|
Template ID |
2.16.840.1.113883.10.20.6.2.14 |
|
Name |
Quantity Measurement |
|
Effective Date |
2015/03/24 |
|
Version Label |
DICOM-20150324 |
|
Status |
Active |
|
Description |
A Quantity Measurement records quantitative measurements such as linear, area, volume, and numeric measurements. If based on image data, a reference to the image may be present. |
|
Classification |
CDA Entry Level |
|
Relationships |
|
|
Context |
parent node |
|
Open/Closed |
open |
|
Revision History |
DICOM-20150324: Initial publication, derived from template originally published in DIR r1-2009, revised in Consolidated CDA r1-2011 as 2.16.840.1.113883.10.20.6.2.14. This derivation includes Units of Measure specified with DICOM value set for UCUM (CID 82 “Units of Measurement”), equivalent to C-CDA specified value set (UCUM Units of Measure (case sensitive) 2.16.840.1.113883.11.12839); addition of optional interpretationCode and actionable priority |
|
Business Name |
Nest Level |
Element/Attribute |
Card |
Elem/Attr Conf |
Data Type |
Value Conf |
Value |
Subsidiary Template |
|---|---|---|---|---|---|---|---|---|
|
QuantityMeasurement[*] |
observation |
1..1 |
SHALL |
|||||
|
@ |
@classCode |
1..1 |
SHALL |
CS |
SHALL |
OBS |
||
|
@ |
@moodCode |
1..1 |
SHALL |
CS |
SHALL |
EVN |
||
|
> |
templateId |
1..1 |
SHALL |
II |
||||
|
>@ |
@root |
1..1 |
SHALL |
UID |
SHALL |
2.16.840.1.113883.10.20.6.2.14 |
||
|
> |
id |
1..1 |
SHALL |
II |
||||
|
MeasurementName |
> |
code |
1..1 |
SHALL |
CD |
ConceptDomain ObservationType |
||
|
> |
text |
0..1 |
SHOULD |
|||||
|
Ref |
>> |
reference |
1..1 |
SHALL |
URL (XML IDREF) |
# contentRef |
||
|
> |
statusCode |
1..1 |
SHALL |
CS |
SHALL |
COMPLETED |
||
|
Time |
> |
effectiveTime |
0..1 |
SHOULD |
TS |
|||
|
> |
value |
1..1 |
SHALL |
|||||
|
>@ |
@xsi:type |
1..1 |
SHALL |
ST |
SHALL |
PQ |
||
|
MeasurementValue |
>@ |
@value |
1..1 |
SHALL |
REAL |
|||
|
MeasurementUnits |
>@ |
@unit |
1..1 |
SHALL |
CS |
SHALL CNE |
ValueSet CID 82 “Units of Measurement” |
|
|
InterpretationCode |
> |
interpretationCode |
0..1 |
MAY |
CE |
SHALL CNE |
ValueSet ObservationInterpretation Value Set 2.16.840.1.113883.11.78 |
|
|
ActionablePriority |
>> |
translation |
1..1 |
MAY |
CD |
MAY CWE |
ValueSet CID 7035 “Actionable Finding Classification” [See 10.1.3 interpretationCode and translation For Actionable Findings] |
|
|
TargetSite |
> |
targetSiteCode |
1..1 |
COND |
CD |
ConceptDomain ObservationSite |
||
|
>> |
qualifier |
0..1 |
COND |
|||||
|
>>> |
name |
1..1 |
SHALL |
CD |
SHALL |
(272741003, SNOMED CT, "laterality") |
||
|
Laterality |
>>> |
value |
1..1 |
SHALL |
CD |
SHALL CNE |
ValueSet CID 244 “Laterality” |
|
|
>> |
qualifier |
0..1 |
COND |
|||||
|
>>> |
name |
1..1 |
SHALL |
CD |
SHALL |
(106233006, SNOMED CT, "Topographical modifier") |
||
|
TopoModifier |
>>> |
value |
1..1 |
SHALL |
CD |
SHALL CNE |
ValueSet CID 2 “Anatomic Modifier” |
|
|
Method |
> |
methodCode |
0..1 |
MAY |
CD |
ConceptDomain ObservationMethod |
||
|
> |
entryRelationship |
0..* |
MAY |
|||||
|
>@ |
@typeCode |
1..1 |
SHALL |
CS |
SHALL |
SPRT |
||
|
SOPInstance[*] |
>> |
observation |
1..1 |
SHALL |
10.8 SOP Instance Observation 1.2.840.10008.9.18 |
|||
|
> |
entryRelationship |
0..* |
MAY |
|||||
|
>@ |
@typeCode |
1..1 |
SHALL |
CS |
SHALL |
SPRT |
||
|
QuantityMeasurement[*] |
> |
observation |
1..1 |
SHALL |
10.5 Quantity Measurement 2.16.840.1.113883.10.20.6.2.14 |
The Observation entry SHOULD include a text/reference element, whose value attribute (not to be confused with the value element of the Observation class) SHALL begin with a '#' and SHALL point to its corresponding narrative in the parent section (using the approach defined in CDA Release 2, section 4.3.5.1). See Section 9.1.1.1.
Example 10.5-1. Quantity measurement observation example 1
<text> ...
<content ID="Q21" styleCode="Bold">Calcium score (Agatston) : 817 [HIGH - ACR Cat3]</content>
...
</text>
<entry>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.6.2.14"/>
<id root="1.2.840.10213.2.62.7044234.11652014"/>
<code code="112058" codeSystem="1.2.840.10008.2.16.4"
codeSystemName="DCM" displayName="Calcium score" />
<text><reference value="#Q21"/></text>
<statusCode code="COMPLETED"/>
<effectiveTime value="20140913223912"/>
<value xsi:type="PQ" unit="[arb'U]" value="817" />
<interpretationCode code="HH" codeSystem="2.16.840.1.113883.5.83"
codeSystemName="ObservationInterpretation" displayName="High alert">
<translation code="RID49482" codeSystem="2.16.840.1.113883.6.256"
codeSystemName="RADLEX" displayName="ACR Category 3 Actionable Finding" />
</interpretationCode>
<methodCode code="112055" codeSystem="1.2.840.10008.2.16.4"
codeSystemName="DCM" displayName="Agatston" />
<!-- entryRelationships to SOP Instance Observations may go here -->
</observation>
</entry>
Example 10.5-2. Quantity measurement observation example 2
<section>
<title>Left femoral artery</title>
<text>
...
<content ID="M10">Distal lumen stenosis: 75%</content>
...
</text>
<entry>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.6.2.14"/>
<id root="1.2.840.10213.2.62.7044234.988810005"/>
<code code="408714007" codeSystem="2.16.840.1.113883.6.96"
codeSystemName=" SNOMED CT"
displayName="Vessel lumen diameter reduction" />
<text><reference value="#M10"/></text>
<statusCode code="COMPLETED"/>
<effectiveTime value="20140913223912"/>
<value xsi:type="PQ" unit="%" value="75" />
<targetSiteCode code="113270003"
codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"
displayName="Left femoral artery">
<qualifier>
<name code="106233006" codeSystem="2.16.840.1.113883.6.96"
codeSystemName="SNOMED CT" displayName="Topographical modifier" />
<value code="46053002" codeSystem="2.16.840.1.113883.6.96"
codeSystemName="SNOMED CT" displayName="Distal" />
</qualifier>
</targetSiteCode>
</observation>
</entry>
</section>