDE	DTID 1210 “Equivalent Meaning(s) of Concept Name”	1-n	U
5	>	HAS OBS CONTEXT	INCLUDE	DTID 1001 “Observation Context”	1	M
6	>	CONTAINS	CONTAINER	EV (55111-9, LN, "Current Procedure Descriptions")	1	M
7	>>		INCLUDE	DTID 2007 “Imaging Procedure Description”	1	M
8	>	CONTAINS	CONTAINER	EV (55114-3, LN, "Prior Procedure Descriptions")	1-n	MC	IF relevant prior procedures have been performed.
9	>>		INCLUDE	DTID 2007 “Imaging Procedure Description”	1	M
10	>	CONTAINS	CONTAINER	EV (11329-0, LN, "History")	1	M
11	>>	HAS OBS CONTEXT	INCLUDE	DTID 1001 “Observation Context”	1	U
12	>>		INCLUDE	DTID 2002 “Report Narrative”	1	M
13	>	CONTAINS	CONTAINER	EV (55115-0, LN, "Request")	1	M
14	>>	HAS OBS CONTEXT	INCLUDE	DTID 1001 “Observation Context”	1	U
15	>>		INCLUDE	DTID 2002 “Report Narrative”	1	M
16	>	CONTAINS	CONTAINER	EV (19005-8, LN, "Impressions")	1	M
17	>>	HAS OBS CONTEXT	INCLUDE	DTID 1001 “Observation Context”	1	U
18	>>		INCLUDE	DTID 2002 “Report Narrative”	1	M
19	>	CONTAINS	INCLUDE	DTID 2008 “Radiation Exposure and Protection Information”	1	MC	IF the current procedure exposes the patient to ionizing radiation.
20	>	CONTAINS	CONTAINER	BCID 7001 “Diagnostic Imaging Report Headings”	1-n	U
21	>>	HAS OBS CONTEXT	INCLUDE	DTID 1001 “Observation Context”	1	U
22	>>		INCLUDE	DTID 2002 “Report Narrative”	1	M

No content items other than those defined in TID 1001 “Observation Context” may be the target of a HAS OBS CONTEXT relationship when TID 2006 “Imaging Report With Conditional Radiation Exposure and Protection Information” is invoked.

Content Item Descriptions

Row 2

Even though this information is related to the content of Row 6 in TID 2007 “Imaging Procedure Description”, it is present here for consistency with other report templates.

Rows 5, 6

Information on at least one of the following person observers is mandatory:

1) "Performing Physician"

2) "Performing Technologist".

(For those person observers, requirement types as specified in TID 1003 “Person Observer Identifying Attributes” apply. That means that "Person Observer Name" is the only mandatory attribute).

Row 20

Each heading (concept code from CID 7001 “Diagnostic Imaging Report Headings”) may appear only once, and may not repeat the headings (concept codes) used when instantiating any other rows of this template.

TID 2007 Imaging Procedure Description

Contains information related to the procedure.

Type:: Extensible
Order:: Non-Significant

Table TID 2007. Imaging Procedure Description

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1		HAS OBS CONTEXT	INCLUDE	DTID 1001 “Observation Context”	1	U
2		CONTAINS	TEXT	EV (123014, DCM, "Target Region")	1	MC	XOR with Row 3
3		CONTAINS	CODE	EV (123014, DCM, "Target Region")	1	MC	XOR with Row 2	DCID 4028 “Craniofacial Anatomic Regions” , DCID 4030 “CT, MR and PET Anatomy Imaged” , DCID 4031 “Common Anatomic Regions”
4	>	HAS CONCEPT MOD	CODE	EV (122142, DCM, "Acquisition Device Type")	1-n	U		DCID 29 “Acquisition Modality”
5		CONTAINS	TEXT	EV (121065, DCM, "Procedure Description")	1	M
6		CONTAINS	DATE	EV (111060, DCM, "Study Date")	1	M		Shall be equal to the Study Date (0020,0020) in the General Study Module in the images to which this report applies.
7		CONTAINS	TIME	EV (111061, DCM, "Study Time")	1	U		If present, shall be equal to the Study Time (0020,0030) in the General Study Module in the images to which this report applies.
8		CONTAINS	COMPOSITE	EV (113701, DCM, "X-Ray Radiation Dose Report")	1-n	U

TID 2008 Radiation Exposure and Protection Information

Contains information related to the radiation exposure and protection of the patient, as is required by national legal requirements or standards.

Other information about the current procedure is described in TID 2006 “Imaging Report With Conditional Radiation Exposure and Protection Information” and not repeated here.

Type:: Extensible
Order:: Non-Significant

Table TID 2008. Radiation Exposure and Protection Information

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			CONTAINER	EV (73569-6, LN, "Radiation Exposure and Protection Information")	1	M
2	>	HAS OBS CONTEXT	INCLUDE	DTID 1001 “Observation Context”	1	U
3	>	CONTAINS	CODE	EV (111532, DCM, "Pregnancy Status")	1	MC	IF female patient of child-bearing age	DCID 6096 “Pregnancy Status” Pregnancy Status
4	>	CONTAINS	TEXT	EV (18785-6, LN, "Indications for Procedure")	1	M
5	>	CONTAINS	PNAME	EV (113850, DCM, "Irradiation Authorizing ")	1	M
6	>	CONTAINS	TEXT	EV (113921, DCM, "Radiation Exposure")	1	MC	IFF ionizing radiation is applied in the context of the current procedure
7	>	CONTAINS	TEXT	EV (113922, DCM, "Radioactive Substance Administered")	1	MC	IFF radioactive substance is administered in the context of the current procedure

Content Item Descriptions

Row 5

The clinician responsible for determining that the irradiating procedure was appropriate for the indications.

Row 6

A textual, human-readable description of the radiation exposure is all that is required by this template (such as is sufficient to comply with, for example, German law). Detailed specification of exposure is out of the scope of this template. Such information may be given in a separate SR instances such as described in TID 10001 “Projection X-Ray Radiation Dose” or TID 10011 “CT Radiation Dose”, and referenced from TID 2007 “Imaging Procedure Description”.

TID 2010 Key Object Selection

The Key Object Selection template is intended for flagging one or more significant images, waveforms, or other composite SOP Instances. Key Object Selection contains:

coded document title stating the reason for significance of the referenced objects in the Key Object Selection,
optional free form text comment in an explicitly identified language, and
optional identification of the observer (device or person) that created the Key Object Selection.

Note

For instance, when this template is used to identify images rejected for quality reasons, the device or person performing the quality assessment is identified in observation context items (invoked through TID 1002 “Observer Context”). The reason for rejection can be included both as a code used as a concept modifier for the document title, and as text description.
The order of object references may be significant, e.g., when the title concept is "For Conference".
Instances referenced in a Key Object Selection Document may be securely referenced by Digital Signature or MAC mechanisms within the SR Document General Module (see PS3.3).

The Template can only be instantiated at the root node and cannot be included in other templates. The Template is not extensible; that is, no other content items may be added to this template, or the templates that are included, recursively.

Type:: Non-Extensible
Order:: Non-Significant
Root:: Yes

Table TID 2010. Key Object Selection

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			CONTAINER	DCID 7010 “Key Object Selection Document Title”	1	M		Root node
2	>	HAS CONCEPT MOD	CODE	EV (113011, DCM, "Document Title Modifier")	1-n	U
3	>	HAS CONCEPT MOD	CODE	EV (113011, DCM, "Document Title Modifier")	1	UC	IF Row 1 Concept Name = (113001, DCM, "Rejected for Quality Reasons") or (113010, DCM, "Quality Issue")	DCID 7011 “Rejected for Quality Reasons”
4	>	HAS CONCEPT MOD	CODE	EV (113011, DCM, "Document Title Modifier")	1	MC	IF Row 1 Concept Name = (113013, DCM, "Best In Set")	DCID 7012 “Best in Set”
5	>	HAS CONCEPT MOD	INCLUDE	DTID 1204 “Language of Content Item and Descendants”	1	U
6	>	HAS OBS CONTEXT	INCLUDE	DTID 1002 “Observer Context”	1-n	U
7	>	CONTAINS	TEXT	EV (113012, DCM, "Key Object Description")	1	U
8	>	CONTAINS	IMAGE	Purpose of Reference shall not be present	1-n	MC	At least one of Rows 8, 9 and 10 shall be present
9	>	CONTAINS	WAVEFORM	Purpose of Reference shall not be present	1-n	MC	At least one of Rows 8, 9 and 10 shall be present
10	>	CONTAINS	COMPOSITE	Purpose of Reference shall not be present	1-n	MC	At least one of Rows 8, 9 and 10 shall be present

TID 2020 Spectacle Prescription Report

The Spectacle Prescription Report is a structured report used to represent the prescription for a patient. Usually a prescription is for both eyes, but sometimes just one. The Spectacle Prescription Report defines a refractive correction relative to which visual acuity may be measured subjectively, and thus may be referenced by a Visual Acuity Measurements Storage SOP Instance.

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

Table TID 2020. Spectacle Prescription Report

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			CONTAINER	EV (111671, DCM, "Spectacle Prescription Report")	1	M		Root node
2	>	CONTAINS	CONTAINER	EV (111688, DCM, "Right Eye Rx")	1	UC	IF Right Spectacle Lens is prescribed
3	>>	CONTAINS	INCLUDE	DTID 2021 “Template for Spectacle Prescription Details”	1	M
4	>	CONTAINS	CONTAINER	EV (111689, DCM, "Left Eye Rx")	1	UC	IF Left Spectacle Lens is prescribed
5	>>	CONTAINS	INCLUDE	DTID 2021 “Template for Spectacle Prescription Details”	1	M
6	>	CONTAINS	NUM	EV (111679, DCM, "Distance Pupillary Distance")	1	U		UNITS = EV (mm, UCUM, "mm")
7	>	CONTAINS	NUM	EV (111680, DCM, "Near Pupillary Distance")	1	U		UNITS = EV (mm, UCUM, "mm")
8	>	CONTAINS	TEXT	EV (121106, DCM, "Comment")	1	U

TID 2021 Template for Spectacle Prescription Details

Type:: Extensible
Order:: Significant

Table TID 2021. Spectacle Prescription Details

	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1	CONTAINS	NUM	EV (F-02FB4, SRT, "Sphere")	1	M		UNITS = EV ([diop], UCUM, "diopters")
2	CONTAINS	NUM	EV (F-A2143, SRT, "Cylinder Power")	1	UC	IF Cylinder is prescribed	UNITS = EV ([diop], UCUM, "diopters")
3	CONTAINS	NUM	EV (F-02FB7, SRT, "Axis")	1	MC	IF ROW 2 is Present	UNITS = EV (deg, UCUM, "degrees")
4	CONTAINS	NUM	EV (111672, DCM, "Add Near")	1	UC	IF Add Near is prescribed	UNITS = EV ([diop], UCUM, "diopters")
5	CONTAINS	NUM	EV (111673, DCM, "Add Intermediate")	1	UC	IF Add Intermediate is prescribed	UNITS = EV ([diop], UCUM, "diopters")
6	CONTAINS	NUM	EV (111674, DCM, "Add Other")	1	UC	IF Add Other is prescribed	UNITS = EV ([diop], UCUM, "diopters")
7	CONTAINS	NUM	EV (111675, DCM, "Horizontal Prism Power")	1	UC	IF Horizontal Prism is prescribed	UNITS = EV ([p'diop], UCUM, "prism diopters")
8	CONTAINS	CODE	EV (111676, DCM, "Horizontal Prism Base")	1	MC	IF ROW 7 is present	DCID 4214 “Ophthalmic Horizontal Directions”
9	CONTAINS	NUM	EV (111677, DCM, "Vertical Prism Power")	1	UC	IF Vertical Prism is prescribed	UNITS = EV ([p'diop], UCUM, "prism diopters")
10	CONTAINS	CODE	EV (111678, DCM, "Vertical Prism Base")	1	MC	IF Row 9 is present	DCID 4215 “Ophthalmic Vertical Directions”

TID 2100 Macular Grid Thickness and Volume Report

The Macular Grid Thickness and Volume Report is a structured report encoding the macular grid thickness and volume values derived from ophthalmic images, such as ophthalmic OPT images. This may encode measurements of either or both eyes.

The macular grid conveyed by this report is based upon the grid employed by the Early Treatment of Diabetic Retinopathy Study (ETDRS) to measure area and proximity of macular edema to the anatomic center (fovea) of the macula. See ETDRS Report Number 10.

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

Table TID 2100. Macular Grid Thickness and Volume Report

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			CONTAINER	EV (111690, DCM, "Macular Grid Thickness and Volume 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 1001 “Observation Context”	1	M
4	>	CONTAINS	INCLUDE	DTID 2101 “Macular Grid Thickness and Volume Measurement”	1	MC	IF Row 5 is absent.	$Laterality = EV (G-A100, SRT, "Right")
5	>	CONTAINS	INCLUDE	DTID 2101 “Macular Grid Thickness and Volume Measurement”	1	MC	IF Row 4 is absent.	$Laterality = EV (G-A101, SRT, "Left")

TID 2101 Macular Grid Thickness and Volume Measurement

This Template encodes the macular grid thickness and volume measurements for a single eye.

Table TID 2101. Parameters

Parameter Name	Parameter Usage
$Laterality	Which eye

Type:: Extensible
Order:: Significant

Table TID 2101. Macular Grid Thickness and Volume Measurement

	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	EV (T-AA000, SRT, "Eye")
3	>>	HAS CONCEPT MOD	CODE	EV (G-C171, SRT, "Laterality")	1	M	$Laterality
4	>	CONTAINS	NUM	EV (57108-3, LN, "Macular Grid.Center Point Thickness")	1	M	UNITS = EV (um, UCUM, "micrometer")
5	>	CONTAINS	NUM	EV (57109-1, LN, "Macular Grid.Center Subfield Thickness")	1	M	UNITS = EV (um, UCUM, "micrometer")
6	>	CONTAINS	NUM	EV (57110-9, LN, "Macular Grid.Inner Superior Subfield Thickness")	1	M	UNITS = EV (um, UCUM, "micrometer")
7	>	CONTAINS	NUM	EV (57111-7, LN, "Macular Grid.Inner Nasal Subfield Thickness")	1	M	UNITS = EV (um, UCUM, "micrometer")
8	>	CONTAINS	NUM	EV (57112-5, LN, "Macular Grid.Inner Inferior Subfield Thickness")	1	M	UNITS = EV (um, UCUM, "micrometer")
9	>	CONTAINS	NUM	EV (57113-3, LN, "Macular Grid.Inner Temporal Subfield Thickness")	1	M	UNITS = EV (um, UCUM, "micrometer")
10	>	CONTAINS	NUM	EV (57114-1, LN, "Macular Grid.Outer Superior Subfield Thickness")	1	M	UNITS = EV (um, UCUM, "micrometer")
11	>	CONTAINS	NUM	EV (57115-8, LN, "Macular Grid.Outer Nasal Subfield Thickness")	1	M	UNITS = EV (um, UCUM, "micrometer")
12	>	CONTAINS	NUM	EV (57116-6, LN, "Macular Grid.Outer Inferior Subfield Thickness")	1	M	UNITS = EV (um, UCUM, "micrometer")
13	>	CONTAINS	NUM	EV (57117-4, LN, "Macular Grid.Outer Temporal Subfield Thickness")	1	M	UNITS = EV (um, UCUM, "micrometer")
14	>	CONTAINS	NUM	EV (57118-2, LN, "Macular Grid.Total Volume")	1	M	UNITS = EV (mm3, UCUM, "mm3")
15	>	CONTAINS	NUM	EV (111691, DCM, "Number of Images Used for Macular Measurements")	1	M	UNITS = EV ({images}, UCUM, "images")
16	>	CONTAINS	NUM	EV (111692, DCM, "Number of Samples Used per Image")	1	M	UNITS = EV ({samples}, UCUM, "samples")
17	>	CONTAINS	NUM	EV (111693, DCM, "Analysis Quality Rating")	1	M	UNITS = EV ({0:100}, UCUM, "range:0:100") Value = 0 - 100
18	>>	HAS OBS CONTEXT	INCLUDE	DTID 2102 “Quality Rating Identification”	1	M
19	>	CONTAINS	NUM	EV (111694, DCM, "Image Set Quality Rating")	1	M	UNITS = EV ({0:100}, UCUM, "range:0:100") Value = 0 - 100
20	>>	HAS OBS CONTEXT	INCLUDE	DTID 2102 “Quality Rating Identification”	1	M
21	>	CONTAINS	NUM	EV (111029, DCM, "Image Quality Rating")	1-n	U	UNITS = EV ({0:100}, UCUM, "range:0:100") Value = 0 - 100
22	>>	INFERRED FROM	IMAGE	No purpose of reference	1	M
23	>>	HAS OBS CONTEXT	INCLUDE	DTID 2102 “Quality Rating Identification”	1	M
24	>	CONTAINS	CODE	EV (111696, DCM, "Visual Fixation Quality During Acquisition")	1	U	DCID 4220 “Visual Fixation Quality During Acquisition”
25	>>	HAS CONCEPT MOD	CODE	EV (111697, DCM, "Visual Fixation Quality Problem")	1-n	U	DCID 4221 “Visual Fixation Quality Problem”
26	>	CONTAINS	CODE	EV (111698, DCM, "Ophthalmic Macular Grid Problem")	1-n	U	DCID 4222 “Ophthalmic Macular Grid Problem”
27	>	CONTAINS	TEXT	EV (121106, DCM, "Comment")	1	U

TID 2102 Quality Rating Identification

This template specifies the algorithm (and parameters) used to create a quality rating for an image or image set.

It is expected that the identified algorithm will create a consistent quality rating when analyzing a given image. If the algorithm allows change to its parameters that would alter the quality rating created, the specific parameters used should be specified.

Type:: Non-Extensible
Order:: Significant

Table TID 2102. Quality Rating Identification

	VT	Concept Name	VM	Req Type
1	TEXT	EV (111001, DCM, "Algorithm Name")	1	M
2	TEXT	EV (111003, DCM, "Algorithm Version")	1	M
3	TEXT	EV (122405, DCM, "Algorithm Manufacturer")	1	M
4	TEXT	EV (111002, DCM, "Algorithm Parameters")	1-n	U

A Structured Reporting Templates (Normative)

General Templates

TID 300 Measurement

TID 310 Measurement Properties

TID 311 Measurement Statistical Properties

TID 312 Normal Range Properties

TID 315 Equation or Table

Note

TID 320 Image or Spatial Coordinates

TID 321 Waveform or Temporal Coordinates

TID 350 References to Supporting Evidence

TID 351 Previous Reports

TID 1000 Quotation

TID 1001 Observation Context

TID 1002 Observer Context

TID 1003 Person Observer Identifying Attributes

TID 1004 Device Observer Identifying Attributes

TID 1005 Procedure Context

Note

TID 1006 Subject Context

TID 1007 Subject Context, Patient

TID 1008 Subject Context, Fetus

TID 1009 Subject Context, Specimen

TID 1010 Subject Context, Device

TID 1020 Person Participant

TID 1021 Device Participant

TID 1200 Language Designation

Note

TID 1201 Language of Value

Note

TID 1202 Language of Name and Value

Note

TID 1204 Language of Content Item and Descendants

Note

TID 1210 Equivalent Meaning(s) of Concept Name

TID 1211 Equivalent Meaning(s) of Value

Note

TID 1350 Negation Modifier, Presence of Finding

Note

TID 1400 Linear Measurement

TID 1401 Area Measurement

TID 1402 Volume Measurement

TID 1404 Numeric Measurement

TID 1406 Three Dimensional Linear Measurement

TID 1410 Planar ROI Measurements

TID 1411 Volumetric ROI Measurements

TID 1419 ROI Measurements

TID 1420 Measurements Derived From Multiple ROI Measurements

TID 1500 Measurement Report

TID 1501 Measurement Group

TID 1502 Time Point Context

TID 1600 Image Library

TID 1601 Image Library Entry

TID 1602 Image Library Entry Descriptors

TID 1603 Image Library Entry Descriptors for Projection Radiography

TID 1604 Image Library Entry Descriptors for Cross-Sectional Modalities

TID 1605 Image Library Entry Descriptors for CT

TID 1606 Image Library Entry Descriptors for MR

TID 1607 Image Library Entry Descriptors for PET

Note

TID 2000 Basic Diagnostic Imaging Report

TID 2001 Basic Diagnostic Imaging Report Observations

TID 2002 Report Narrative

TID 2005 Transcribed Diagnostic Imaging Report

Note

TID 2006 Imaging Report With Conditional Radiation Exposure and Protection Information

TID 2007 Imaging Procedure Description

TID 2008 Radiation Exposure and Protection Information

TID 2010 Key Object Selection

Note

TID 2020 Spectacle Prescription Report

TID 2021 Template for Spectacle Prescription Details

TID 2100 Macular Grid Thickness and Volume Report

TID 2101 Macular Grid Thickness and Volume Measurement

TID 2102 Quality Rating Identification