DICOM PS3.20 2019b - Imaging Reports using HL7 Clinical Document Architecture

10.5 Quantity Measurement (Current)
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## 10.5 Quantity Measurement

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
--- | --- | --- | --- | --- | --- | --- | --- | ---
Quantity​Measurement[*] |  | observation | 1..1 | SHALL |  |  |  |
| @ | @classCode | 1..1 | SHALL | CS | SHALL | OBS |
| @ | @moodCode | 1..1 | SHALL | CS | SHALL | EVN |
| > | template​Id | 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 |  |  |
Measurement​Name | > | code | 1..1 | SHALL | CD |  | Concept​Domain ObservationType |
| > | text | 0..1 | SHOULD |  |  |  |
Ref | >> | reference | 1..1 | SHALL | URL (XML IDREF) |  | # content​Ref |
| > | status​Code | 1..1 | SHALL | CS | SHALL | COMPLETED |
Time | > | effective​Time | 0..1 | SHOULD | TS |  |  |
| > | value | 1..1 | SHALL |  |  |  |
| >@ | @xsi:type | 1..1 | SHALL | ST | SHALL | PQ |
Measurement​Value | >@ | @value | 1..1 | SHALL | REAL |  |  |
Measurement​Units | >@ | @unit | 1..1 | SHALL | CS | SHALL CNE | ValueSet CID 82 “Units of Measurement” |
Interpretation​Code | > | interpretation​Code | 0..1 | MAY | CE | SHALL CNE | ValueSet ObservationInterpretation Value Set 2.16.840.1.113883.11.78 |
Actionable​Priority | >> | translation | 1..1 | MAY | CD | MAY CWE | ValueSet CID 7035 “Actionable Finding Classification” [See 10.1.3 interpretationCode and translation For Actionable Findings] |
Target​Site | > | target​Site​Code | 1..1 | COND | CD |  | Concept​Domain 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") |
Topo​Modifier | >>> | value | 1..1 | SHALL | CD | SHALL CNE | ValueSet CID 2 “Anatomic Modifier” |
Method | > | method​Code | 0..1 | MAY | CD |  | Concept​Domain ObservationMethod |
| > | entry​Relationship | 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
| > | entry​Relationship | 0..* | MAY |  |  |  |
| >@ | @typeCode | 1..1 | SHALL | CS | SHALL | SPRT |
Quantity​Measurement[*] | > | observation | 1..1 | SHALL |  |  |  | 10.5 Quantity Measurement 2.16.840.1.113883.​10.20.6.2.14

### 10.5.1 text/reference and Related Narrative Block Markup

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>

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DICOM PS3.20 2019b - Imaging Reports using HL7 Clinical Document Architecture