DICOM PS3.16 2020c - Content Mapping Resource

A Structured Reporting Templates (Normative) (Current)
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# A Structured Reporting Templates (Normative)

This Annex specifies the content of Standard Templates that may be used by DICOM SR IODs.

## General Templates

### 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(s) for Anatomic Location of measurement
$TargetSiteLaterality | Laterality 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
$PrecoordinatedMeasurementMeaning | Coded value for the precoordinated concept name of measurement

Type:

  Extensible

Order:

  Significant

Root:

  No

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 (370129005, SCT, "Measurement Method") | 1 | U |  | $Method
4 | > | HAS CONCEPT MOD | CODE | EV (121401, DCM, "Derivation") | 1 | U |  | $Derivation
5 | > | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1-n | U |  | $TargetSite
6 | >> | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | U |  | $TargetSiteLaterality Defaults to DCID 244 “Laterality”
7 | >> | HAS CONCEPT MOD | CODE | DT (106233006, SCT, "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 |  |
16b | > | HAS CONCEPT MOD | CODE | EV (121050, DCM, "Equivalent Meaning of Concept Name") | 1 | U |  | $PrecoordinatedMeasurementMeaning
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")
19 | > | HAS CONCEPT MOD | INCLUDE | DTID 4019 “Algorithm Identification” | 1 | U |  |

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).
Row 5 | Finding site may be multiple when a region of interest spans multiple anatomical locations and there is not a single pre-coordinated code describing the combination of locations. E.g., when a maligant, inflammatory or traumatic process spans actual or defined anatomical boundaries. There is no requirement that the multiple locations be contiguous.
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.
Rows 16, 16b | 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. It may be supplied as text or coded concept or both.
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

Root:

  No

Table TID 310. Measurement Properties

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | 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

Root:

  No

Table TID 311. Measurement Statistical Properties

| NL | Rel with Parent | 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

Root:

  No

Table TID 312. Normal Range Properties

| NL | Rel with Parent | 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

Root:

  No

Table TID 315. Equation or Table

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | 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

Root:

  No

Table TID 320. Image or Spatial Coordinates

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
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

Root:

  No

Table TID 321. Waveform or Temporal Coordinates

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
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

Root:

  No

Table TID 350. References to Supporting Evidence

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
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

Root:

  No

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 400 Reference Location

This TID is a subset of the Reference Location Macro. See Section 10.27 “Reference Location Macro” in PS3.3 .

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 400. Reference Location

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (128772, DCM, "Reference Basis") | 1 | M |  | BCID 1001 “Anatomical Reference Basis”
2 |  |  | CODE | EV (128773, DCM, "Reference Geometry") | 1 | M |  | BCID 1010 “Reference Geometry - Planes”

### 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

Root:

  No

Table TID 1000. Quotation

| 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

Root:

  No

Table TID 1001. Observation Context

| NL | 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

Root:

  No

Table TID 1002. Observer Context

| 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

Root:

  No

Table TID 1003. Person Observer Identifying Attributes

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | PNAME | EV (121008, DCM, "Person Observer Name") | 1 | M |  |
1a |  |  | TEXT | EV (128774, DCM, "Person Observer's Login Name") | 1 | U |  |
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”
5 | > | HAS CONCEPT MOD | TEXT | EV (128775, DCM, "Identifier within Person Observer's Role") | 1 | U |  |

Row 5 | E.g., "1" or "2", or "A" or "B"; should not recapitulate the role (i.e., should not be "READER1"), since it is used in conjunction with a separate coded concept for the role itself.

### TID 1004 Device Observer Identifying Attributes

This Template (derived from the Section C.7.5.1 “General Equipment Module” in PS3.3 ) contains identifying (and optionally descriptive) attributes of devices that are observers.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 1004. Device Observer Identifying Attributes

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | UIDREF | EV (121012, DCM, "Device Observer UID") | 1 | M |  | Defaults to value of Device UID (0018,1002) in General Equipment Module
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”
8 |  |  | TEXT | EV (110119, DCM, "Station AE Title") | 1 | U |  |
9 |  |  | UIDREF | EV (121061, DCM, "Device Observer Manufacturer Class UID") | 1-n | U |  | Defaults to value of Manufacturer's Device Class UID (0018,100B) in General Equipment Module.
10 |  |  | CONTAINER | EV (121000, DCM, "Unique Device Identifiers") | 1-n | U |  | Defaults to value of UDI Sequence (0018,100A) in General Equipment Module
11 | > | CONTAINS | TEXT | EV (74711-3, LN, "Unique Device Identifier") | 1 | M |  |
12 | > | CONTAINS | TEXT | EV (120999, DCM, "Device Description") | 1 | U |  |

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.
Row 10, 11 | The description can be used to distinguish between multiple UDIs.

### 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

Root:

  No

Table TID 1005. Procedure Context

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | 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 |  |
5 |  |  | TEXT | EV (121021, DCM, "Filler Number") | 1 | U |  |
6 | > | HAS CONCEPT MOD | TEXT | EV (110190, DCM, "Issuer of Identifier") | 1 | U |  |
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 |  |
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

Root:

  No

Table TID 1006. Subject Context

| NL | Rel with Parent | 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

Root:

  No

Table TID 1007. Subject Context, Patient

| NL | Rel with Parent | 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 “Animal Taxonomic Rank Values” Defaults to value of Patient Species Code Sequence (0010,2202) in Patient Module, or if absent, (337915000, SCT, "Homo sapiens").
8 |  |  | CODE | EV (121035, DCM, "Subject Breed") | 1 | U |  | Defaults to value of Patient Breed Code Sequence (0010,2293) in Patient Module DCID 7480 “Breed”
9 |  |  | CODE | EV (415229000, SCT, "Racial group") | 1 | U |  | Defaults to the coded equivalent of the text value of Ethnic Group (0010,2160) in Patient Module, which is defined as "race or ethnic group" DCID 6099 “Racial Group”

### TID 1008 Subject Context, Fetus

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

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 1008. Subject Context, Fetus

| NL | Rel with Parent | 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

Root:

  No

Table TID 1009. Subject Context, Specimen

| NL | Rel with Parent | 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 (371439000, SCT, "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

Root:

  No

Table TID 1010. Subject Context, Device

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
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

Root:

  No

Table TID 1020. Person Participant

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | 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

Root:

  No

Table TID 1021. Device Participant

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | 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

1. For example, the French language could be specified unmodified, or French as written in France or Canada could be distinguished.

2. 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

Root:

  No

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

Root:

  No

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

Root:

  No

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

Root:

  No

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

Root:

  No

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 |  |

### Note

A coded equivalent meaning for the Concept Name can also be included using the attribute Equivalent Code Sequence (0008,0121) in the Concept Name Code Sequence (0040,A043) (see Section 8.9 “Equivalent Code Sequence” in PS3.3 ), though the equivalent code(s) in the Equivalent Code Sequence (0008,0121) need not be the same as those in TID 1210.

### 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

Root:

  No

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

1. 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"

2. For example, to specify a concept name and value in both French and English in Canada:

   CODE:(91723000, SCT, "Anatomical structure") = (76752008, SCT, "Breast")

   > HAS CONCEPT MOD CODE: (121048, DCM, "Language of name and value") = (en-CA, RFC5646, "English, Canada")

   > HAS CONCEPT MOD CODE: (121050, DCM, "Equivalent meaning of concept name") = (91723000, SCT, Structure de l'anatomie")

   >> HAS CONCEPT MOD CODE: (121047, DCM, " Langue de la valeur ") = (fr-CA, RFC5646, " Français, Canadien ")

   > HAS CONCEPT MOD CODE: (121051, DCM, "Equivalent meaning of value") = (76752008, SCT, "Sein")

   >> HAS CONCEPT MOD CODE: (121047, DCM, " Langue de la valeur ") = (fr-CA, RFC5646, " Français, Candie ")

3. 3. A coded equivalent meaning for the Concept Value of a CODE Content Item can also be included using the attribute Equivalent Code Sequence (0008,0121) in the Concept Code Sequence (0040, A168) (see Section 8.9 “Equivalent Code Sequence” in PS3.3 ).

### 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

1. 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"

2. 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

Root:

  No

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

Root:

  No

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

Root:

  No

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 (131184002, SCT, "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 (131184002, SCT, "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 (131184002, SCT, "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 (370129005, SCT, "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.
Row 8 | The values of (112039, DCM, "Tracking Identifier") and (112040, DCM, "Tracking Unique Identifier"), if present, shall match the corresponding values of Tracking ID (0062,0020) and Tracking UID (0062,0021), if present, in the corresponding Segment of any Segmentation instance referenced in Row 5.

### TID 1402 Volume Measurement

Type:

  Extensible

Order:

  Significant

Root:

  No

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 (370129005, SCT, "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.
Row 8 | The values of (112039, DCM, "Tracking Identifier") and (112040, DCM, "Tracking Unique Identifier"), if present, shall match the corresponding values of Tracking ID (0062,0020) and Tracking UID (0062,0021), if present, in the corresponding Segment of any Segmentation instance referenced in Row 5.

### TID 1404 Numeric Measurement

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 1404. Numeric Measurement

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | NUM |  | 1 | M |  | UNITS = DCID 82 “Units of Measurement”
2 | > | INFERRED FROM | SCOORD |  | 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

Root:

  No

Table TID 1406. Three Dimensional 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 | 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

Row 2 | 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 and Qualitative Evaluations

This Template provides a general structure to report measurements for some metric, e.g., density, flow, or concentration, and/or qualitative evaluations, over a planar region of interest in an image. The ROI may be specified by an SCOORD on an image, by a Segmentation Image, or or by an SCOORD3D defining an area relative to a 3D Frame of Reference.

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
$QualType | Evaluations encoded with code or text responses
$QualValue | Value of evaluations encoded with code responses
$QualModType | Modifier Name of evaluations encoded with code or text responses
$QualModValue | Modifier Value of evaluations encoded with code or text responses
$FindingType | Type of the finding

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 1410. Planar ROI Measurements and Qualitative Evaluations

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (125007, DCM, "Measurement Group") | 1 | M |  |
1b | > | HAS OBS CONTEXT | TEXT | EV (C67447, NCIt, "Activity Session") | 1 | U |  |
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 |  |
3b | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1 | U |  | $FindingType
3c | > | CONTAINS | CODE | EV (130400, DCM, "Geometric purpose of region") | 1 | U |  | BCID 219 “Geometry Graphical Representation”
4 | > | HAS OBS CONTEXT | 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
7b | > | CONTAINS | SCOORD3D | EV (111030, DCM, "Image Region") | 1 | MC | XOR Rows 5, 7 | GRAPHIC TYPE = not {MULTIPOINT, POLYLINE or ELLIPSOID}
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 |  |
9b | > | CONTAINS | IMAGE | EV (130401, DCM, "Visual explanation") | 1-n | 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 | U |  | $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 | $QualType | 1-n | U |  | $QualValue
12b | >> | HAS CONCEPT MOD | CODE | $QualModType | 1-n | U |  | $QualModValue
13 | > | CONTAINS | TEXT | $QualType | 1-n | U |  |

Content Item Descriptions

Row 1b | Identifies the session during which the measurements were made. The NCI Thesaurus definition is "time, period, or term devoted to some activity".
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. The values of these content items shall match the corresponding values of Tracking ID (0062,0020) and Tracking UID (0062,0021), if present, in the corresponding Segment of any Segmentation instance referenced in Row 7.
Row 3b | The type of the finding describes whatever entity (finding or feature) is identified by Rows 2 and 3. E.g., a finding might be a lesion, a tumor, or a reference region (as distinct from its anatomical location, which is encoded in a different content item (Finding Site).
Row 5 | To describe an infinitely small area, such as the center of a lesion, a Graphic Type of POINT may be used.
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 7b | The area may be defined independently of an image by reference to 3D coordinates in any type of DICOM Reference Coordinate System, whether it be patient-relative (Patient Based Coordinate System), volume-relative (including acquired and presentation state volumes), or whole slide relative (Slide Coordinate System).
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 9b | This referenced image may contain a visual explanation of how an algorithm produces its results, and may be a "screen shot" of the explanation already superimposed on the source image (e.g., a "heat map"), or a parametric map intended to be superimposed on the source image by the receiving application. The type of image and the type of visual explanation is described in the referenced image's own metadata. More than one referenced image may be present, if there is more than one type of visual explanation, or it needs to span more than one single-frame image.
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).
Row 11 | Measurements may be omitted, for example if it is desired to describe only the location of a finding or to provide categorical information about it.
Rows 12, 12b, 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. A single level of coded modifiers may be present.

### TID 1411 Volumetric ROI Measurements and Qualitative Evaluations

This Template provides a general structure to report measurements for some metric, e.g., density, flow, or concentration, and/or qualitative evaluations, 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 set of SCOORD3Ds defining a volume relative to a 3D Frame of Reference.

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
$QualType | Evaluations encoded with code or text responses
$QualValue | Value of evaluations encoded with code responses
$QualModType | Modifier Name of evaluations encoded with code or text responses
$QualModValue | Modifier Value of evaluations encoded with code or text responses
$FindingType | Type of the finding

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 1411. Volumetric ROI Measurements and Qualitative Evaluations

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (125007, DCM, "Measurement Group") | 1 | M |  |
1b | > | HAS OBS CONTEXT | TEXT | EV (C67447, NCIt, "Activity Session") | 1 | U |  |
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 |  |
3b | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1 | U |  | $FindingType
3c | > | CONTAINS | CODE | EV (130400, DCM, "Geometric purpose of region") | 1 | U |  | BCID 219 “Geometry Graphical Representation”
4 | > | HAS OBS CONTEXT | 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
10 | > | CONTAINS | SCOORD3D | EV (121231, DCM, "Volume Surface") | 1-n | MC | XOR Rows 5, 7 | If one item, GRAPHIC TYPE = {ELLIPSOID or POINT} If more than one item, GRAPHIC TYPE = {POLYGON or ELLIPSE}
11 | > | CONTAINS | IMAGE | EV (121233, DCM, "Source image for segmentation") | 1-n | MC | XOR Row 12 and IFF (Row 7 or Row 10) |
12 | > | CONTAINS | UIDREF | EV (121232, DCM, "Source series for segmentation") | 1 | MC | XOR Row 11 and IFF ((Row 7 or Row 10) |
13 | > | CONTAINS | IMAGE | EV (121200, DCM, "Illustration of ROI") | 1-n | U |  |
13b | > | CONTAINS | IMAGE | EV (130401, DCM, "Visual explanation") | 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 | U |  | $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 | $QualType | 1-n | U |  | $QualValue
16b | >> | HAS CONCEPT MOD | CODE | $QualModType | 1-n | U |  | $QualModValue
17 | > | CONTAINS | TEXT | $QualType | 1-n | U |  |

Content Item Descriptions

Row 1b | Identifies the session during which the measurements were made. The NCI Thesaurus definition is "time, period, or term devoted to some activity".
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. The values of these content items shall match the corresponding values of Tracking ID (0062,0020) and Tracking UID (0062,0021), if present, in the corresponding Segment of any Segmentation instance referenced in Row 7.
Row 3b | The type of the finding describes whatever entity (finding or feature) is identified by Rows 2 and 3. E.g., a finding might be a lesion, a tumor, or a reference region (as distinct from its anatomical location, which is encoded in a different content item (Finding Site).
Rows 5, 10 | To describe an infinitely small volume, such as the center of a lesion, a Graphic Type of POINT may be used.
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.
Row 10 | Either a single item describing a closed volumetric surface, or multiple items describing a set of parallel closed coplanar areas (contours) is specified.
Row 11 | Identifies the source images that were segmented to identify the ROI, when, for example a subset of images in a series was used.
Row 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 13b | This referenced image may contain a visual explanation of how an algorithm produces its results, and may be a "screen shot" of the explanation already superimposed on the source image (e.g., a "heat map"), or a parametric map intended to be superimposed on the source image by the receiving application. The type of image and the type of visual explanation is described in the referenced image's own metadata. More than one referenced image may be present, if there is more than one type of visual explanation, or it needs to span more than one single-frame image.
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).
Row 15 | Measurements may be omitted, for example if it is desired to describe only the location of a finding or to provide categorical information about it.
Rows 16, 16b, 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. A single level of coded modifiers may be present.

### 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(s) 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:

  Non-Significant

Root:

  No

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 (370129005, SCT, "Measurement Method") | 1 | U |  | $Method
2 |  | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1-n | U |  | $TargetSite
3 | > | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | U |  | DCID 244 “Laterality”
4 | > | HAS CONCEPT MOD | CODE | DT (106233006, SCT, "Topographical modifier") | 1 | U |  | $TargetSiteMod
4b |  | HAS CONCEPT MOD | INCLUDE | DTID 4019 “Algorithm Identification” | 1 | U |  |
5 |  |  | NUM | $Measurement | 1-n | M |  | UNITS = $Units
6 | > | HAS CONCEPT MOD | CODE | $ModType | 1-n | U |  | $ModValue
7 | > | HAS CONCEPT MOD | CODE | EV (370129005, SCT, "Measurement Method") | 1 | U |  | $Method
8 | > | HAS CONCEPT MOD | CODE | EV (121401, DCM, "Derivation") | 1 | U |  | $Derivation
9 | > | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1-n | U |  | $TargetSite
10 | >> | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | U |  | DCID 244 “Laterality”
11 | >> | HAS CONCEPT MOD | CODE | DT (106233006, SCT, "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
14b | > | INFERRED FROM | CODE | $DerivationParameter | 1-n | U |  |
14c | > | INFERRED FROM | TEXT | $DerivationParameter | 1-n | U |  |
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")
20 | > | HAS CONCEPT MOD | INCLUDE | DTID 4019 “Algorithm Identification” | 1 | U |  |

Content Item Descriptions

Rows 2, 9 | Finding site may be multiple when a region of interest spans multiple anatomical locations and there is not a single pre-coordinated code describing the combination of locations. E.g., when a maligant, inflammatory or traumatic process spans actual or defined anatomical boundaries. There is no requirement that the multiple locations be contiguous.
Row 4b | Describes the algorithm that applies to all measurements in Row 5, unless overridden within the individual measurement at Row 20.
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

Root:

  No

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 |  |
1b | > | HAS CONCEPT MOD | INCLUDE | DTID 4019 “Algorithm Identification” | 1 | U |  |
2 | > | R-INFERRED FROM | INCLUDE | DTID 1410 “Planar ROI Measurements and Qualitative Evaluations” | 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 and Qualitative Evaluations” | 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
Row 1b | Describes the algorithm used to produced the derived measurement, as opposed to the referenced measurements from which this measurement was derived.
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 |
6b | >> | HAS CONCEPT MOD | INCLUDE | DTID 4019 “Algorithm Identification” | 1 | U |  |
7 | >> | CONTAINS | INCLUDE | DTID 1410 “Planar ROI Measurements and Qualitative Evaluations” | 1-n | U |  | $Measurement = BCID 218 “Quantitative Image Features” $Units = BCID 7181 “Abstract Multi-dimensional Image Model Component Units” $Derivation = BCID 7464 “General Region of Interest Measurement Modifiers” $Method = BCID 6147 “Response Criteria” $QualModType = BCID 210 “Qualitative Evaluation Modifier Types” $QualModValue = BCID 211 “Qualitative Evaluation Modifier Values”
8 | >> | CONTAINS | INCLUDE | DTID 1411 “Volumetric ROI Measurements and Qualitative Evaluations” | 1-n | U |  | $Measurement = BCID 218 “Quantitative Image Features” $Units = BCID 7181 “Abstract Multi-dimensional Image Model Component Units” $Derivation = BCID 7464 “General Region of Interest Measurement Modifiers” $Method = BCID 6147 “Response Criteria” $QualModType = BCID 210 “Qualitative Evaluation Modifier Types” $QualModValue = BCID 211 “Qualitative Evaluation Modifier Values”
9 | >> | CONTAINS | INCLUDE | DTID 1501 “Measurement and Qualitative Evaluation Group” | 1-n | U |  | $Measurement = BCID 218 “Quantitative Image Features” $Units = BCID 7181 “Abstract Multi-dimensional Image Model Component Units” $Derivation = BCID 7464 “General Region of Interest Measurement Modifiers” $Method = BCID 6147 “Response Criteria” $QualModType = BCID 210 “Qualitative Evaluation Modifier Types” $QualModValue = BCID 211 “Qualitative Evaluation Modifier Values”
10 | > | CONTAINS | CONTAINER | EV (126011, DCM, "Derived Imaging Measurements") | 1 | C | IF row 6 and 12 are absent |
10b | >> | HAS CONCEPT MOD | INCLUDE | DTID 4019 “Algorithm Identification” | 1 | U |  |
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 |
12b | >> | HAS CONCEPT MOD | INCLUDE | DTID 4019 “Algorithm Identification” | 1 | U |  |
13 | >> | CONTAINS | CODE |  | 1-n | U |  |
13b | >>> | HAS CONCEPT MOD | CODE | BCID 210 “Qualitative Evaluation Modifier Types” | 1-n | U |  | BCID 211 “Qualitative Evaluation Modifier Values”
14 | >> | CONTAINS | TEXT |  | 1-n | U |  |

Content Item Descriptions

Rows 6, 10, 12 | The conditions require that at least one of the "heading" containers be present, though any of them may be present but empty.
Row 6b, 10b, 12b | Describes the algorithm that applies to all observations within the container, unless overridden at the group or individual observation level.
Rows 7, 8, 9 | The baseline context group allows for generic intensity, size, texture and other feature 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. Different measurements of the same real world lesion made using different types of measurements (different templates) can be correlated by a shared value of Tracking Unique Identifer. See also Section RRR.5 “Measurement Report SR Document Volumetric ROI with RECIST Linear Distance Specified by Coordinates on CT Example” in PS3.17 .
Row 7 | Planar ROI measurements are those defined on a single plane by a segmentation reference or planar spatial coordinates.
Row 8 | Volumetric ROI measurements are those defined on a volume by raster or surface segmentation references or a set of 2D or 3D spatial coordinates.
Row 9 | Generic measurements include those specified on an image as a whole or by unconstrained graphic coordinates. These may be used for such things as whole image scores or quality measures, and for linear distance meaurements, such as for RECIST or WHO tumor treatment response criteria evaluation. 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, 13b, 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. A single level of coded modifiers may be present, such as to post-coordinate the laterality if the parent concept involves an anatomic part.

### TID 1501 Measurement and Qualitative Evaluation Group

This Template groups measurements and/or qualitative evaluations 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(s) 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
$QualType | Evaluations encoded with code or text responses
$QualValue | Value of evaluations encoded with code responses
$QualModType | Modifier Name of evaluations encoded with code or text responses
$QualModValue | Modifier Value of evaluations encoded with code or text responses
$FindingType | Type of the finding

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 1501. Measurement and Qualitative Evaluation Group

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (125007, DCM, "Measurement Group") | 1 | M |  |
1b | > | HAS OBS CONTEXT | TEXT | EV (C67447, NCIt, "Activity Session") | 1 | U |  |
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 |  |
3b | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1 | U |  | $FindingType
4 | > | HAS OBS CONTEXT | INCLUDE | DTID 1502 “Time Point Context” | 1 | U |  |
5 | > | HAS CONCEPT MOD | CODE | EV (370129005, SCT, "Measurement Method") | 1 | U |  | $Method
6 | > | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1-n | U |  | $TargetSite
7 | >> | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | U |  | DCID 244 “Laterality”
8 | >> | HAS CONCEPT MOD | CODE | DT (106233006, SCT, "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")
9b | > | HAS CONCEPT MOD | INCLUDE | DTID 4019 “Algorithm Identification” | 1 | U |  |
9c | > | CONTAINS | IMAGE | EV (121200, DCM, "Illustration of ROI") | 1 | U |  |
9d | > | CONTAINS | IMAGE | EV (130401, DCM, "Visual explanation") | 1-n | U |  |
10 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = $Measurement $Units = $Units $ModType = $ModType $ModValue = $ModValue $Method = $Method $Derivation = $Derivation $TargetSite = $TargetSite $TargetSiteMod = $TargetSiteMod $Equation = $Equation $ImagePurpose = $ImagePurpose $WavePurpose = $WavePurpose $RefAuthority = $RefAuthority $RangeAuthority = $RangeAuthority $DerivationParameter = $DerivationParameter $DerivationParameterUnits = $DerivationParameterUnits
11 | > | CONTAINS | CODE | $QualType | 1-n | U |  |
11b | >> | HAS CONCEPT MOD | CODE | $QualModType | 1-n | U |  | $QualModValue
12 | > | CONTAINS | TEXT | $QualType | 1-n | U |  |

Content Item Descriptions

Row 1b | Identifies the session during which the measurements were made. The NCI Thesaurus definition is "time, period, or term devoted to some activity".
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 3b | The type of the finding describes whatever entity (finding or feature) is identified by Rows 2 and 3. E.g., a finding might be a lesion, a tumor, or a reference region (as distinct from its anatomical location, which is encoded in a different content item (Finding Site).
Row 6 | Finding site may be multiple when a region of interest spans multiple anatomical locations and there is not a single pre-coordinated code describing the combination of locations. E.g., when a maligant, inflammatory or traumatic process spans actual or defined anatomical boundaries. There is no requirement that the multiple locations be contiguous.
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).
Row 9b | Describes the algorithm that applies to all measurements in TID 300 Row 1, unless overridden within the individual measurement at TID 300 Row 19.
Row 9c | This referenced image may contain a "screen shot" illustrating a rendered version of the ROI.
Row 9d | This referenced image may contain a visual explanation of how an algorithm produces its results, and may be a "screen shot" of the explanation already superimposed on the source image (e.g., a "heat map"), or a parametric map intended to be superimposed on the source image by the receiving application. The type of image and the type of visual explanation is described in the referenced image's own metadata. More than one referenced image may be present, if there is more than one type of visual explanation, or it needs to span more than one single-frame image.
Rows 11, 11b, 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. A single level of coded modifiers may be present.

### 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

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | 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")
6 |  | HAS OBS CONTEXT | NUM | EV (128740, DCM, "Longitudinal Temporal Offset from Event") | 1 | U |  | UNITS = DT (d, UCUM, "days")
7 | > | HAS CONCEPT MOD | CODE | EV (128741, DCM, "Longitudinal Temporal Event Type") | 1 | M |  | DCID 280 “Longitudinal Temporal Event Types”

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.
Rows 6, 7 | Longitudinal temporal information may be inherited from Longitudinal Temporal Offset from Event (0012,0052) and Longitudinal Temporal Event Type (0012,0053) in the PS3.3 Section C.7.2.3 Clinical Trial Study Module, or may be specified or overridden within this template (e.g., if different measurements in the same SR Instance were measured on different time points).

### TID 1600 Image Library

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

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 1600. Image Library

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
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

Root:

  No

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

Root:

  No

Table TID 1602. Image Library Entry Descriptors

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | HAS ACQ CONTEXT | CODE | EV (121139, DCM, "Modality") | 1 | U |  | DCID 29 “Acquisition Modality”
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 |  | DCID 244 “Laterality”
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 | C | IFF Row 1 is present with a value of "CR", "DX", "IO", "MG, "PX", "RF", "RG" or "XA" |
14 |  | HAS ACQ CONTEXT | INCLUDE | DTID 1604 “Image Library Entry Descriptors for Cross-Sectional Modalities” | 1 | C | IFF Row 1 is present with a value of "CT", "MR" or "PT" |
15 |  | HAS ACQ CONTEXT | INCLUDE | DTID 1605 “Image Library Entry Descriptors for CT” | 1 | C | IFF Row 1 is present with a value of "CT" |
16 |  | HAS ACQ CONTEXT | INCLUDE | DTID 1606 “Image Library Entry Descriptors for MR” | 1 | C | IFF Row 1 is present with a value of "MR" |
17 |  | HAS ACQ CONTEXT | INCLUDE | DTID 1607 “Image Library Entry Descriptors for PET” | 1 | C | IFF Row 1 is present with a value of "PT" |

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

Root:

  No

Table TID 1603. Image Library Entry Descriptors for Projection Radiography

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | 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 |  | UNITS = EV (deg, UCUM, "deg")
8 |  | HAS ACQ CONTEXT | NUM | EV (112012, DCM, "Positioner Secondary Angle") | 1 | U |  | UNITS = EV (deg, UCUM, "deg")

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 second 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 first 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

Root:

  No

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

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | 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 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 .
Vertical Imager Pixel Spacing | The 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 .

### 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

Root:

  No

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

Root:

  No

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 (128230, 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

Root:

  No

Table TID 1607. Image Library Entry Descriptors for PET

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | HAS ACQ CONTEXT | CODE | EV (89457008, SCT, "Radionuclide") | 1 | U |  | DCID 4020 “PET Radionuclide”
2 |  | HAS ACQ CONTEXT | CODE | EV (349358000, SCT, "Radiopharmaceutical agent") | 1 | U |  | DCID 4021 “PET Radiopharmaceutical”
3 |  | HAS ACQ CONTEXT | NUM | EV (304283002, SCT, "Half-life of radiopharmaceutical") | 1 | U |  | UNITS = EV (s, UCUM, "s")
3b |  | HAS ACQ CONTEXT | TEXT | EV (121022, DCM, "Accession Number") | 1 | U |  |
4 |  | HAS ACQ CONTEXT | DATETIME | EV (123003, DCM, "Radiopharmaceutical Start DateTime") | 1 | U |  |
5 |  | HAS ACQ CONTEXT | DATETIME | EV (123004, DCM, "Radiopharmaceutical Stop DateTime") | 1 | U |  |
6 |  | HAS ACQ CONTEXT | NUM | EV (123005, DCM, "Radiopharmaceutical Volume") | 1 | U |  | UNITS = DT (cm3, UCUM, "cm3")
7 |  | HAS ACQ CONTEXT | NUM | EV (123006, DCM, "Radionuclide Total Dose") | 1 | U |  | UNITS = DT (Bq, UCUM, "Bq")
8 |  | HAS ACQ CONTEXT | NUM | EV (123007, DCM, "Radiopharmaceutical Specific Activity") | 1 | U |  | UNITS = DT (Bq/mol, UCUM, "Bq/mol")
9 |  | HAS ACQ CONTEXT | CODE | EV (410675002, SCT, "Route of Administration") | 1 | U |  | BCID 11 “Route of Administration”
10 |  | HAS ACQ CONTEXT | NUM | EV (123009, DCM, "Radionuclide Syringe Counts") | 1 | U |  | UNITS = DT ({counts}/s, UCUM "counts/s")
11 |  | HAS ACQ CONTEXT | NUM | EV (123010, DCM, "Radionuclide Residual Syringe Counts") | 1 | U |  | UNITS = DT ({counts}/s, UCUM "counts/s")
12 |  | HAS ACQ CONTEXT | NUM | EV (126203, DCM, "PET Radionuclide Incubation Time") | 1 | U |  | UNITS = EV (min, UCUM, "min")
13 |  | HAS ACQ CONTEXT | NUM | EV (14749-6, LN, "Glucose") | 1 | U |  | UNITS = EV (mmol/l, UCUM, "mmol/l")
14 |  | HAS ACQ CONTEXT | DATE | EV (127857, DCM, "Glucose Measurement Date") | 1 | MC | IF Row 13 Glucose is present and does not contain Observation DateTime (0040,A032). |
15 |  | HAS ACQ CONTEXT | TIME | EV (127858, DCM, "Glucose Measurement Time") | 1 | MC | IF Row 13 Glucose is present and does not contain Observation DateTime (0040,A032). |

Content Item Descriptions

Row 3 | 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 .
Row 14 | Glucose Measurement Date | In an earlier edition of the Standard, an incorrect DCM code was used for this concept, which was already assigned as (109081, DCM, "Prospective gating").
Row 15 | Glucose Measurement Time | In an earlier edition of the Standard, an incorrect DCM code was used for this concept, which was already assigned as (109082, DCM, "Retrospective gating").

### 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 | 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 | 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

Root:

  No

Table TID 2001. Basic Diagnostic Imaging Report Observations

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
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

Root:

  No

Table TID 2002. Report Narrative

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
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 | 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 | 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 |  | 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. Purpose of reference is not specified.

### 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

Root:

  No

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

Root:

  No

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 (364320009, SCT, "Pregnancy observable") | 1 | MC | IF female patient of child-bearing age | DCID 6096 “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 (440252007, SCT, "Administration of radiopharmaceutical") | 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

1. 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.

2. The order of object references may be significant, e.g., when the title concept is "For Conference".

3. 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 |  | 1-n | MC | At least one of Rows 8, 9 and 10 shall be present |
9 | > | CONTAINS | WAVEFORM |  | 1-n | MC | At least one of Rows 8, 9 and 10 shall be present |
10 | > | CONTAINS | COMPOSITE |  | 1-n | MC | At least one of Rows 8, 9 and 10 shall be present |

Content Item Descriptions

Rows 8, 9, 10 | Purpose of reference shall not 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

Root:

  No

Table TID 2021. Spectacle Prescription Details

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | NUM | EV (251795007, SCT, "Sphere") | 1 | M |  | UNITS = EV ([diop], UCUM, "diopters")
2 |  | CONTAINS | NUM | EV (251797004, SCT, "Cylinder Power") | 1 | UC | IF Cylinder is prescribed | UNITS = EV ([diop], UCUM, "diopters")
3 |  | CONTAINS | NUM | EV (251799001, SCT, "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 (24028007, SCT, "Right")
5 | > | CONTAINS | INCLUDE | DTID 2101 “Macular Grid Thickness and Volume Measurement” | 1 | MC | IF Row 4 is absent. | $Laterality = EV (7771000, SCT, "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

Root:

  No

Table TID 2101. Macular Grid Thickness and Volume Measurement

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (59776-5, LN, "Findings") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | EV (81745001, SCT, "Eye")
3 | >> | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "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 |  | 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 |  |

Content Item Descriptions

Row 22 | No purpose of reference is specified.

### 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

Root:

  No

Table TID 2102. Quality Rating Identification

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
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 |  |

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