A Structured Reporting Templates (Normative)

$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

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")

$RefAuthority

Bibliographic reference or authority for statistical properties of a reference population

$RangeAuthority

Bibliographic reference or authority for the normal range of the measurement

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”

$RefAuthority

Bibliographic reference or authority for statistical properties of a reference population

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

$RangeAuthority

Bibliographic reference or authority for the normal range of the measurement

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

$Equation

Coded term or Context Group for the equation or table from which a measurement was derived or computed

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

$Purpose

Purpose of Reference for an image used as a source of the measurement

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

$Purpose

Purpose of Reference for a waveform used as a source of the measurement

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

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

1

CONTAINER

EV (111549, DCM, "Previous Reports")

1

M

2

>

CONTAINS

COMPOSITE

1-n

M

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

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.

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")

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”

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”

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

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")

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”

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")

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

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

$PersonProcedureRole

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

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”

$DeviceProcedureRole

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

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

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”

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”

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”

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”

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

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

1

HAS CONCEPT MOD

CODE

EV (121052, DCM, "Presence of property")

1

M

DCID 240 “Present-Absent”

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

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

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