# PS3.16

## DICOM PS3.16 2021d - Content Mapping Resource

### DICOM Standards Committee

Copyright © 2021 NEMA

A DICOM® publication

List of Figures

A-3. Quantitative Ventricular Analysis Report SR IOD Template Structure
A-4. Quantitative Arterial Analysis Report SR IOD Template Structure
A-4b. Direction of Blood Flow
A-5. IVUS Report Template Hierarchy
A-6. Hemodynamic Report Template Hierarchy
A-7. Cardiac Catheterization Report Template Hierarchy
A-8. Mammography CAD SR IOD Template Structure
A-8a. Example of Breast Outline Including Pectoral Muscle Tissue
A-8b. Example of Pectoral Muscle Outline
A-9. Chest CAD SR IOD Template Structure
A-9b. Colon CAD SR IOD Template Structure
A-10. Breast Imaging Report Template Structure
A.4300-1. Prostate Imaging Report Template Structure
A.4300-2. Prostate Imaging Findings Template Structure
A-10b. Simplified Adult Echocardiography Template Structure
A-11. Implantation Plan SR Document IOD Template Structure
A-12. Implant Assembly and Components Terminology
A-13. References to Registration Objects
A-14. X-Ray Radiation Dose SR IOD Template Structure
A-15. CT Radiation Dose SR IOD Template Structure
A-16. Spiral Acquisition Parameters
A-17. Radiopharmaceutical Radiation Dose SR IOD Template Structure
A-18. Patient Radiation Dose Structured Report IOD Template Structure
A-18b. Enhanced X-Ray Radiation Dose Structured Report IOD Template Structure
A-19. Planned Imaging Agent Administration SR IOD Template Structure
A-20. Performed Imaging Agent Administration SR IOD Template Structure

List of Tables

TID <#>. <SR Context Template Name>
TID <#>. <Acquisition Context Template Name>
TID <#>. <Protocol Context Template Name>
6.1.3-1. Syntax of Relationship Constraints
6.1.6-1. Permitted Values for VM
CID <#>. <Context Group Name>
7.2.1-1. Include Context Group Macro
8-1. Coding Schemes
8-2. HL7v3 Coding Schemes
TID 300. Parameters
TID 300. Measurement
TID 310. Parameters
TID 310. Measurement Properties
TID 311. Parameters
TID 311. Measurement Statistical Properties
TID 312. Parameters
TID 312. Normal Range Properties
TID 315. Parameters
TID 315. Equation or Table
TID 320. Parameters
TID 320. Image or Spatial Coordinates
TID 321. Parameters
TID 321. Waveform or Temporal Coordinates
TID 350. References to Supporting Evidence
TID 351. Previous Reports
TID 400. Reference Location
TID 1000. Quotation
TID 1001. Observation Context
TID 1002. Observer Context
TID 1003. Person Observer Identifying Attributes
TID 1004. Device Observer Identifying Attributes
TID 1005. Procedure Context
TID 1006. Subject Context
TID 1007. Subject Context, Patient
TID 1008. Subject Context, Fetus
TID 1009. Subject Context, Specimen
TID 1010. Subject Context, Device
TID 1015. Person Observer Description
TID 1020. Parameters
TID 1020. Person Participant
TID 1021. Parameters
TID 1021. Device Participant
TID 1200. Language Designation
TID 1201. Language of Value
TID 1202. Language of Name and Value
TID 1204. Language of Content Item and Descendants
TID 1210. Equivalent Meaning(s) of Concept Name
TID 1211. Equivalent Meaning(s) of Value
TID 1350. Negation Modifier, Presence of Finding
TID 1400. Linear Measurement
TID 1401. Area Measurement
TID 1402. Volume Measurement
TID 1404. Numeric Measurement
TID 1406. Three Dimensional Linear Measurement
TID 1410. Parameters
TID 1410. Planar ROI Measurements and Qualitative Evaluations
TID 1411. Parameters
TID 1411. Volumetric ROI Measurements and Qualitative Evaluations
TID 1419. Parameters
TID 1419. ROI Measurements
TID 1420. Parameters
TID 1420. Measurements Derived From Multiple ROI Measurements
TID 1500. Measurement Report
TID 1501. Parameters
TID 1501. Measurement and Qualitative Evaluation Group
TID 1502. Time Point Context
TID 1600. Image Library
TID 1601. Image Library Entry
TID 1602. Image Library Entry Descriptors
TID 1603. Image Library Entry Descriptors for Projection Radiography
TID 1604. Image Library Entry Descriptors for Cross-Sectional Modalities
TID 1605. Image Library Entry Descriptors for CT
TID 1606. Image Library Entry Descriptors for MR
TID 1607. Image Library Entry Descriptors for PET
TID 1608. Image Library Entry Descriptors for Prostate Multiparametric MR
TID 1700. Parameters
TID 1700. Generic Blood Lab Measurements
TID 1701. Parameters
TID 1701. Imaging Study Quality
TID 2000. Basic Diagnostic Imaging Report
TID 2001. Basic Diagnostic Imaging Report Observations
TID 2002. Report Narrative
TID 2005. Transcribed Diagnostic Imaging Report
TID 2006. Imaging Report With Conditional Radiation Exposure and Protection Information
TID 2007. Imaging Procedure Description
TID 2008. Radiation Exposure and Protection Information
TID 2010. Key Object Selection
TID 2020. Spectacle Prescription Report
TID 2021. Spectacle Prescription Details
TID 2100. Macular Grid Thickness and Volume Report
TID 2101. Parameters
TID 2101. Macular Grid Thickness and Volume Measurement
TID 2102. Quality Rating Identification
TID 3001. Procedure Log
TID 3010. Log Entry Qualifiers
TID 3100. Procedure Action
TID 3101. Image Acquisition
TID 3102. Waveform Acquisition
TID 3103. Referenced Object
TID 3104. Consumables
TID 3105. Lesion Identification and Properties
TID 3106. Drugs/Contrast Administered
TID 3107. Device Used
TID 3108. Intervention
TID 3109. Measurements
TID 3110. Impressions or Findings
TID 3111. Percutaneous Entry
TID 3112. Specimen Obtained
TID 3113. Patient Support
TID 3114. Patient Assessment
TID 3115. ECG ST Assessment
TID 3202. Ventricular Analysis
TID 3205. Parameters
TID 3205. Calibration
TID 3206. VA Main Results
TID 3207. AA Main Results
TID 3208. Frame-To-Frame Result
TID 3209. Centerline Wall Motion
TID 3210. Radial Based Wall Motion
TID 3211. Landmark Based Wall Motion
TID 3213. Quantitative Arterial Analysis
TID 3214. Analyzed Segment
TID 3215. Angiographic Lesion Analysis
TID 3216. Stenotic Flow Reserve
TID 3217. Sub-Segmental Data
TID 3218. Position in Arterial Segment
TID 3219. Segment Values
TID 3250. IVUS Report
TID 3251. IVUS Vessel
TID 3252. IVUS Lesion
TID 3253. IVUS Measurements
TID 3254. IVUS Qualitative Assessments
TID 3255. IVUS Volume Measurement
TID 3300. Stress Testing Report
TID 3301. Stress Test Procedure Description
TID 3303. Stress Test Phase Data
TID 3304. Stress Test Measurement Group
TID 3307. NM/PET Perfusion Measurement Group
TID 3309. Stress Echo Measurement Group
TID 3311. Stress Test Summary
TID 3312. Physiological Summary
TID 3313. Stress ECG Summary
TID 3317. Stress Imaging Summary
TID 3318. Comparison to Prior Stress Exam
TID 3320. Conclusions and Recommendations
TID 3500. Hemodynamics Report
TID 3501. Hemodynamics Measurement Group
TID 3504. Arterial Pressure Measurement
TID 3505. Atrial Pressure Measurement
TID 3506. Venous Pressure Measurement
TID 3507. Ventricular Pressure Measurement
TID 3508. Gradient Measurement
TID 3509. Blood Velocity Measurement
TID 3510. Vital Signs
TID 3515. Cardiac Output Measurement By Indicator Dilution
TID 3516. Blood Lab Measurements
TID 3520. Hemodynamic Clinical Context
TID 3521. Parameters
TID 3521. Relative Time
TID 3530. Parameters
TID 3530. Hemodynamic Acquisition Context
TID 3550. Pressure Waveform Measurements
TID 3560. Derived Hemodynamic Measurements
TID 3570. Summary, Hemodynamics
TID 3601. Procedure Context
TID 3602. Cardiovascular Patient Characteristics
TID 3603. Procedure Environmental Characteristics
TID 3700. ECG Report
TID 3702. Prior ECG Exam
TID 3704. Patient Characteristics for ECG
TID 3708. ECG Waveform Information
TID 3713. ECG Global Measurements
TID 3714. ECG Lead Measurements
TID 3715. ECG Measurement Source
TID 3717. Qualitative Analysis, ECG
TID 3719. Summary, ECG
TID 3800. Cardiac Catheterization Report Root
TID 3802. Cardiovascular Patient History
TID 3803. Patient Presentation, Cath
TID 3806. Cath Procedure
TID 3807. Percutaneous Coronary Intervention Procedure
TID 3808. Lesion Intervention Information
TID 3809. Other Interventional Procedures
TID 3810. Cardiac Catheterization Findings
TID 3812. Hemodynamic Findings
TID 3814. Left Ventriculography Findings
TID 3815. Right Ventriculography Findings
TID 3816. Ventricular Assessment
TID 3817. Coronary Arteriography Findings
TID 3818. Other Cardiographic Findings
TID 3819. Parameters
TID 3819. Common Findings
TID 3820. Adverse Outcomes, Cath
TID 3824. Summary, Cath
TID 3828. Discharge Summary, Cath
TID 3829. Parameters
TID 3829. Problem Properties
TID 3830. Parameters
TID 3830. Procedure Properties
TID 3831. Parameters
TID 3831. Medical Device Use
TID 3900. CT/MR Cardiovascular Analysis Report
TID 3901. Procedure Summary
TID 3902. Parameters
TID 3902. Vascular Analysis
TID 3905. Calcium Scoring Results
TID 3906. Parameters
TID 3906. Vascular Section Measurements
TID 3907. Vessel Measurements
TID 3908. Vascular Lesion
TID 3909. Best Illustration of Findings
TID 3910. Flow Quantification
TID 3911. Plaque Properties
TID 3912. Stenosis Properties
TID 3913. Aneurysm Properties
TID 3914. Arterial Dissection Properties
TID 3915. Vascular Occlusion Properties
TID 3916. Stent Properties
TID 3917. Aneurysm Measurements
TID 3920. Ventricular Analysis
TID 3921. Parameters
TID 3921. Ventricular Measurements
TID 3922. Absolute Values of Ventricular Measurements
TID 3923. BSA-Normalized Ventricular Measurements
TID 3924. Heart Rate-Normalized Ventricular Measurements
TID 3925. Thickening Analysis
TID 3926. Myocardial Perfusion Analysis
TID 3927. Report Summary
TID 3929. Cardiovascular Analysis Observation Context
TID 3990. Parameters
TID 3990. Two Dimensional Measurement Graph
TID 4000. Mammography CAD Document Root
TID 4001. Mammography CAD Overall Impression/Recommendation
TID 4002. Mammography CAD Impression/Recommendation Body
TID 4003. Mammography CAD Individual Impression/Recommendation
TID 4004. Mammography CAD Composite Feature
TID 4005. Mammography CAD Composite Feature Body
TID 4006. Mammography CAD Single Image Finding
TID 4007. Mammography CAD Breast Composition
TID 4008. Mammography CAD Breast Geometry
TID 4009. Mammography CAD Individual Calcification
TID 4010. Mammography CAD Calcification Cluster
TID 4011. Mammography CAD Density
TID 4012. Mammography CAD Non-lesion
TID 4013. Mammography CAD Selected Region
TID 4014. Parameters
TID 4014. CAD Image Quality
TID 4015. Parameters
TID 4015. CAD Detections Performed
TID 4016. Parameters
TID 4016. CAD Analyses Performed
TID 4017. Parameters
TID 4017. CAD Detection Performed
TID 4018. Parameters
TID 4018. CAD Analysis Performed
TID 4019. Algorithm Identification
TID 4020. Parameters
TID 4020. CAD Image Library Entry
TID 4021. Mammography CAD Geometry
TID 4022. CAD Observation Context
TID 4023. CAD Operating Points
TID 4100. Chest CAD Document Root
TID 4101. Chest CAD Findings Summary
TID 4102. Chest CAD Composite Feature
TID 4103. Chest CAD Composite Feature Body
TID 4104. Chest CAD Single Image Finding
TID 4105. Chest CAD Descriptors
TID 4106. Response Evaluation
TID 4107. Chest CAD Geometry
TID 4108. Tracking Identifier
TID 4120. Colon CAD Document Root
TID 4121. Colon CAD Findings Summary
TID 4122. CAD Common Image Properties Entry
TID 4125. Colon CAD Composite Feature
TID 4126. Colon CAD Composite Feature Body
TID 4127. Colon CAD Single Image Finding
TID 4128. Colon CAD Descriptors
TID 4129. Colon CAD Geometry
TID 4200. Breast Imaging Report
TID 4201. Breast Imaging Procedure Reported
TID 4202. Breast Imaging Report Narrative
TID 4203. Breast Imaging Assessment
TID 4204. Breast Imaging Report Intervention Section
TID 4205. Breast Composition Section
TID 4206. Breast Imaging Report Finding Section
TID 4207. Breast Imaging Pathology Results
TID 4208. Breast Imaging Report Supplementary Data
TID 4209. Breast Patient Characteristics
TID 4300. Prostate Multiparametric MR Imaging Report
TID 4301. Genitourinary Patient History
TID 4302. Prostate Imaging Findings
TID 4303. Overall Prostate Finding
TID 4304. Localized Prostate Finding
TID 4305. Extra-prostatic Finding
TID 4306. PI-RADS® Localized Abnormality Assessment
TID 5000. OB-GYN Ultrasound Procedure Report
TID 5001. OB-GYN Patient Characteristics
TID 5002. OB-GYN Procedure Summary Section
TID 5003. OB-GYN Procedure Fetus Summary
TID 5004. Fetal Biometry Ratio Section
TID 5005. Fetal Biometry Section
TID 5006. Fetal Long Bones Section
TID 5007. Fetal Cranium Section
TID 5008. Parameters
TID 5008. Fetal Biometry Group
TID 5009. Fetal Biophysical Profile Section
TID 5010. Amniotic Sac Section
TID 5011. Early Gestation Section
TID 5012. Ovaries Section
TID 5013. Parameters
TID 5013. Follicles Section
TID 5014. Follicle Measurement Group
TID 5015. Pelvis and Uterus Section
TID 5016. Parameters
TID 5016. LWH Volume Group
TID 5025. Parameters
TID 5025. OB-GYN Fetal Vascular Ultrasound Measurement Group
TID 5026. Parameters
TID 5026. OB-GYN Pelvic Vascular Ultrasound Measurement Group
TID 5100. Vascular Ultrasound Report
TID 5101. Vascular Patient Characteristics
TID 5102. Vascular Procedure Summary Section
TID 5103. Parameters
TID 5103. Vascular Ultrasound Section
TID 5104. Parameters
TID 5104. Vascular Ultrasound Measurement Group
TID 5105. Ultrasound Graft Section
TID 5200. Echocardiography Procedure Report
TID 5201. Echocardiography Patient Characteristics
TID 5202. Parameters
TID 5202. Echo Section
TID 5203. Parameters
TID 5203. Echo Measurement
TID 5204. Parameters
TID 5204. Wall Motion Analysis
5204-1. Numeric Score Assignment for Segmental Findings
TID 5220. Pediatric, Fetal and Congenital Cardiac Ultrasound Reports
TID 5221. Cardiac Ultrasound Pediatric Echo Measurement Section
TID 5222. Parameters
TID 5222. Pediatric, Fetal and Congenital Cardiac Ultrasound Section
TID 5223. Parameters
TID 5223. Pediatric, Fetal and Congenital Cardiac Ultrasound Measurement
TID 5225. Cardiac Ultrasound Fetal Characteristics
TID 5226. Cardiac Ultrasound Summary Section
TID 5227. Cardiac Ultrasound Fetal Summary Section
TID 5228. Cardiac Ultrasound Fetal Measurement Section
TID 5300. Simplified Echo Procedure Report
TID 5301. Parameters
TID 5301. Pre-coordinated Echo Measurement
TID 5302. Parameters
TID 5302. Post-coordinated Echo Measurement
TID 5303. Parameters
TID 5303. Adhoc Measurement
TID 7000. Implantation Plan
TID 7001. Related Implantation Reports
TID 8101. Preclinical Small Animal Image Acquisition Context
TID 8110. Biosafety Conditions
TID 8121. Animal Housing
TID 8122. Animal Feeding
TID 8130. Anesthesia
TID 8131. Parameters
TID 8131. Medications and Mixture Medications
TID 8140. Heating Conditions
TID 8150. Circadian Effects
TID 8170. Physiological Monitoring Performed During Procedure
TID 8182. Parameters
TID 8182. Exogenous Substance Administration
TID 9000. Relevant Patient Information for Breast Imaging
TID 9001. Gynecological History
TID 9002. Parameters
TID 9002. Medication, Substance, Environmental Exposure
TID 9003. Parameters
TID 9003. Previous Procedure
TID 9004. Parameters
TID 9004. Indicated Problem
TID 9005. Parameters
TID 9005. Risk Factor
TID 9006. Obstetric History
TID 9007. Parameters
TID 9007. General Relevant Patient Information
TID 10001. Projection X-Ray Radiation Dose
TID 10002. Parameters
TID 10002. Accumulated X-Ray Dose
TID 10003. Irradiation Event X-Ray Data
TID 10003A. Irradiation Event X-Ray Detector Data
TID 10003B. Irradiation Event X-Ray Source Data
TID 10003C. Irradiation Event X-Ray Mechanical Data
TID 10004. Accumulated Fluoroscopy and Acquisition Projection X-Ray Dose
TID 10005. Accumulated Mammography X-Ray Dose
TID 10006. Accumulated Cassette-Based Projection Radiography Dose
TID 10007. Accumulated Total Projection Radiography Dose
TID 10011. CT Radiation Dose
TID 10012. CT Accumulated Dose Data
TID 10013. CT Irradiation Event Data
TID 10014. Scanning Length
TID 10015. CT Dose Check Details
TID 10021. Radiopharmaceutical Radiation Dose
TID 10022. Radiopharmaceutical Administration Event Data
TID 10023. Organ Dose
TID 10024. Imaging Agent Administration Patient Characteristics
TID 10030. Patient Radiation Dose
TID 10031. Radiation Dose Estimate
TID 10032. Radiation Dose Estimate Representation
TID 10033. Radiation Dose Estimate Methodology
TID 10034. Radiation Dose Estimate Parameters
TID 10040. Enhanced X-Ray Radiation Dose
TID 10041. Accumulated Dose Data
TID 10042. Irradiation Event Summary Data
TID 10043. Irradiation Details
TID 10044. Radiation Source Characteristics
TID 10045. Radiation Technique
TID 10046. Filtration
TID 10047. Attenuators
TID 10048. Radiation Output
TID 10049. Radiation Field Area
TID 10050. X-Ray Source Reference Coordinate System
TID 10051. Beam Position
TID 10052. Attenuator Position
TID 10053. Patient Attenuation Characteristics
TID 10054. Procedure Characteristics
TID 10055. Attenuator Characteristics
TID 11001. Planned Imaging Agent Administration
TID 11002. Imaging Agent Information
TID 11003. Imaging Agent Administration Activity
TID 11004. Imaging Agent Component
TID 11005. Imaging Agent Administration Consumable
TID 11006. Imaging Agent Administration Steps
TID 11007. Imaging Agent Administration Step
TID 11008. Imaging Agent Administration Phase
TID 11020. Performed Imaging Agent Administration
TID 11021. Imaging Agent Administration Adverse Events
TID 11022. Imaging Agent Administration Injector Events
TID 11023. Imaging Agent Administration Graph
CID 2. Anatomic Modifier
CID 4. Anatomic Region
CID 5. Transducer Approach
CID 6. Transducer Orientation
CID 7. Ultrasound Beam Path
CID 8. Angiographic Interventional Devices
CID 9. Image Guided Therapeutic Procedures
CID 10. Interventional Drug
CID 11. Route of Administration
CID 12. Radiographic Contrast Agent
CID 13. Radiographic Contrast Agent Ingredient
CID 18. Isotopes in Radiopharmaceuticals
CID 19. Patient Orientation
CID 20. Patient Orientation Modifier
CID 21. Patient Equipment Relationship
CID 23. Cranio-Caudad Angulation
CID 25. Radiopharmaceuticals
CID 26. Nuclear Medicine Projections
CID 27. Basic Cardiac Views
CID 29. Acquisition Modality
CID 30. DICOM Devices
CID 31. Abstract Priors
CID 32. Non-Acquisition Modality
CID 33. Modality
CID 42. Numeric Value Qualifier
CID 43. Numeric Value Failure Qualifier
CID 44. Numeric Value Unknown Qualifier
CID 50. Instance Availability Status
CID 60. Imaging Agent Administration Adverse Events
CID 61. Time Relative to Procedure
CID 62. Imaging Agent Administration Phase Type
CID 63. Imaging Agent Administration Mode
CID 64. Imaging Agent Administration Patient State
CID 65. Pre-Medication for Imaging Agent Administration
CID 66. Medication for Imaging Agent Administration
CID 67. Imaging Agent Administration Completion Status
CID 68. Imaging Agent Administration Pharmaceutical Unit of Presentation
CID 69. Imaging Agent Administration Consumables
CID 70. Flush
CID 71. Imaging Agent Administration Injector Event Type
CID 72. Imaging Agent Administration Step Type
CID 73. Bolus Shaping Curves
CID 74. Imaging Agent Administration Consumable Catheter Type
CID 75. Low-High-Equal
CID 76. Type of Pre-Medication
CID 83. Units for Real World Value Mapping
CID 84. PET Units
CID 85. SUV Units
CID 91. Functional Condition Present During Acquisition
CID 92. Joint Position During Acquisition
CID 93. Joint Positioning Method
CID 94. Physical Force Applied During Acquisition
CID 100. Quantitative Diagnostic Imaging Procedures
CID 210. Qualitative Evaluation Modifier Types
CID 211. Qualitative Evaluation Modifier Values
CID 212. Generic Anatomic Location Modifiers
CID 217. Visual Explanation
CID 218. Quantitative Image Features
CID 219. Geometry Graphical Representation
CID 220. Level of Significance
CID 221. Measurement Range Concepts
CID 222. Normality Codes
CID 223. Normal Range Values
CID 224. Selection Method
CID 225. Measurement Uncertainty Concepts
CID 226. Population Statistical Descriptors
CID 227. Sample Statistical Descriptors
CID 228. Equation or Table
CID 230. Yes-No
CID 231. Yes-No Only
CID 240. Present-Absent
CID 241. Present-Absent Only
CID 242. Normal-Abnormal
CID 244. Laterality
CID 245. Laterality with Median
CID 246. Relative Laterality
CID 247. Laterality Left-Right Only
CID 250. Positive-Negative
CID 251. Severity of Complication
CID 252. S-M-L Size Descriptor
CID 270. Observer Type
CID 271. Observation Subject Class
CID 280. Longitudinal Temporal Event Types
CID 300. Multi-energy Relevant Materials
CID 301. Multi-energy Material Units
CID 400. Audit Event ID
CID 401. Audit Event Type Code
CID 402. Audit Active Participant Role ID Code
CID 403. Security Alert Type Code
CID 404. Audit Participant Object ID Type Code
CID 405. Media Type Code
CID 501. Volumetric View Description
CID 502. Volumetric View Modifier
CID 601. Biosafety Levels
CID 602. Biosafety Control Reasons
CID 603. Animal Room Types
CID 604. Device Reuse
CID 605. Animal Bedding Material
CID 606. Animal Shelter Types
CID 607. Animal Feed Types
CID 608. Animal Feed Sources
CID 609. Animal Feeding Methods
CID 610. Water Types
CID 611. Anesthesia Category Code Type for Small Animal Anesthesia
CID 612. Anesthesia Category Code Type from Anesthesia Quality Initiative (AQI)
CID 613. Anesthesia Induction Code Type for Small Animal Anesthesia
CID 614. Anesthesia Induction Code Type from Anesthesia Quality Initiative (AQI)
CID 615. Anesthesia Maintenance Code Type for Small Animal Anesthesia
CID 616. Anesthesia Maintenance Code Type from Anesthesia Quality Initiative (AQI)
CID 617. Airway Management Method Code Type for Small Animal Anesthesia
CID 618. Airway Management Method Code Type from Anesthesia Quality Initiative (AQI)
CID 619. Airway Management Sub-Method Code Type for Small Animal Anesthesia
CID 620. Airway Management Sub-Method Code Type from Anesthesia Quality Initiative (AQI)
CID 621. Type of Medication for Small Animal Anesthesia
CID 622. Medication Type Code Type from Anesthesia Quality Initiative (AQI)
CID 623. Medication for Small Animal Anesthesia
CID 624. Inhalational Anesthesia Agents for Small Animal Anesthesia
CID 625. Injectable Anesthesia Agents for Small Animal Anesthesia
CID 626. Premedication Agents for Small Animal Anesthesia
CID 627. Neuromuscular Blocking Agents for Small Animal Anesthesia
CID 628. Ancillary Medications for Small Animal Anesthesia
CID 629. Carrier Gases for Small Animal Anesthesia
CID 630. Local Anesthetics for Small Animal Anesthesia
CID 631. Phase of Procedure Requiring Anesthesia
CID 632. Phase of Surgical Procedure Requiring Anesthesia
CID 633. Phase of Imaging Procedure Requiring Anesthesia
CID 634. Phase of Animal Handling
CID 635. Heating Method
CID 636. Temperature Sensor Device Component Type for Small Animal Procedures
CID 637. Exogenous Substance Types
CID 638. Exogenous Substance
CID 639. Tumor Graft Histologic Type
CID 640. Fibrils
CID 641. Viruses
CID 642. Cytokines
CID 643. Toxins
CID 644. Exogenous Substance Administration Sites
CID 645. Exogenous Substance Tissue of Origin
CID 646. Preclinical Small Animal Imaging Procedures
CID 647. Position Reference Indicator for Frame of Reference
CID 701. Content Assessment Types
CID 702. RT Content Assessment Types
CID 703. Basis of Assessment
CID 800. Protocol Assertion Codes
CID 1000. CT Transverse Plane Reference Basis
CID 1001. Anatomical Reference Basis
CID 1002. Anatomical Reference Basis - Head
CID 1003. Anatomical Reference Basis - Spine
CID 1004. Anatomical Reference Basis - Chest
CID 1005. Anatomical Reference Basis - Abdomen/Pelvis
CID 1006. Anatomical Reference Basis - Extremities
CID 1010. Reference Geometry - Planes
CID 1011. Reference Geometry - Points
CID 1015. Patient Alignment Methods
CID 1200. Contraindications For CT Imaging
CID 1201. Contraindications For XA Imaging
CID 3000. Audio Channel Source
CID 3001. ECG Leads
CID 3003. Hemodynamic Waveform Sources
CID 3004. Arterial Pulse Waveform
CID 3005. Respiration Waveform
CID 3010. Cardiovascular Anatomic Locations
CID 3011. Electrophysiology Anatomic Locations
CID 3014. Coronary Artery Segments
CID 3015. Coronary Arteries
CID 3016. Major Coronary Arteries
CID 3019. Cardiovascular Anatomic Location Modifiers
CID 3030. EEG Leads
CID 3031. Lead locations near or in muscles
CID 3032. Lead locations near peripheral nerves
CID 3033. EOG Leads
CID 3034. Body Position Channels
CID 3035. EEG Annotations – Neurophysiologic Enumerations (EEG)
CID 3036. EMG Annotations – Neurophysiological Enumerations (EMG)
CID 3037. EOG Annotations – Neurophysiological Enumerations (EOG)
CID 3038. Pattern Events
CID 3039. Device-related and Environment-related Events
CID 3040. EEG Annotations - Neurological Monitoring Measurements
CID 3041. Neurophysiologic Stimulation Modes
CID 3083. Units of Radioactivity
CID 3090. Time Synchronization Channel Types
CID 3101. Cardiac Procedural State Values
CID 3102. Rest-Stress
CID 3104. Cardiac Synchronization Technique
CID 3106. PET Cardiology Protocols
CID 3107. PET Cardiology Radiopharmaceuticals
CID 3108. NM/PET Procedures
CID 3110. Nuclear Cardiology Protocols
CID 3111. Nuclear Cardiology Radiopharmaceuticals
CID 3112. Attenuation Correction
CID 3113. Types of Perfusion Defects
CID 3114. Study Quality
CID 3115. Stress Imaging Quality Issues
CID 3116. NM Extracardiac Findings
CID 3117. Attenuation Correction Methods
CID 3118. Level of Risk
CID 3119. LV Function
CID 3120. Perfusion Findings
CID 3121. Perfusion Morphology
CID 3122. Ventricular Enlargement
CID 3200. Stress Test Procedure
CID 3201. Indications for Stress Test
CID 3202. Chest Pain
CID 3203. Exerciser Device
CID 3204. Stress Agents
CID 3205. Indications for Pharmacological Stress Test
CID 3206. Non-invasive Cardiac Imaging Procedures
CID 3207. Stress Test Procedure Phases
CID 3208. Summary Codes Exercise ECG
CID 3209. Summary Codes Stress Imaging
CID 3210. Speed of Response
CID 3211. BP Response
CID 3212. Treadmill Speed
CID 3213. Stress Hemodynamic Findings
CID 3215. Perfusion Finding Method
CID 3217. Comparison Finding
CID 3220. Stress Symptoms
CID 3221. Stress Test Termination Reasons
CID 3227. QTc Measurements
CID 3228. ECG Timing Measurements
CID 3229. ECG Axis Measurements
CID 3230. ECG Findings
CID 3231. ST Segment Findings
CID 3232. ST Segment Location
CID 3233. ST Segment Morphology
CID 3234. Ectopic Beat Morphology
CID 3235. Perfusion Comparison Findings
CID 3236. Tolerance Comparison Findings
CID 3237. Wall Motion Comparison Findings
CID 3238. Stress Scoring Scales
CID 3239. Perceived Exertion Scales
CID 3240. Electrophysiology Measurement Functions and Techniques
CID 3241. Hemodynamic Measurement Techniques
CID 3250. Catheterization Procedure Phase
CID 3254. Electrophysiology Procedure Phase
CID 3261. Stress Protocols
CID 3262. ECG Patient State Values
CID 3263. Electrode Placement Values
CID 3271. Hemodynamic Physiological Challenges
CID 3335. ECG Annotations
CID 3337. Hemodynamic Annotations
CID 3339. Electrophysiology Annotations
CID 3400. Procedure Log Titles
CID 3401. Types of Log Notes
CID 3402. Patient Status and Events
CID 3403. Percutaneous Entry
CID 3404. Staff Actions
CID 3405. Procedure Action Values
CID 3406. Non-coronary Transcatheter Interventions
CID 3407. Purpose of Reference to Object
CID 3408. Actions With Consumables
CID 3409. Administration of Drugs/Contrast
CID 3410. Numeric Parameters of Drugs/Contrast
CID 3411. Intracoronary Devices
CID 3412. Intervention Actions and Status
CID 3413. Adverse Outcomes
CID 3414. Procedure Urgency
CID 3415. Cardiac Rhythms
CID 3416. Respiration Rhythms
CID 3418. Lesion Risk
CID 3419. Findings Titles
CID 3421. Procedure Action
CID 3422. Device Use Actions
CID 3423. Numeric Device Characteristics
CID 3425. Intervention Parameters
CID 3426. Consumables Parameters
CID 3427. Equipment Events
CID 3428. Imaging Procedures
CID 3429. Catheterization Devices
CID 3430. DateTime Qualifiers
CID 3440. Peripheral Pulse Locations
CID 3441. Patient Assessments
CID 3442. Peripheral Pulse Methods
CID 3446. Skin Condition
CID 3448. Airway Assessment
CID 3451. Calibration Objects
CID 3452. Calibration Methods
CID 3453. Cardiac Volume Methods
CID 3455. Index Methods
CID 3456. Sub-segment Methods
CID 3458. Contour Realignment
CID 3460. Circumferential Extent
CID 3461. Regional Extent
CID 3462. Chamber Identification
CID 3463. Ventricle Identification
CID 3465. QA Reference Methods
CID 3466. Plane Identification
CID 3467. Ejection Fraction
CID 3468. ED Volume
CID 3469. ES Volume
CID 3470. Vessel Lumen Cross-sectional Area Calculation Methods
CID 3471. Estimated Volumes
CID 3472. Cardiac Contraction Phase
CID 3480. IVUS Procedure Phases
CID 3481. IVUS Distance Measurements
CID 3482. IVUS Area Measurements
CID 3483. IVUS Longitudinal Measurements
CID 3484. IVUS Indices and Ratios
CID 3485. IVUS Volume Measurements
CID 3486. Vascular Measurement Sites
CID 3487. Intravascular Volumetric Regions
CID 3488. Min/Max/Mean
CID 3489. Calcium Distribution
CID 3491. IVUS Lesion Morphologies
CID 3492. Vascular Dissection Classifications
CID 3493. IVUS Relative Stenosis Severities
CID 3494. IVUS Non Morphological Findings
CID 3495. IVUS Plaque Composition
CID 3496. IVUS Fiducial Points
CID 3497. IVUS Arterial Morphology
CID 3500. Pressure Units
CID 3502. Hemodynamic Resistance Units
CID 3503. Indexed Hemodynamic Resistance Units
CID 3510. Catheter Size Units
CID 3515. Specimen Collection
CID 3520. Blood Source Type
CID 3524. Blood Gas Pressures
CID 3525. Blood Gas Content
CID 3526. Blood Gas Saturation
CID 3527. Blood Base Excess
CID 3528. Blood pH
CID 3529. Arterial / Venous Content
CID 3530. Oxygen Administration Actions
CID 3531. Oxygen Administration
CID 3550. Circulatory Support Actions
CID 3551. Ventilation Actions
CID 3552. Pacing Actions
CID 3553. Circulatory Support
CID 3554. Ventilation
CID 3555. Pacing
CID 3560. Blood Pressure Methods
CID 3600. Relative Times
CID 3602. Hemodynamic Patient State
CID 3604. Arterial Lesion Locations
CID 3606. Arterial Source Locations
CID 3607. Venous Source Locations
CID 3608. Atrial Source Locations
CID 3609. Ventricular Source Locations
CID 3610. Gradient Source Locations
CID 3611. Pressure Measurements
CID 3612. Blood Velocity Measurements
CID 3613. Hemodynamic Time Measurements
CID 3614. Valve Areas, Non-mitral
CID 3615. Valve Areas
CID 3616. Hemodynamic Period Measurements
CID 3617. Valve Flows
CID 3618. Hemodynamic Flows
CID 3619. Hemodynamic Resistance Measurements
CID 3620. Hemodynamic Ratios
CID 3621. Fractional Flow Reserve
CID 3627. Measurement Type
CID 3628. Cardiac Output Methods
CID 3629. Procedure Intent
CID 3630. Cardiovascular Anatomic Locations
CID 3640. Hypertension
CID 3641. Hemodynamic Assessments
CID 3642. Degree Findings
CID 3651. Hemodynamic Measurement Phase
CID 3663. Body Surface Area Equations
CID 3664. Oxygen Consumption Equations and Tables
CID 3666. P50 Equations
CID 3667. Framingham Scores
CID 3668. Framingham Tables
CID 3670. ECG Procedure Types
CID 3671. Reason for ECG Exam
CID 3676. Lead Measurement Technique
CID 3677. Summary Codes ECG
CID 3678. QT Correction Algorithms
CID 3680. ECG Lead Noise Descriptions
CID 3687. Electrophysiology Waveform Durations
CID 3688. Electrophysiology Waveform Voltages
CID 3689. ECG Global Waveform Durations
CID 3690. ECG Control Variables Numeric
CID 3691. ECG Control Variables Text
CID 3700. Cath Diagnosis
CID 3701. Cardiac Valves and Tracts
CID 3703. Wall Motion
CID 3704. Myocardium Wall Morphology Findings
CID 3705. Chamber Size
CID 3706. Overall Contractility
CID 3707. VSD Description
CID 3709. Aortic Root Description
CID 3710. Coronary Dominance
CID 3711. Valvular Abnormalities
CID 3712. Vessel Descriptors
CID 3713. TIMI Flow Characteristics
CID 3714. Thrombus
CID 3715. Lesion Margin
CID 3716. Severity
CID 3717. Left Ventricle Myocardial Wall 17 Segments
CID 3718. Myocardial Wall Segments in Projection
CID 3719. Canadian Clinical Classification
CID 3721. Cardiovascular Surgeries
CID 3722. Diabetic Therapy
CID 3723. MI Types
CID 3724. Smoking History
CID 3726. Indications for Coronary Intervention
CID 3727. Indications for Catheterization
CID 3728. Cath Findings
CID 3729. Admission Status
CID 3730. Insurance Payor
CID 3733. Primary Cause of Death
CID 3735. Acute Coronary Syndrome Time Period
CID 3736. NYHA Classification
CID 3737. Non-invasive Test - Ischemia
CID 3738. Pre-Cath Angina Type
CID 3739. Cath Procedure Type
CID 3740. Thrombolytic Administration
CID 3741. Medication Administration, Lab Visit
CID 3742. Medication Administration, PCI
CID 3743. Clopidogrel/Ticlopidine Administration
CID 3744. EF Testing Method
CID 3745. Calculation Method
CID 3746. Percutaneous Entry Site
CID 3747. Percutaneous Closure
CID 3748. Angiographic EF Testing Method
CID 3749. PCI Procedure Result
CID 3750. Previously Dilated Lesion
CID 3752. Guidewire Crossing
CID 3754. Vascular Complications
CID 3755. Cath Complications
CID 3756. Cardiac Patient Risk Factors
CID 3757. Cardiac Diagnostic Procedures
CID 3758. Cardiovascular Family History
CID 3760. Hypertension Therapy
CID 3761. Antilipemic Agents
CID 3762. Antiarrhythmic Agents
CID 3764. Myocardial Infarction Therapies
CID 3769. Concern Types
CID 3770. Problem Status
CID 3772. Health Status
CID 3773. Use Status
CID 3774. Social History
CID 3777. Implanted Devices
CID 3778. Stages
CID 3780. Left Ventricle Myocardial Wall 16 Segments
CID 3781. Left Ventricle Myocardial Wall 18 Segments
CID 3782. Left Ventricle Basal Wall 6 Segments
CID 3783. Left Ventricle Midlevel Wall 6 Segments
CID 3784. Left Ventricle Apical Wall 4 Segments
CID 3785. Left Ventricle Apical Wall 6 Segments
CID 3802. Plaque Structures
CID 3804. Stenosis Measurement Methods
CID 3805. Stenosis Types
CID 3806. Stenosis Shape
CID 3807. Volume Measurement Methods
CID 3808. Aneurysm Types
CID 3809. Associated Conditions
CID 3810. Vascular Morphology
CID 3813. Stent Findings
CID 3814. Stent Composition
CID 3815. Source of Vascular Finding
CID 3817. Vascular Sclerosis Types
CID 3820. Non-invasive Vascular Procedures
CID 3821. Papillary Muscle Included/Excluded
CID 3823. Respiratory Status
CID 3826. Heart Rhythm
CID 3827. Vessel Segments
CID 3829. Pulmonary Arteries
CID 3831. Stenosis Length
CID 3832. Stenosis Grade
CID 3833. Cardiac Ejection Fraction
CID 3835. Cardiac Volume Measurements
CID 3836. Time-based Perfusion Measurements
CID 3837. Fiducial Feature
CID 3838. Diameter Derivation
CID 3839. Coronary Veins
CID 3840. Pulmonary Veins
CID 3843. Myocardial Subsegment
CID 3850. Contrast Bolus Substance
CID 4005. Partial View Section for Mammography
CID 4009. DX Anatomy Imaged
CID 4010. DX View
CID 4011. DX View Modifier
CID 4012. Projection Eponymous Name
CID 4013. Anatomic Region for Mammography
CID 4014. View for Mammography
CID 4015. View Modifier for Mammography
CID 4016. Anatomic Region for Intra-oral Radiography
CID 4017. Anatomic Region Modifier for Intra-oral Radiography
CID 4018. Primary Anatomic Structure for Intra-oral Radiography (Permanent Dentition - Designation of Teeth)
CID 4019. Primary Anatomic Structure for Intra-oral Radiography (Deciduous Dentition - Designation of Teeth)
CID 4020. PET Radionuclide
CID 4021. PET Radiopharmaceutical
CID 4025. Primary Anatomic Structure for Intra-oral Radiography (Supernumerary Dentition - Designation of Teeth)
CID 4026. Primary Anatomic Structure for Intra-oral and Craniofacial Radiography - Teeth
CID 4028. Craniofacial Anatomic Regions
CID 4029. Dermatology Anatomic Sites
CID 4030. CT, MR and PET Anatomy Imaged
CID 4031. Common Anatomic Regions
CID 4032. MR Spectroscopy Metabolites
CID 4033. MR Proton Spectroscopy Metabolites
CID 4040. Endoscopy Anatomic Regions
CID 4042. XA/XRF Anatomy Imaged
CID 4050. Drug or Contrast Agent Characteristics
CID 4051. General Devices
CID 4052. Phantom Devices
CID 4100. T1 Measurement Methods
CID 4101. Tracer Kinetic Models
CID 4102. Perfusion Measurement Methods
CID 4103. Arterial Input Function Measurement Methods
CID 4104. Bolus Arrival Time Derivation Methods
CID 4105. Perfusion Analysis Methods
CID 4106. Quantitative Methods used for Perfusion And Tracer Kinetic Models
CID 4107. Tracer Kinetic Model Parameters
CID 4108. Perfusion Model Parameters
CID 4109. Model-Independent Dynamic Contrast Analysis Parameters
CID 4110. Tracer Kinetic Modeling Covariates
CID 4111. Contrast Characteristics
CID 4200. Ophthalmic Imaging Agent
CID 4201. Patient Eye Movement Command
CID 4202. Ophthalmic Photography Acquisition Device
CID 4203. Ophthalmic Photography Illumination
CID 4204. Ophthalmic Filter
CID 4205. Ophthalmic Lens
CID 4206. Ophthalmic Channel Description
CID 4207. Ophthalmic Image Position
CID 4208. Mydriatic Agent
CID 4209. Ophthalmic Anatomic Structure Imaged
CID 4210. Ophthalmic Tomography Acquisition Device
CID 4211. Ophthalmic OCT Anatomic Structure Imaged
CID 4214. Ophthalmic Horizontal Directions
CID 4215. Ophthalmic Vertical Directions
CID 4216. Ophthalmic Visual Acuity Type
CID 4220. Visual Fixation Quality During Acquisition
CID 4221. Visual Fixation Quality Problem
CID 4222. Ophthalmic Macular Grid Problem
CID 4230. Ophthalmic Ultrasound Axial Measurements Type
CID 4231. Lens Status
CID 4232. Vitreous Status
CID 4233. Ophthalmic Axial Length Measurements Segment Names
CID 4234. Refractive Surgery Types
CID 4235. Keratometry Descriptors
CID 4236. IOL Calculation Formula
CID 4237. Lens Constant Type
CID 4238. Refractive Error Types
CID 4239. Anterior Chamber Depth Definition
CID 4240. Ophthalmic Measurement or Calculation Data Source
CID 4241. Ophthalmic Axial Length Selection Method
CID 4242. Cornea Measurement Method Descriptors
CID 4243. Ophthalmic Quality Metric Type
CID 4244. Ophthalmic Agent Concentration Units
CID 4245. Wide Field Ophthalmic Photography Transformation Method
CID 4250. Visual Field Static Perimetry Test Patterns
CID 4251. Visual Field Static Perimetry Test Strategies
CID 4252. Visual Field Static Perimetry Screening Test Modes
CID 4253. Visual Field Static Perimetry Fixation Strategy
CID 4254. Visual Field Static Perimetry Test Analysis Results
CID 4255. Visual Field Illumination Color
CID 4256. Visual Field Procedure Modifier
CID 4257. Visual Field Global Index Name
CID 4260. Ophthalmic Mapping Units for Real World Value Mapping
CID 4261. Ophthalmic Mapping Acquisition Method
CID 4262. Retinal Thickness Definition
CID 4263. Ophthalmic Thickness Map Value Type
CID 4264. Ophthalmic Map Purposes of Reference
CID 4265. Ophthalmic Thickness Deviation Categories
CID 4266. Ophthalmic Anatomic Structure Reference Point
CID 4267. Corneal Topography Mapping Units for Real World Value Mapping
CID 4268. Corneal Topography Map Value Type
CID 4270. OCT-A Processing Algorithm Families
CID 4271. En Face Image Types
CID 4272. OPT Scan Pattern Types
CID 4273. Retinal Segmentation Surfaces
CID 4401. Fitzpatrick Skin Type
CID 4402. History of Malignant Melanoma
CID 4403. History of Melanoma in Situ
CID 4404. History of Non-Melanoma Skin Cancer
CID 4405. History of Non-Melanoma Skin Cancer
CID 4406. Patient Reported Lesion Characteristics
CID 4407. Lesion Palpation Findings
CID 4408. Lesion Visual Findings
CID 4409. Lesion Visual Findings
CID 6000. Overall Breast Composition
CID 6001. Overall Breast Composition from BI-RADS®
CID 6002. Change Since Last Mammogram or Prior Surgery
CID 6003. Change Since Last Mammogram or Prior Surgery from BI-RADS®
CID 6004. Mammography Characteristics of Shape
CID 6005. Characteristics of Shape from BI-RADS®
CID 6006. Mammography Characteristics of Margin
CID 6007. Characteristics of Margin from BI-RADS®
CID 6008. Density Modifier
CID 6009. Density Modifier from BI-RADS®
CID 6010. Mammography Calcification Types
CID 6011. Calcification Types from BI-RADS®
CID 6012. Calcification Distribution Modifier
CID 6013. Calcification Distribution Modifier from BI-RADS®
CID 6014. Mammography Single Image Finding
CID 6015. Single Image Finding from BI-RADS®
CID 6016. Mammography Composite Feature
CID 6017. Composite Feature from BI-RADS®
CID 6018. Clockface Location or Region
CID 6019. Clockface Location or Region from BI-RADS®
CID 6020. Quadrant Location
CID 6021. Quadrant Location from BI-RADS®
CID 6022. Side
CID 6023. Side from BI-RADS®
CID 6024. Depth
CID 6025. Depth from BI-RADS®
CID 6026. Mammography Assessment
CID 6027. Assessment from BI-RADS®
CID 6028. Mammography Recommended Follow-up
CID 6029. Recommended Follow-up from BI-RADS®
CID 6030. Mammography Pathology Codes
CID 6031. Benign Pathology Codes from BI-RADS®
CID 6032. High Risk Lesions Pathology Codes from BI-RADS®
CID 6033. Malignant Pathology Codes from BI-RADS®
CID 6034. Intended Use of CAD Output
CID 6035. Composite Feature Relations
CID 6036. Scope of Feature
CID 6037. Mammography Quantitative Temporal Difference Type
CID 6038. Mammography Qualitative Temporal Difference Type
CID 6039. Nipple Characteristic
CID 6040. Non-lesion Object Type
CID 6041. Mammography Image Quality Finding
CID 6042. Status of Results
CID 6043. Types of Mammography CAD Analysis
CID 6044. Types of Image Quality Assessment
CID 6045. Mammography Types of Quality Control Standard
CID 6046. Units of Follow-up Interval
CID 6047. CAD Processing and Findings Summary
CID 6048. CAD Operating Point Axis Label
CID 6050. Breast Procedure Reported
CID 6051. Breast Procedure Reason
CID 6052. Breast Imaging Report Section Title
CID 6053. Breast Imaging Report Elements
CID 6054. Breast Imaging Findings
CID 6055. Breast Clinical Finding or Indicated Problem
CID 6056. Associated Findings for Breast
CID 6057. Ductography Findings for Breast
CID 6058. Procedure Modifiers for Breast
CID 6059. Breast Implant Types
CID 6060. Breast Biopsy Techniques
CID 6061. Breast Imaging Procedure Modifiers
CID 6062. Interventional Procedure Complications
CID 6063. Interventional Procedure Results
CID 6064. Ultrasound Findings for Breast
CID 6065. Instrument Approach
CID 6066. Target Confirmation
CID 6067. Fluid Color
CID 6068. Tumor Stages From AJCC
CID 6069. Nottingham Combined Histologic Grade
CID 6070. Bloom-Richardson Histologic Grade
CID 6071. Histologic Grading Method
CID 6072. Breast Implant Findings
CID 6080. Gynecological Hormones
CID 6081. Breast Cancer Risk Factors
CID 6082. Gynecological Procedures
CID 6083. Procedures for Breast
CID 6084. Mammoplasty Procedures
CID 6085. Therapies for Breast
CID 6086. Menopausal Phase
CID 6087. General Risk Factors
CID 6088. OB-GYN Maternal Risk Factors
CID 6089. Substances
CID 6090. Relative Usage, Exposure Amount
CID 6091. Relative Frequency of Event Values
CID 6092. Quantitative Concepts for Usage, Exposure
CID 6093. Qualitative Concepts for Usage, Exposure Amount
CID 6094. Qualitative Concepts for Usage, Exposure Frequency
CID 6095. Numeric Properties of Procedures
CID 6096. Pregnancy Status
CID 6097. Side of Family
CID 6098. Clinical Course of Disease
CID 6099. Racial Group
CID 6100. Chest Component Categories
CID 6101. Chest Finding or Feature
CID 6102. Chest Finding or Feature Modifier
CID 6103. Abnormal Lines Finding or Feature
CID 6104. Abnormal Opacity Finding or Feature
CID 6105. Abnormal Lucency Finding or Feature
CID 6106. Abnormal Texture Finding or Feature
CID 6107. Width Descriptor
CID 6108. Chest Anatomic Structure Abnormal Distribution
CID 6109. Radiographic Anatomy Finding or Feature
CID 6110. Lung Anatomy Finding or Feature
CID 6111. Bronchovascular Anatomy Finding or Feature
CID 6112. Pleura Anatomy Finding or Feature
CID 6113. Mediastinum Anatomy Finding or Feature
CID 6114. Osseous Anatomy Finding or Feature
CID 6115. Osseous Anatomy Modifiers
CID 6116. Muscular Anatomy
CID 6117. Vascular Anatomy
CID 6118. Size Descriptor
CID 6119. Chest Border Shape
CID 6120. Chest Border Definition
CID 6121. Chest Orientation Descriptor
CID 6122. Chest Content Descriptor
CID 6123. Chest Opacity Descriptor
CID 6124. Location in Chest
CID 6125. General Chest Location
CID 6126. Location in Lung
CID 6127. Segment Location in Lung
CID 6128. Chest Distribution Descriptor
CID 6129. Chest Site Involvement
CID 6130. Severity Descriptor
CID 6131. Chest Texture Descriptor
CID 6132. Chest Calcification Descriptor
CID 6133. Chest Quantitative Temporal Difference Type
CID 6134. Chest Qualitative Temporal Difference Type
CID 6135. Image Quality Finding
CID 6136. Chest Types of Quality Control Standard
CID 6137. Types of CAD Analysis
CID 6138. Chest Non-lesion Object Type
CID 6139. Non-lesion Modifiers
CID 6140. Calculation Methods
CID 6141. Attenuation Coefficient Measurements
CID 6142. Calculated Value
CID 6143. Lesion Response
CID 6144. RECIST Defined Lesion Response
CID 6145. Baseline Category
CID 6146. Time Point Types
CID 6147. Response Criteria
CID 6148. Mediastinum Finding or Feature
CID 6149. Mediastinum Anatomy
CID 6151. Background Echotexture
CID 6152. Orientation
CID 6153. Lesion Boundary
CID 6154. Echo Pattern
CID 6155. Posterior Acoustic Features
CID 6157. Vascularity
CID 6158. Correlation to Other Findings
CID 6159. Malignancy Type
CID 6160. Breast Primary Tumor Assessment From AJCC
CID 6161. Clinical Regional Lymph Node Assessment for Breast
CID 6162. Assessment of Metastasis for Breast
CID 6163. Menstrual Cycle Phase
CID 6164. Time Intervals
CID 6165. Breast Linear Measurements
CID 6166. CAD Geometry Secondary Graphical Representation
CID 6200. Colon Overall Assessment
CID 6201. Colon Finding or Feature
CID 6202. Colon Finding or Feature Modifier
CID 6203. Colon Non-lesion Object Type
CID 6204. Anatomic Non-colon Findings
CID 6205. Clockface Location for Colon
CID 6206. Recumbent Patient Orientation for Colon
CID 6207. Colon Quantitative Temporal Difference Type
CID 6208. Colon Types of Quality Control Standard
CID 6209. Colon Morphology Descriptor
CID 6210. Location in Intestinal Tract
CID 6211. Colon CAD Material Description
CID 6212. Calculated Value for Colon Findings
CID 6300. Prostate Anatomy
CID 6301. Prostate Sector Anatomy from PI-RADS v2
CID 6302. Prostate Sector Anatomy from European Concensus 16 Sector (Minimal) Model
CID 6303. Prostate Sector Anatomy from European Concensus 27 Sector (Optimal) Model
CID 6304. Prostate Sector Anatomy from PI-RADS v2.1
CID 6310. Prostate Reporting Systems
CID 6311. MR Signal Intensity
CID 6312. Cross-sectional Scan Plane Orientation
CID 6313. History of Prostate Disease
CID 6314. Prostate MRI Study Quality Findings
CID 6315. Prostate MRI Series Quality Findings
CID 6316. MR Imaging Artifacts
CID 6317. Prostate DCE MRI Quality Findings
CID 6318. Prostate DWI MRI Quality Findings
CID 6319. Abdominal Intervention Types
CID 6320. Abdominal Interventions
CID 6321. Prostate Cancer Diagnostic Procedures
CID 6322. Prostate Cancer Family History
CID 6323. Prostate Cancer Therapy
CID 6324. Prostate MRI Assessment
CID 6325. Overall Assessment from PI-RADS®
CID 6326. Image Quality Control Standards
CID 6327. Prostate Imaging Indications
CID 6328. PI-RADS® v2 Lesion Assessment Category
CID 6329. PI-RADS® v2 T2WI PZ Lesion Assessment Category
CID 6330. PI-RADS® v2 T2WI TZ Lesion Assessment Category
CID 6331. PI-RADS® v2 DWI Lesion Assessment Category
CID 6332. PI-RADS® v2 DCE Lesion Assessment Category
CID 6333. mpMRI Assessment Types
CID 6334. mpMRI Assessment Types from PI-RADS®
CID 6335. mpMRI Assessment Values
CID 6336. MRI Abnormalities
CID 6337. mpMRI Prostate Abnormalities from PI-RADS®
CID 6338. mpMRI Benign Prostate Abnormalities from PI-RADS®
CID 6339. MRI Shape Characteristics
CID 6340. Prostate MRI Shape Characteristics from PI-RADS®
CID 6341. MRI Margin Characteristics
CID 6342. Prostate MRI Margin Characteristics from PI-RADS®
CID 6343. MRI Signal Characteristics
CID 6344. Prostate MRI Signal Characteristics from PI-RADS®
CID 6345. MRI Enhancement Patterns
CID 6346. Prostate MRI Enhancement Patterns from PI-RADS®
CID 6347. Prostate MRI Extra-prostatic Findings
CID 6348. Prostate MRI Assessment of Extra-prostatic Anatomic Sites
CID 6349. MR Coil Types
CID 6350. Endorectal Coil Fill Substances
CID 6351. Prostate Relational Measurements
CID 6352. Prostate Cancer Diagnostic Blood Lab Measurements
CID 6353. Prostate Imaging Types of Quality Control Standard
CID 6401. Non-lesion Object Type - Physical Objects
CID 6402. Non-lesion Object Type - Substances
CID 6403. Non-lesion Object Type - Tissues
CID 6404. Chest Non-lesion Object Type - Physical Objects
CID 6405. Chest Non-lesion Object Type - Tissues
CID 7000. Diagnostic Imaging Report Document Titles
CID 7001. Diagnostic Imaging Report Headings
CID 7002. Diagnostic Imaging Report Elements
CID 7003. Diagnostic Imaging Report Purposes of Reference
CID 7004. Waveform Purposes of Reference
CID 7005. Contributing Equipment Purposes of Reference
CID 7006. SR Document Purposes of Reference
CID 7008. Media Import
CID 7009. Purpose of Reference to Predecessor Report
CID 7010. Key Object Selection Document Title
CID 7011. Rejected for Quality Reasons
CID 7012. Best in Set
CID 7013. Non-Image Source Instance Purposes of Reference
CID 7014. Export Additional Information Document Titles
CID 7015. Export Delay Reasons
CID 7016. Level of Difficulty
CID 7017. Category of Teaching Material - Imaging
CID 7018. Miscellaneous Document Titles
CID 7019. Segmentation Non-Image Source Purposes of Reference
CID 7021. Measurement Report Document Titles
CID 7022. Radiotherapy Purposes of Reference
CID 7023. RT Process Output
CID 7024. RT Process Input
CID 7025. RT Process Input Used
CID 7026. Radiotherapeutic Dose Measurement Devices
CID 7027. Segmented Radiotherapeutic Dose Measurement Devices
CID 7030. Institutional Departments, Units and Services
CID 7035. Actionable Finding Classification
CID 7036. Image Quality Assessment
CID 7039. Pediatric Size Categories
CID 7040. Broselow-Luten Pediatric Size Categories
CID 7041. Calcium Scoring Patient Size Categories
CID 7042. CMDCTECC Calcium Scoring Patient Size Categories
CID 7050. De-identification Method
CID 7060. Encapsulated Document Source Purposes of Reference
CID 7061. Model Document Titles
CID 7062. Purpose of Reference to Predecessor 3D Model
CID 7063. Model Scale Units
CID 7064. Model Usage
CID 7070. Real Time Video Rendition Titles
CID 7100. RCS Registration Method Type
CID 7101. Brain Atlas Fiducials
CID 7110. Fiducials Categories
CID 7111. Fiducials
CID 7112. Radiotherapy Fiducials
CID 7140. Brain Structures for Volumetric Measurements
CID 7150. Segmentation Property Categories
CID 7151. Segmentation Property Types
CID 7152. Cardiac Structure Segmentation Types
CID 7153. CNS Segmentation Types
CID 7154. Abdominal Segmentation Types
CID 7155. Thoracic Segmentation Types
CID 7156. Vascular Segmentation Types
CID 7157. Device Segmentation Types
CID 7158. Artifact Segmentation Types
CID 7159. Lesion Segmentation Types
CID 7160. Pelvic Organ Segmentation Types
CID 7161. Physiology Segmentation Types
CID 7162. Surface Processing Algorithm Families
CID 7165. Abstract Segmentation Types
CID 7166. Common Tissue Segmentation Types
CID 7167. Peripheral Nervous System Segmentation Types
CID 7168. Brain Lesion Segmentation Types With Necrosis
CID 7169. Brain Lesion Segmentation Types Without Necrosis
CID 7170. Couinaud Liver Segments
CID 7171. Liver Segmentation Types
CID 7180. Abstract Multi-dimensional Image Model Component Semantics
CID 7181. Abstract Multi-dimensional Image Model Component Units
CID 7182. Abstract Multi-dimensional Image Model Dimension Semantics
CID 7183. Abstract Multi-dimensional Image Model Dimension Units
CID 7184. Abstract Multi-dimensional Image Model Axis Direction
CID 7185. Abstract Multi-dimensional Image Model Axis Orientation
CID 7186. Abstract Multi-dimensional Image Model Qualitative Dimension Sample Semantics
CID 7191. Tissue Segmentation Property Types
CID 7192. Anatomical Structure Segmentation Property Types
CID 7193. Physical Object Segmentation Property Types
CID 7194. Morphologically Abnormal Structure Segmentation Property Types
CID 7195. Function Segmentation Property Types
CID 7196. Spatial and Relational Concept Segmentation Property Types
CID 7197. Body Substance Segmentation Property Types
CID 7198. Substance Segmentation Property Types
CID 7201. Referenced Image Purposes of Reference
CID 7202. Source Image Purposes of Reference
CID 7203. Image Derivation
CID 7205. Purpose of Reference to Alternate Representation
CID 7210. Related Series Purposes of Reference
CID 7215. Spectroscopy Purpose of Reference
CID 7220. RT Dose Derivation
CID 7221. RT Dose Purpose of Reference
CID 7222. Parametric Map Derivation Image Purpose of Reference
CID 7230. Automation of Measurement
CID 7250. Multi-Frame Subset Type
CID 7260. Diffusion Acquisition Value Types
CID 7261. Diffusion Model Value Types
CID 7262. Diffusion Tractography Algorithm Families
CID 7263. Diffusion Tractography Measurement Types
CID 7270. MR Diffusion Component Semantics
CID 7271. MR Diffusion Anisotropy Indices
CID 7272. MR Diffusion Model Parameters
CID 7273. MR Diffusion Models
CID 7274. MR Diffusion Model Fitting Methods
CID 7275. MR Diffusion Model Specific Methods
CID 7276. MR Diffusion Model Inputs
CID 7277. Units of Diffusion Rate Area Over Time
CID 7300. Implant Materials
CID 7301. Intervention Types
CID 7302. Implant Templates View Orientations
CID 7303. Implant Templates Modified View Orientations
CID 7304. Implant Target Anatomy
CID 7305. Implant Planning Landmarks
CID 7306. Human Hip Implant Planning Landmarks
CID 7307. Implant Component Types
CID 7308. Human Hip Implant Component Types
CID 7309. Human Trauma Implant Component Types
CID 7310. Implant Fixation Method
CID 7320. Planning Methods
CID 7445. Device Participating Roles
CID 7449. Reader Specialty
CID 7450. Person Roles
CID 7451. Family Member
CID 7452. Organizational Roles
CID 7453. Performing Roles
CID 7454. Animal Taxonomic Rank Values
CID 7455. Sex
CID 7456. Units of Measure for Age
CID 7457. Sex - Male Female or Both
CID 7460. Units of Linear Measurement
CID 7461. Units of Area Measurement
CID 7462. Units of Volume Measurement
CID 7464. General Region of Interest Measurement Modifiers
CID 7465. Measurements Derived From Multiple ROI Measurements
CID 7466. PET Region of Interest Measurements
CID 7467. Gray Level Co-occurrence Matrix Measurements
CID 7468. Texture Measurements
CID 7469. Generic Intensity and Size Measurements
CID 7470. Linear Measurements
CID 7471. Area Measurements
CID 7472. Volume Measurements
CID 7473. General Area Calculation Methods
CID 7474. General Volume Calculation Methods
CID 7475. Gray Level Run Length Based Features
CID 7476. Gray Level Size Zone Based Features
CID 7477. Global Shape Descriptors
CID 7478. Intensity Histogram Features
CID 7479. Grey Level Distance Zone Based Features
CID 7480. Breed
CID 7481. Breed Registry
CID 7482. DX Anatomy Imaged for Animals
CID 7483. Common Anatomic Regions for Animals
CID 7484. DX View for Animals
CID 7486. Mixed Breeds
CID 7490. Research Animal Source Registries
CID 7500. Neighbourhood Grey Tone Difference Based Features
CID 7501. Neighbouring Grey Level Dependence Based Features
CID 7550. Angle Measurements
CID 7551. Generic Purpose of Reference to Images and Coordinates in Measurements
CID 7552. Generic Purpose of Reference to Images in Measurements
CID 7553. Generic Purpose of Reference to Coordinates in Measurements
CID 7600. Lymph Node Anatomic Sites
CID 7601. Head and Neck Cancer Anatomic Sites
CID 7701. Fiber Tracts In Brainstem
CID 7702. Projection and Thalamic Fibers
CID 7703. Association Fibers
CID 7704. Limbic System Tracts
CID 7705. Commissural Fibers
CID 7706. Cranial Nerves
CID 7707. Spinal Cord Fibers
CID 7710. Tractography Anatomic Sites
CID 8101. Container Types
CID 8102. Container Component Types
CID 8103. Anatomic Pathology Specimen Types
CID 8104. Breast Tissue Specimen Types
CID 8109. Specimen Collection Procedure
CID 8110. Specimen Sampling Procedure
CID 8111. Specimen Preparation Procedure
CID 8112. Specimen Stains
CID 8113. Specimen Preparation Steps
CID 8114. Specimen Fixatives
CID 8115. Specimen Embedding Media
CID 8120. Whole Slide Microscopy Image Referenced Image Purposes of Reference
CID 8121. Microscopy Lens Type
CID 8122. Microscopy Illuminator and Sensor Color
CID 8123. Microscopy Illumination Method
CID 8124. Microscopy Filter
CID 8125. Microscopy Illuminator Type
CID 8130. Staining Protocols
CID 8131. Pathology Imaging Protocols
CID 8132. Magnification Selection
CID 8133. Tissue Selection
CID 8134. Anatomic Structures
CID 8135. Microscopy Annotation Property Types
CID 8136. Microscopy Measurement Types
CID 8201. Surface Scan Acquisition Types
CID 8202. Surface Scan Mode Types
CID 8203. Surface Scan Registration Method Types
CID 8300. Visual Evaluation Methods
CID 8301. Test Pattern Codes
CID 8302. Measurement Pattern Codes
CID 8303. Display Device Type
CID 9000. Physical Quantity Descriptors
CID 9231. Workitem Definition
CID 9233. Requested Report Types
CID 9241. Radiotherapy General Workitem Definition
CID 9242. Radiotherapy Acquisition Workitem Definition
CID 9243. Radiotherapy Registration Workitem Definition
CID 9250. Scheduled Processing Parameter Concept Codes for RT Treatment
CID 9300. Procedure Discontinuation Reasons
CID 9301. Modality PPS Discontinuation Reasons
CID 9302. Media Import PPS Discontinuation Reasons
CID 9303. Interpretation Request Discontinuation Reasons
CID 9401. IEC61217 Device Position Parameters
CID 9402. IEC61217 Gantry Position Parameters
CID 9403. IEC61217 Patient Support Position Parameters
CID 9500. Dosimetric Objective Types
CID 9501. Prescription Anatomy Categories
CID 9502. RT Segment Annotation Categories
CID 9503. Radiotherapy Therapeutic Role Categories
CID 9504. RT Geometric Information
CID 9505. Fixation or Positioning Devices
CID 9506. Brachytherapy Devices
CID 9507. External Body Models
CID 9508. Nonspecific Volumes
CID 9509. Purpose of Reference for RT Physician Intent Input
CID 9510. Purpose of Reference for RT Treatment Planning Input
CID 9511. General External Radiotherapy Procedure Techniques
CID 9512. Tomotherapeutic Radiotherapy Procedure Techniques
CID 9513. Fixation Devices
CID 9514. Anatomical Structures for Radiotherapy
CID 9515. RT Patient Support Devices
CID 9516. Radiotherapy Bolus Device Types
CID 9517. Radiotherapy Block Device Types
CID 9518. Radiotherapy Accessory No-Slot Holder Device Types
CID 9519. Radiotherapy Accessory Slot Holder Device Types
CID 9520. Segmented RT Accessory Devices
CID 9521. Radiotherapy Treatment Energy Unit
CID 9522. Multi-Source Radiotherapy Procedure Techniques
CID 9523. Robotic Radiotherapy Procedure Techniques
CID 9524. Radiotherapy Procedure Techniques
CID 9525. Radiation Therapy Particle
CID 9526. Ion Therapy Particle
CID 9527. Teletherapy Isotope
CID 9528. Brachytherapy Isotope
CID 9529. Single Dose Dosimetric Objectives
CID 9530. Percentage and Dose Dosimetric Objectives
CID 9531. Volume and Dose Dosimetric Objectives
CID 9532. No-Parameter Dosimetric Objectives
CID 9533. Delivery Time Structure
CID 9534. Radiotherapy Targets
CID 9535. Radiotherapy Dose Calculation Roles
CID 9536. Radiotherapy Prescribing and Segmenting Person Roles
CID 9537. Effective Dose Calculation Method Categories
CID 9538. Radiation Transport-Based Effective Dose Method Modifiers
CID 9539. Fractionation-Based Effective Dose Method Modifers
CID 9541. Beam Limiting Device Types
CID 9542. Compensator Device Types
CID 9543. Radiotherapy Treatment Machine Modes
CID 9544. Radiotherapy Distance Reference Locations
CID 9545. Fixed Beam Limiting Device Types
CID 9546. Radiotherapy Wedge Types
CID 9547. RT Beam Limiting Device Orientation Labels
CID 9548. General Accessory Device Types
CID 9549. Radiation Generation Mode Types
CID 9550. C-Arm Photon-Electron Delivery Rate Units
CID 9551. Treatment Delivery Device Types
CID 9552. C-Arm Photon-Electron Dosimeter Units
CID 9553. Treatment Points
CID 9554. Equipment Reference Points
CID 9555. Radiotherapy Treatment Planning Person Roles
CID 9556. Radiotherapy Robotic Node Sets
CID 9557. Tomotherapeutic Dosimeter Units
CID 9558. Tomotherapeutic Dose Rate Units
CID 9559. Robotic Delivery Device Dosimeter Units
CID 9560. Robotic Delivery Device Dose Rate Units
CID 9561. Treatment Termination Reasons
CID 9562. Radiotherapy Treatment Delivery Person Roles
CID 9563. Interlock Resolutions
CID 9564. Treatment Session Confirmation Assertions
CID 9565. Treatment Tolerance Violation Causes
CID 9566. Clinical Tolerance Violation Types
CID 9567. Machine Tolerance Violation Types
CID 9568. Treatment Interlocks
CID 9569. Isocentric Patient Support Position Parameters
CID 9570. RT Overridden Treatment Parameters
CID 9571. Patient Treatment Preparation Methods
CID 9572. Patient Shielding Devices
CID 9573. Patient Treaqtment Preparation Devices
CID 9574. Patient Position Displacement Reference Points
CID 9575. Patient Alignment Devices
CID 9576. Reasons for RT Radiation Treatment Omission
CID 9577. Patient Treatment Preparation Methods
CID 9578. Motion Management Setup Devices
CID 10000. Scope of Accumulation
CID 10001. UID Types
CID 10002. Irradiation Event Types
CID 10003. Equipment Plane Identification
CID 10004. Fluoro Modes
CID 10006. X-Ray Filter Materials
CID 10007. X-Ray Filter Types
CID 10008. Dose Related Distance Measurements
CID 10009. Measured/Calculated
CID 10010. Dose Measurement Devices
CID 10011. Effective Dose Evaluation Method
CID 10013. CT Acquisition Type
CID 10014. Contrast Imaging Technique
CID 10015. CT Dose Reference Authorities
CID 10016. Anode Target Material
CID 10017. X-Ray Grid
CID 10020. Source of Projection X-Ray Dose Information
CID 10021. Source of CT Dose Information
CID 10022. Label Types
CID 10023. Size Specific Dose Estimation Method for CT
CID 10024. Water Equivalent Diameter Method
CID 10025. Radiation Dose Reference Points
CID 10030. Detector Types
CID 10031. CR/DR Mechanical Configuration
CID 10032. Projection X-Ray Acquisition Device Types
CID 10033. CT Reconstruction Algorithm
CID 10034. Reason for Repeating Acquisition
CID 10040. Radiopharmaceutical Organ Dose Reference Authority
CID 10041. Source of Radioisotope Activity Information
CID 10043. Intravenous Extravasation Symptoms
CID 10044. Radiosensitive Organs
CID 10045. Radiopharmaceutical Patient State
CID 10046. GFR Measurements
CID 10047. GFR Measurement Methods
CID 10050. Summary Radiation Exposure Quantities
CID 10060. Organs for Radiation Dose Estimates
CID 10061. Absorbed Radiation Dose Types
CID 10062. Equivalent Radiation Dose Types
CID 10063. Radiation Dose Estimate Distribution Representation
CID 10064. Patient Model Type
CID 10065. Radiation Transport Model Type
CID 10066. Attenuator Category
CID 10067. Radiation Attenuator Materials
CID 10068. Estimate Method Types
CID 10069. Radiation Dose Estimation Parameter
CID 10070. Radiation Dose Types
CID 10071. Radiation Dose Units
CID 10072. Reported Value Types
CID 10073. Value Timings
CID 10074. RDSR Frame of Reference Origins
CID 12001. Ultrasound Protocol Types
CID 12002. Ultrasound Protocol Stage Types
CID 12003. OB-GYN Dates
CID 12004. Fetal Biometry Ratios
CID 12005. Fetal Biometry Measurements
CID 12006. Fetal Long Bones Biometry Measurements
CID 12007. Fetal Cranium
CID 12008. OB-GYN Amniotic Sac
CID 12009. Early Gestation Biometry Measurements
CID 12011. Ultrasound Pelvis and Uterus
CID 12012. OB Equations and Tables
CID 12013. Gestational Age Equations and Tables
CID 12014. OB Fetal Body Weight Equations and Tables
CID 12015. Fetal Growth Equations and Tables
CID 12016. Estimated Fetal Weight Percentile Equations and Tables
CID 12017. Growth Distribution Rank
CID 12018. OB-GYN Summary
CID 12019. OB-GYN Fetus Summary
CID 12020. Fetal Biometry Anatomic Sites
CID 12021. Fetal Long Bone Anatomic Sites
CID 12022. Fetal Cranium Anatomic Sites
CID 12023. Pelvis and Uterus Anatomic Sites
CID 12024. Vascular Ultrasound Report Document Titles
CID 12025. OB-GYN Ultrasound Beam Path Ultrasound Beam Path
CID 12030. Ultrasound Contrast/Bolus Agents
CID 12031. Protocol Interval Events
CID 12032. Transducer Scan Pattern
CID 12033. Ultrasound Transducer Geometry
CID 12034. Ultrasound Transducer Beam Steering
CID 12035. Ultrasound Transducer Application
CID 12100. Vascular Ultrasound Report Document Titles
CID 12101. Vascular Summary
CID 12102. Temporal Periods Relating to Procedure or Therapy
CID 12103. Vascular Ultrasound Anatomic Location
CID 12104. Extracranial Arteries
CID 12105. Intracranial Cerebral Vessels
CID 12106. Intracranial Cerebral Vessels (Unilateral)
CID 12107. Upper Extremity Arteries
CID 12108. Upper Extremity Veins
CID 12109. Lower Extremity Arteries
CID 12110. Lower Extremity Veins
CID 12111. Abdominopelvic Arteries (Paired)
CID 12112. Abdominopelvic Arteries (Unpaired)
CID 12113. Abdominopelvic Veins (Paired)
CID 12114. Abdominopelvic Veins (Unpaired)
CID 12115. Renal Vessels
CID 12116. Vessel Segment Modifiers
CID 12117. Vessel Branch Modifiers
CID 12118. Measurement Orientation
CID 12119. Vascular Ultrasound Property
CID 12120. Blood Velocity Measurements by Ultrasound
CID 12121. Vascular Indices and Ratios
CID 12122. Other Vascular Properties
CID 12123. Carotid Ratios
CID 12124. Renal Ratios
CID 12125. Abdominopelvic Vessels
CID 12130. Parts of Organs (Non-Lateralized)
CID 12131. Parts of Organs (Lateralized)
CID 12140. Pelvic Vasculature Anatomical Location
CID 12141. Fetal Vasculature Anatomical Location
CID 12200. Echocardiography Left Ventricle
CID 12201. Left Ventricle Linear
CID 12202. Left Ventricle Volume
CID 12203. Left Ventricle Other
CID 12204. Echocardiography Right Ventricle
CID 12205. Echocardiography Left Atrium
CID 12206. Echocardiography Right Atrium
CID 12207. Echocardiography Mitral Valve
CID 12208. Echocardiography Tricuspid Valve
CID 12209. Echocardiography Pulmonic Valve
CID 12210. Echocardiography Pulmonary Artery
CID 12211. Echocardiography Aortic Valve
CID 12212. Echocardiography Aorta
CID 12214. Echocardiography Pulmonary Veins
CID 12215. Echocardiography Vena Cavae
CID 12216. Echocardiography Hepatic Veins
CID 12217. Echocardiography Cardiac Shunt
CID 12218. Echocardiography Congenital
CID 12219. Pulmonary Vein Modifiers
CID 12220. Echocardiography Common Measurements
CID 12221. Flow Direction
CID 12222. Orifice Flow Properties
CID 12223. Echocardiography Stroke Volume Origin
CID 12224. Ultrasound Image Modes
CID 12226. Echocardiography Image View
CID 12227. Echocardiography Measurement Method
CID 12228. Echocardiography Volume Methods
CID 12229. Echocardiography Area Methods
CID 12230. Gradient Methods
CID 12231. Volume Flow Methods
CID 12232. Myocardium Mass Methods
CID 12233. Cardiac Phase
CID 12234. Respiration State
CID 12235. Mitral Valve Anatomic Sites
CID 12236. Echo Anatomic Sites
CID 12237. Echocardiography Anatomic Site Modifiers
CID 12238. Wall Motion Scoring Schemes
CID 12239. Cardiac Output Properties
CID 12240. Left Ventricle Area
CID 12241. Tricuspid Valve Finding Sites
CID 12242. Aortic Valve Finding Sites
CID 12243. Left Ventricle Finding Sites
CID 12244. Congenital Finding Sites
CID 12245. Cardiac Ultrasound Report Titles
CID 12246. Cardiac Ultrasound Indication for Study
CID 12247. Pediatric, Fetal and Congenital Cardiac Surgical Interventions
CID 12248. Cardiac Ultrasound Summary Codes
CID 12249. Cardiac Ultrasound Fetal Summary Codes
CID 12250. Cardiac Ultrasound Common Linear Measurements
CID 12251. Cardiac Ultrasound Linear Valve Measurements
CID 12252. Cardiac Ultrasound Cardiac Function
CID 12253. Cardiac Ultrasound Area Measurements
CID 12254. Cardiac Ultrasound Hemodynamic Measurements
CID 12255. Cardiac Ultrasound Myocardium Measurements
CID 12257. Cardiac Ultrasound Left Ventricle
CID 12258. Cardiac Ultrasound Right Ventricle
CID 12259. Cardiac Ultrasound Ventricles Measurements
CID 12260. Cardiac Ultrasound Pulmonary Artery
CID 12261. Cardiac Ultrasound Pulmonary Vein
CID 12262. Cardiac Ultrasound Pulmonary Valve
CID 12263. Cardiac Ultrasound Venous Return Pulmonary Measurements
CID 12264. Cardiac Ultrasound Venous Return Systemic Measurements
CID 12265. Cardiac Ultrasound Atria and Atrial Septum Measurements
CID 12266. Cardiac Ultrasound Mitral Valve
CID 12267. Cardiac Ultrasound Tricuspid Valve
CID 12268. Cardiac Ultrasound Atrioventricular Valves Measurements
CID 12269. Cardiac Ultrasound Interventricular Septum Measurements
CID 12270. Cardiac Ultrasound Aortic Valve
CID 12271. Cardiac Ultrasound Outflow Tracts Measurements
CID 12272. Cardiac Ultrasound Semilunar Valves, Annulate and Sinuses Measurements
CID 12273. Cardiac Ultrasound Aortic Sinotubular Junction
CID 12274. Cardiac Ultrasound Aorta Measurements
CID 12275. Cardiac Ultrasound Coronary Arteries Measurements
CID 12276. Cardiac Ultrasound Aorto Pulmonary Connections Measurements
CID 12277. Cardiac Ultrasound Pericardium and Pleura Measurements
CID 12279. Cardiac Ultrasound Fetal General Measurements
CID 12280. Cardiac Ultrasound Target Sites
CID 12281. Cardiac Ultrasound Target Site Modifiers
CID 12282. Cardiac Ultrasound Venous Return Systemic Finding Sites
CID 12283. Cardiac Ultrasound Venous Return Pulmonary Finding Sites
CID 12284. Cardiac Ultrasound Atria and Atrial Septum Finding Sites
CID 12285. Cardiac Ultrasound Atrioventricular Valves Finding Sites
CID 12286. Cardiac Ultrasound Interventricular Septum Finding Sites
CID 12287. Cardiac Ultrasound Ventricles Finding Sites
CID 12288. Cardiac Ultrasound Outflow Tracts Finding Sites
CID 12289. Cardiac Ultrasound Semilunar Valves, Annulus and Sinuses Finding Sites
CID 12290. Cardiac Ultrasound Pulmonary Arteries Finding Sites
CID 12291. Cardiac Ultrasound Aorta Finding Sites
CID 12292. Cardiac Ultrasound Coronary Arteries Finding Sites
CID 12293. Cardiac Ultrasound Aortopulmonary Connections Finding Sites
CID 12294. Cardiac Ultrasound Pericardium and Pleura Finding Sites
CID 12300. Core Echo Measurements
CID 12301. Measurement Selection Reasons
CID 12302. Echo Finding Observation Types
CID 12303. Echo Measurement Types
CID 12304. Echo Measured Properties
CID 12305. Basic Echo Anatomic Sites
CID 12306. Echo Flow Directions
CID 12307. Cardiac Phases and Time Points
CID 12308. Ultrasound Shear Wave Measurements
TID 3401. ECG Acquisition Context
TID 3403. Catheterization Acquisition Context
TID 3450. Cardiac Electrophysiology Acquisition Context
TID 3460. Projection Radiography Acquisition Context
TID 3470. NM/PET Acquisition Context
TID 3471. PET Covariates Acquisition Context
TID 3480. Neurophysiologic Stimulation Acquisition Context
TID 8001. Specimen Preparation
TID 8002. Specimen Sampling
TID 8003. Specimen Staining
TID 8004. Specimen Localization
TID 8010. Slide Imaging Parameters
TID 8200. Radiology Reading Task Parameters
TID 8300. Skin Cancer Acquisition Context
TID 15100. Contrast Agent/Pre-Medication Protocol Context
TID 15101. NM/PET Protocol Context
TID 15200. JJ1017 Protocol Context
TID 15300. RT Prescription Annotation
TID 15301. RT Segment Characteristics
TID 15302. Patient Support Position Parameters
TID 15303. Radiotherapy Treatment Scheduled Processing Parameters
TID 15304. Radiotherapy Treatment Progress Parameters
TID 15305. Patient Setup Fixation Device Parameters
TID 15306. Patient Setup Fixation Alignment Parameters
TID 15400. Real-World Quantity Definition
TID 15401. Real-World Quantity Definition for X-Ray Attenuation Properties
D-1. DICOM Controlled Terminology Definitions (Coding Scheme Designator "DCM" Coding Scheme Version "01")
E-1. French Language Meanings of Selected Codes
E-2. Mapping of Pathology Codes used in DICOM to ADICAP
F-1. Japanese Language Meanings of Selected Codes
G-1. English Code Meanings of Selected Codes
H-1. Code Meanings of LOINC Codes
I-1. Examples of the Common Nomenclature for the Type of Endoscopy Performed
J-1. SNOMED Codes Retired from DICOM Use
J-2. SNOMED Synonyms Retired from DICOM Use
L-1. Corresponding Codes and Terms for Human Use
L-2. Corresponding Codes and Terms for Large Animals
L-3. Corresponding Codes And Terms for Small Animal Use
L-4. Correspondence between Animal-specific and Generic NCI Thesaurus Codes
L-5. Pairedness of Anatomic Concepts
M-1. German Language Meanings of Selected Codes
N.1-1. HL7 Value Sets
N.1.1-1. ActPriority Value Set
N.1.2-1. AdministrativeGender Value Set
N.1.3-1. ImageMediaType Value Set
N.1.4-1. NullFlavor Value Set
N.1.5-1. ObservationInterpretation Value Set
N.1.6-1. x_BasicConfidentialityKind Value Set
N.1.7-1. x_serviceEventPerformer Value Set
N.2-1. LOINC Value Sets
N.2.1-1. LOINC Imaging Document Codes (examples)
N.2.2-1. LOINC Y/N/NA
O-1. SNOMED Concept ID to SNOMED ID Mapping

# Notice and Disclaimer

The information in this publication was considered technically sound by the consensus of persons engaged in the development and approval of the document at the time it was developed. Consensus does not necessarily mean that there is unanimous agreement among every person participating in the development of this document.

NEMA standards and guideline publications, of which the document contained herein is one, are developed through a voluntary consensus standards development process. This process brings together volunteers and/or seeks out the views of persons who have an interest in the topic covered by this publication. While NEMA administers the process and establishes rules to promote fairness in the development of consensus, it does not write the document and it does not independently test, evaluate, or verify the accuracy or completeness of any information or the soundness of any judgments contained in its standards and guideline publications.

NEMA disclaims liability for any personal injury, property, or other damages of any nature whatsoever, whether special, indirect, consequential, or compensatory, directly or indirectly resulting from the publication, use of, application, or reliance on this document. NEMA disclaims and makes no guaranty or warranty, expressed or implied, as to the accuracy or completeness of any information published herein, and disclaims and makes no warranty that the information in this document will fulfill any of your particular purposes or needs. NEMA does not undertake to guarantee the performance of any individual manufacturer or seller's products or services by virtue of this standard or guide.

In publishing and making this document available, NEMA is not undertaking to render professional or other services for or on behalf of any person or entity, nor is NEMA undertaking to perform any duty owed by any person or entity to someone else. Anyone using this document should rely on his or her own independent judgment or, as appropriate, seek the advice of a competent professional in determining the exercise of reasonable care in any given circumstances. Information and other standards on the topic covered by this publication may be available from other sources, which the user may wish to consult for additional views or information not covered by this publication.

NEMA has no power, nor does it undertake to police or enforce compliance with the contents of this document. NEMA does not certify, test, or inspect products, designs, or installations for safety or health purposes. Any certification or other statement of compliance with any health or safety-related information in this document shall not be attributable to NEMA and is solely the responsibility of the certifier or maker of the statement.

# Foreword

This DICOM Standard was developed according to the procedures of the DICOM Standards Committee.

The DICOM Standard is structured as a multi-part document using the guidelines established in [ISO/IEC Directives, Part 2].

PS3.1 should be used as the base reference for the current parts of this Standard.

DICOM® is the registered trademark of the National Electrical Manufacturers Association for its standards publications relating to digital communications of medical information, all rights reserved.

HL7® and CDA® are the registered trademarks of Health Level Seven International, all rights reserved.

SNOMED®, SNOMED Clinical Terms®, SNOMED CT® are the registered trademarks of SNOMED International, all rights reserved.

LOINC® is the registered trademark of Regenstrief Institute, Inc, all rights reserved.

# 1 Scope and Field of Application

This Part of the DICOM Standard specifies the DICOM Content Mapping Resource (DCMR), which defines the Templates and Context Groups used elsewhere in the Standard.

# 2 Normative References

The following standards contain provisions that, through reference in this text, constitute provisions of this Standard. At the time of publication, the editions indicated were valid. All standards are subject to revision, and parties to agreements based on this Standard are encouraged to investigate the possibilities of applying the most recent editions of the standards indicated below.

## 2.1 General

[Alderman 1992] Coronary Artery Disease. Alderman EL and Stadius M. 1992. 3. 12. 1189-208. “The angiographic definitions of the bypass angioplasty revascularization investigation”. http://journals.lww.com/coronary-artery/Abstract/1992/12000/The_angiographie_definitions_of_the_Bypass.12.aspx .

[ASTM E 1762-04] ASTM. . Standard Guide for Electronic Authentication of Health Care Information, ASTM International.

[ASTM E 2084-00] ASTM. . Standard Specification for Authentication of Healthcare Information Using Digital Signatures, ASTM International.

[AAPM Report 204] American Association of Physicists in Medicine, College Park, Maryland. 2011. Size-Specific Dose Estimates (SSDE) in Pediatric and Adult Body CT Examinations. http://www.aapm.org/pubs/reports/RPT_204.pdf .

[AAPM Report 220] American Association of Physicists in Medicine. September 2014. Report of AAPM Task Group 220 - Use of Water Equivalent Diameter for Calculating Patient Size and Size-Specific Dose Estimates (SSDE) in CT. http://www.aapm.org/pubs/reports/rpt_220.pdf .

[AAPM OR 03] American Association of Physicists in Medicine. 2005. Assessment of Display Performance for Medical Imaging Systems. http://www.aapm.org/pubs/reports/OR_03.pdf .

[DIN 6868-57] Deutsches Institut für Normung. 2001. Image quality assurance in diagnostic X-ray departments - Acceptance testing for image display devices.

[ETDRS Report Number 10] ETDRS. . Report Number 10, Grading Diabetic Retinopathy from Stereoscopic Color Fundus Photographs- An Extension of the Modified Airlie House Classification. Ophthalmology, May 1991, vol98 (p786-805), Supplement.

[Feuvret] International Journal of Radiation Oncology, Biology, Physics. Feuvret L, Noël G, Mazeron JJ, and Bey P. 2006. 64. 2. 333-342. “Conformity index: a review”. http://dx.doi.org/10.1016/j.ijrobp.2005.09.028 .

[HL7 v3 CMET] HL7. . Version 3 Standard: Common Message Element Types.

[IBSI Features] >arXiv. Zwanenburg A, Leger S, Vallières M, and Löck S. 17 Sep 2018. arXiv:1612.07003v7. “Image biomarker standardisation initiative - Reference manual”. http://arxiv.org/abs/1612.07003 .

[ICRU Report 50] International Commission on Radiation Units and Measurements. 1993. Prescribing, Recording, and Reporting Photon Beam Therapy.

[IEC 60601-2-44] IEC. . Medical Electrical Equipment - Part 2-44: Particular Requirements for the Safety of X-Ray Equipment for Computed Tomography.

[IEC 60601-2-64] IEC. . Medical Electrical Equipment - Part 2-64: Particular requirements for the basic safety and essential performance of light ion beam medical electrical equipment.

[IEC 61217] IEC. 2011. Ed 2.0. Radiotherapy Equipment - Coordinates, Movements and Scales.

[IEC 62563-1] IEC. 2009. Ed 1.0. Medical Electrical Equipment - Medical image display systems - Part 1: Evaluation methods.

[IEC 62985] IEC. 2019. Methods For Calculating Size Specific Dose Estimates (SSDE) For Computed Tomography.

[ISO/IEC Directives, Part 2] ISO/IEC. 2016/05. 7.0. Rules for the structure and drafting of International Standards. http://www.iec.ch/members_experts/refdocs/iec/isoiecdir-2%7Bed7.0%7Den.pdf .

[ISO 639] ISO. . Codes for the representation of names of languages.

[ISO 639-1] ISO. 2002. Codes for the representation of names of languages — Part 1: Alpha-2 code.

[ISO 639-2] ISO. 1998. Codes for the representation of names of languages — Part 2: Alpha-3 code.

[ISO 639-3] ISO. 2007. Codes for the representation of names of languages — Part 3: Alpha-3 code for comprehensive coverage of languages.

[ISO 3166] ISO. . Codes for the representation of names of countries.

[ISO 3166-1] ISO. . Codes for the representation of names of countries — Part 1: Country codes.

[ISO 8824-1] ISO. 2015. Information Technology - Abstract Syntax 1 (ASN.1): Specification of Basic Notation.

[ISO 9834-1] ISO. 2012. Information technology - Open Systems Interconnection - Procedures for the operation of OSI Registration Authorities: General procedures and top arcs of the ASN.1 Object Identifier tree.

[ISO 15924] ISO. 2004. Codes for the representation of names of scripts.

[JJ1017] Japan Medical Imaging and Radiological Systems Industries Association (JIRA) and Japanese Association of Healthcare Information Systems Industry (JAHIS). October 5, 2005. 3.0. Guidelines for HIS, RIS, PACS - Modality Data Communication on Scheduling, Billing, and Examination Records. http://www.jira-net.or.jp/commission/system/04_information/files/JJ1017VER3_20051005.doc .

[NEMA XR 25-2019] National Electrical Manufacturers Association, Rosslyn, Virginia. 2019. Computed Tomography Dose Check Standard. http://www.nema.org/Standards/view/Computed-Tomography-Dose-Check .

[RadLex] RSNA, Chicago. 2006. A Lexicon for Uniform Indexing and Retrieval of Radiology Information Resources. http://www.radlex.org/ .

[RadElement] RSNA, Chicago. Common Data Elements (CDEs) for Radiology. http://radelement.org/ .

[RFC 1766] IETF. March 1995. Tags for the Identification of Languages.

[RFC 3066] IETF. January 2001. Tags for the Identification of Languages.

[RFC 3881] IETF. September 2004. Security Audit and Access Accountability Message - XML Data Definitions for Healthcare Applications.

[RFC 4646] IETF. September 2006. Tags for Identifying Languages.

[RFC 4647] IETF. September 2006. Matching of Language Tags.

[RFC 5646] IETF. September 2009. Tags for Identifying Languages.

[Scanlon 1999] Journal of the American College of Cardiology. Scanlon PJ and et al. May 1999. 33. 6. 1756-824. “ACC/AHA guidelines for coronary angiography - A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Coronary Angiography) developed in collaboration with the Society for Cardiac Angiography and Interventions”. doi:10.1016/S0735-1097(99)00126-6 http://www.sciencedirect.com/science/article/pii/S0735109799001266 .

[SMPTE RP133] Society of Motion Picture and Television Engineers (SMPTE). 1991. Specifications for Medical Diagnostic Imaging Test Pattern for Television Monitors and Hard-copy Recording Cameras.

[Stout et al 2013] Molecular Imaging. Stout D, Berr SS, LeBlanc A, Kalen JD, Osborne D, Price J, Schiffer W, Kuntner C, and Wall J. 2013. 12. 7. 1-15. “Guidance for Methods Descriptions Used in Preclinical Imaging Papers”. http://journals.sagepub.com/doi/pdf/10.2310/7290.2013.00055 .

## 2.2 BI-RADS® Terminology and Nomenclature

A portion of the terminology used within the Mammography CAD SR SOP Class and the Breast Imaging Report and Relevant Patient Information for Breast Imaging Templates is derived from BI-RADS®, a copyrighted lexicon of breast imaging terminology and nomenclature licensed by DICOM from the American College of Radiology.

[BI-RADS®] American College of Radiology, Reston, Virginia. 1998. 3.0. Breast Imaging Reporting and Data System Atlas. http://www.acr.org/Quality-Safety/Resources/BIRADS .

## 2.3 MQCM 1999 Terminology and Nomenclature

References to MQCM 1999 are made in the description of the Mammography CAD SR SOP Class. In this MQCM 1999 refers to the Mammography Quality Control Manual 1999, available from the American College of Radiology. This document describes a standardized approach to mammographic acquisition standards, patient positioning, and so on. The DICOM Standard does not require Mammography CAD SR SOP Class implementations to adhere to MQCM 1999.

[MQCM] American College of Radiology, Reston, Virginia. 1999. Mammography Quality Control Manual. http://www.acr.org/Education/Education-Catalog/Products/639 .

## 2.4 MQSA Terminology and Nomenclature

References to MQSA are made in the description of the Mammography CAD SR SOP Class. In this MQSA refers to the Mammography Quality Standards Act final rules. While MQSA is a federal regulation of the United States government, it provides the only widely published standards for mammographic quality and is incorporated in this document for that reason. The DICOM Standard does not require Mammography CAD SR SOP Class implementations to adhere to MQSA.

[MQSA] U.S. Food and Drug Administration, Silver Spring, Maryland. 2002. Mammography Quality Standards Act Regulations. http://www.fda.gov/Radiation-EmittingProducts/MammographyQualityStandardsActandProgram/Regulations/ucm110906.htm .

## 2.5 ACR Position Statement

[ACR Position Statement] American College of Radiology, Reston, Virginia. 2001. Quality Control and Improvement, Safety, Infection Control, and Patient Education. http://www.acr.org/Quality-Safety/Radiology-Safety .

## 2.6 Chest Radiology and CT

References are made in the description of the Chest CAD SR Templates and context groups.

[Fraser and Pare] Fraser, Muller, Colman, and Pare. 1999. 4th. I. xvii-xxxi. Diagnosis of Diseases of the Chest. Terms Used in Chest Radiology.

[Fraser and Pare] Fraser, Muller, Colman, and Pare. 1999. 4th. I. xxxiii-xxxvi. Diagnosis of Diseases of the Chest. Terms for CT of the Lungs.

[ACR CT PE] American College of Radiology, Reston, Virginia. 2001. 109-113. ACR Standards. ACR Standard for the Performance of Computed Tomography for the Detection of Pulmonary Embolism in Adults.

[ACR HR CT] American College of Radiology, Reston, Virginia. 2001. 115-118. ACR Standards. ACR Standard for the Performance of High-Resolution Computed Tomography (HRCT) of the Lungs in Adults.

[ACR Radiography] American College of Radiology, Reston, Virginia. 2001. 95-98. ACR Standards. ACR Standard for the Performance of Pediatric and Adult Chest Radiography.

[ACR Thoracic CT] American College of Radiology, Reston, Virginia. 2001. 103-107. ACR Standards. ACR Standard for the Performance of Pediatric and Adult Thoracic Computed Tomography (CT).

## 2.7 Response Evaluation Criteria

References to Response Evaluation Criteria are made from the Chest CAD SR Templates and context groups

[RECIST] Journal of the National Cancer Institute. Therasse. February 2, 2000. 92. 3. 205-216. “New Guidelines to Evaluate the Response to Treatment in Solid Tumors”. http://www.eortc.be/recist/ .

[WHO] World Health Organization, Geneva. 1979. WHO Handbook for Reporting Results for Cancer Treatment. WHO Offset Publication No. 48. http://whqlibdoc.who.int/publications/9241700483.pdf .

## 2.8 Myocardial Segmentation

[Cerqueira 2002] Circulation. Cerqueira MD. 2002. 105. 4. 539. “AHA Scientific Statement: Standardized Myocardial Segmentation and Nomenclature for Tomographic Imaging of the Heart”. doi:10.1161/hc0402.102975 Describes 16- and 17-segment models. .

[Voigt 2015] Eur Heart J Cardiovasc Imaging. Voigt JU. 2015. 16. 1. 1-11. “Definitions for a common standard for 2D speckle tracking echocardiography: consensus document of the EACVI/ASE/Industry Task Force to standardize deformation imaging”. doi:10.1093/ehjci/jeu184 Describes 16-, 17-, and 18-segment models. .

## 2.9 Quantitation of the Left Ventricle

[Schiller 1989] Journal of the American Society of Echocardiography. Schiller. Oct 1989. 2. 5. 358-367. “Recommendations for Quantitation of the Left Ventricle by Two-Dimensional Echocardiography”.

## 2.10 Cancer Staging

[AJCC] American Joint Committee on Cancer. 2002. Sixth. AJCC Cancer Staging Handbook: From the AJCC Cancer Staging Manual. Springer-Verlag. 0-387-95270-5.

## 2.11 Quantitative Arteriography and Ventriculography

[Sheehan, 1986] Circulation. Sheehan FH, Bolson EL, Dodge HT, Mathey DG, Schofer J, and Woo HW. 1986. 74. 2. 293-305. “Advantages and applications of the centerline method for characterizing regional ventricular function”. doi:10.1161/01.CIR.74.2.293

[Slager, 1986] J Am Coll Cardiol.. Slager CJ, Hooghoudt TE, Serruys PW, Schuurbiers JC, Reiber JH, Meester GT, Verdouw PD, and Hugenholtz PG. 1986. 6. 2. 317-26. “Quantitative assessment of regional left ventricular motion using endocardial landmarks”. doi:10.1016/S0735-1097(86)80498-3

[Kennedy, 1970] Am Heart J. Kennedy JW, Trenholme SE, and Kasser IS. 1970. 80. 3. 343. “Left ventricular volume and mass from single-plane cineangiocardiogram. A comparison of anteroposterior and right anterior oblique methods”.

[Dodge, 1960] Am Heart J. Dodge HT, Sandler H, Ballew DW, and Lord JD. 1960. 60. 5. 762. “The use of biplane angiocardiography for the measurement of left ventricular volume in man”. http://www.sciencedirect.com/science/article/pii/0002870360903598 .

[Wynne, 1978] Am J Cardiol. Wynne J, Green LH, Mann T, Levin D, and Grossman W. 1978. 41. 4. 726. “Estimation of left ventricular volumes in man from biplane cineangiograms filmed in oblique projections”.

[Boak, 1977] Cathet Cardiovasc Diagn. Boak, JG, Bove AA, Kreulen T, and Spann JF. 1977. 3. 3. 217-30. “A geometric basis for calculation of right ventricular volume in man”. doi:10.1002/ccd.1810030305

[Ferlinz, 1977] Am Heart J. Ferlinz J. 1977. 94. 1. 87-90. “Measurements of right ventricular volumes in man from single plane cineangiograms. A comparison to the biplane approach”. http://www.sciencedirect.com/science/article/pii/S0002870377803487 .

[Graham, 1973] Circulation. Graham TP, Jarmakani JM, Atwood GF, and Canent RV. 1973. 47. 1. 144-53. “Right ventricular volume determinations in children. Normal values and observations with volume or pressure overload”. doi:10.1161/01.CIR.47.1.144

[Arcilla, 1971] Chest. Arcilla RA, Tsai P, Thilenius O, and Ranniger K. 1971. 60. 5. 446. “Angiographic method for volume estimation of right and left ventricles”. doi:10.1378/chest.60.5.446

## 2.12 IVUS

[Mintz, 2001] Journal of the American College of Cardiology. Mintz GS. 2001. 37. 5. 1478-1492. “American College of Cardiology Clinical Expert Consensus Document on Standards for Acquisition, Measurement and Reporting of Intravascular Ultrasound Studies (IVUS)”. doi:10.1016/S0735-1097(01)01175-5

[Di Mario, 1998] European Heart Journal. Di Mario C. 1998. 19. 2. 207-229. “Clinical Application and Image Interpretation in Intravascular Ultrasound”. doi:10.1053/euhj.1996.0433

[Tobis and Yock] Tobis JM and Yock PC. 1992. Intravascular Ultrasound Imaging. 0443088098.

## 2.13 C-RADS CT Colonography Reporting and Data System

[Zalis, 2005] Radiology. Zalis ME. 2005. 236. 1. 3-9. “CT Colonography Reporting and Data System: A Consensus Proposal”. doi:10.1148/radiol.2361041926

## 2.14 Implants

[Eggli, 1998] J Bone Joint Surg Br. Eggli S, Pisan M, and Müller ME. 1998. 80-B. 3. 382-390. “The value of preoperative planning for total hip arthroplasty”. http://www.bjj.boneandjoint.org.uk/content/80-B/3/382 .

## 2.15 LOINC

[LOINC] Regenstrief Institute, Indianapolis. 2014. Logical Observation Identifier Names and Codes. http://loinc.org/ .

This product includes all or a portion of the LOINC® table, LOINC panels and forms file, LOINC document ontology file, and/or LOINC hierarchies file, or is derived from one or more of the foregoing, subject to a license from Regenstrief Institute, Inc. Your use of the LOINC table, LOINC codes, LOINC panels and forms file, LOINC document ontology file, and LOINC hierarchies file also is subject to this license, a copy of which is available at http://loinc.org/terms-of-use. The current complete LOINC table, LOINC Users' Guide, LOINC panels and forms file, LOINC document ontology file, and LOINC hierarchies file are available for download at http://loinc.org/. The LOINC table and LOINC codes are copyright © 1995-2014, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. The LOINC panels and forms file, LOINC document ontology file, and LOINC hierarchies file are copyright © 1995-2014, Regenstrief Institute, Inc. All rights reserved.

The LOINC table (in all formats), LOINC panels and forms file, LOINC document ontology file, and LOINC hierarchies are provided "as is." Any express or implied warranties are disclaimed, including, but not limited to, the implied warranties of merchantability and fitness for a particular purpose.

A small portion of the LOINC table may include content (e.g., survey instruments) that is subject to copyrights owned by third parties. Such content has been mapped to LOINC terms under applicable copyright and terms of use. Notice of such third party copyright and license terms would need to be included if such content is included.

## 2.16 UCUM

[UCUM] Regenstrief Institute, Indianapolis. 2013. Unified Code for Units of Measure. http://unitsofmeasure.org/ .

This product includes all or a portion of the UCUM table, UCUM codes, and UCUM definitions or is derived from it, subject to a license from Regenstrief Institute, Inc. and The UCUM Organization. Your use of the UCUM table, UCUM codes, UCUM definitions also is subject to this license, a copy of which is available at http://unitsofmeasure.org/. The current complete UCUM table, UCUM Specification are available for download at http://unitsofmeasure.org/. The UCUM table and UCUM codes are copyright © 1995-2013, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved.

The UCUM table (in all formats), UCUM definitions, and specification are provided "as is." Any express or implied warranties are disclaimed, including, but not limited to, the implied warranties of merchantability and fitness for a particular purpose.

## 2.17 Anesthesia Quality Institute Schema

[AQI Schema] Anesthesia Quality Institute, Schaumburg, IL. 2015/07/30. Anesthesia Quality Institute Schema. http://www.aqihq.org/aqischdoc/default.html .

Used by permission of the Anesthesia Quality Institute (AQI) (http://www.aqihq.org/), established by the American Society of Anesthesiologists (ASA).

## 2.18 Point-of-Care Medical Device Nomenclature

Extracts of ISO/IEEE 11073 reprinted by permission of IEEE, 3 Park Avenue, New York, NY 10016-5997 USA. Copyright by IEEE. http://standards.ieee.org/.

Under license from IEEE, the term codes and descriptions of the ISO/IEEE 11073 Nomenclature are available at no cost through the Rosetta Terminology Mapping Management System of the U.S. National Institute of Standards and Technology. http://rtmms.nist.gov/rtmms/index.htm

[ISO/IEEE 11073-10101] ISO/IEEE. 2004. Health informatics - Point-of-care medical device communication - Nomenclature.

[ISO/IEEE 11073-10101a] ISO/IEEE. 2015. Health informatics - Point-of-care medical device communication - Nomenclature Amendment 1: Additional Definitions.

[ISO/IEEE 11073-10102] ISO/IEEE. 2015. . Health informatics - Point-of-care medical device communication - Annotated ECG - Nomenclature.

## 2.19 SNOMED Clinical Terms

This DICOM Standard incorporates SNOMED CT® International Edition 2021/07/31, used by permission of SNOMED International. SNOMED CT®, was originally created by The College of American Pathologists (CAP). SNOMED International was formerly known as the International Health Terminology Standards Development Organisation (IHTSDO).

The SNOMED CT terms used in this Standard (the SNOMED CT DICOM Subset) are the subject of a licensing agreement between NEMA and SNOMED International that allows the use of this defined subset in DICOM conformant applications without further license or payment of fee. Any use of SNOMED CT beyond the terms published in the DICOM Standard is subject to SNOMED CT licensing rules, which may include a fee. For further information about SNOMED CT licensing, go to http://www.snomed.org/snomed-ct/get-snomed or contact SNOMED International at info@snomed.org.

This DICOM Standard incorporates various veterinary terms from the SNOMED CT VetSCT extension, used by permission of the Veterinary Terminology Services Laboratory (VTSL) (http://vtsl.vetmed.vt.edu/). These terms were previously included in SNOMED CT but have since been inactivated as moved elsewhere.

[SNOMED] SNOMED International. . SNOMED CT Systematized Nomenclature of Medicine - Clinical Terms.

## 2.20 Prostate Reporting Terminology and Nomenclature

The Prostate Imaging and Report and Data System Version 2 (PI-RADS) is a joint effort of the European Society of Urogenital Radiology, the American College of Radiology and the AdMeTech Foundation.

[PI-RADS] Eur Urol. Weinreb JC, Barentsz JO, Choyke PL, Cornud F, Haider MA, Macura KJ, Margolis, D, Schnall, MD, Shtern, F, Tempany, CM., Thoeny, HC, and Verma, S. 2016/01. 69. 1. 16-40. “PI-RADS Prostate Imaging - Reporting and Data System: 2015, Version 2”. doi:10.1016/j.eururo.2015.08.052 http://www.europeanurology.com/article/S0302-2838%2815%2900848-9/ .

### Note

PI-RADS is also available from the following source:

- American College of Radiology: http://www.acr.org/~/media/ACR/Documents/PDF/QualitySafety/Resources/PIRADS/PIRADS%20V2.pdf

[PI-RADS v2.1] Eur Urol. Turkbey B, Rosenkrantz AB, Haider MA, Padhani AR, Villeirs G, Macura KJ, Tempany, CM, Choyke PL, Cornud F, Margolis, D, Thoeny, HC, Verma, S, Barentsz JO, and Weinreb JC. 2019/09. 76. 3. 340–351. “Prostate Imaging Reporting and Data System Version 2.1: 2019 Update of Prostate Imaging Reporting and Data System Version 2”. doi:10.1016/j.eururo.2019.02.033 http://www.europeanurology.com/article/S0302-2838(19)30180-0/abstract .

[Prostate Eu Concensus] Eur Urol. Dickinson L, Ahmed HU., Allen C, Barentsz JO, Carey B, Futterer JJ, Heijmink SW, Hoskin PJ, Kirkham A, and Padhani AR. 2011. 59. 4. 477-94. “Magnetic resonance imaging for the detection, localisation, and characterisation of prostate cancer: recommendations from a European consensus meeting”. doi:10.1016/j.eururo.2010.12.009 http://www.europeanurology.com/article/S0302-2838(10)01187-5/ .

[ESUR Guidelines] Eur Radiol. Barentsz JO, Richenberg J, Clements R, Choyke P, Verma S, Villeirs G, Rouviere O, Logager V, and Fütterer JJ. 2012/04. 22. 4. 746-57. “ESUR prostate MR guidelines 2012”. doi:10.1007/s00330-011-2377-y http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3297750/ .

[Rozenkrantz 2013] Radiology. Rosenkrantz AB, Kim S, Lim RP, Hindman N, Deng FM, Babb JS, and Taneja SS. 2013/11. 269. 2. 482–492. “Prostate cancer localization using multiparametric MR imaging: comparison of Prostate Imaging Reporting and Data System (PI-RADS) and Likert scales”. doi:10.1148/radiol.13122233 http://dx.doi.org/10.1148/radiol.13122233 .

[Kuru 2013] BJU Int. Kuru TH. 2013. 112. 5. 568–577. “Definitions of terms, processes and a minimum dataset for transperineal prostate biopsies: a standardization approach of the Ginsburg Study Group for Enhanced Prostate Diagnostics”. doi:10.1111/bju.12132 http://onlinelibrary.wiley.com/doi/10.1111/bju.12132/full .

## 2.21 Imaging Agent Administration Concepts

Injector and modality manufacturers use the CiA 425 CANopen standard for communication and synchronization between devices.

[CiA 425 CANopen] CANopen. 30 October 2010. CiA 425 Draft Standard Proposal, Application profile for medical diagnostic add-on modules Part 2: Injector, Version: 2.1.0.

# 3 Definitions

For the purposes of this Standard the following definitions apply.

## 3.1 Codes and Controlled Terminology Definitions:

The following definitions are commonly used in this Part of the DICOM Standard:

Baseline Context Group Identifier (BCID)

  Identifier that specifies the suggested Context Group for a Code Sequence Attribute.

  See Table 5.6-1 “Conventions for Specification of Context Groups” in PS3.3 .

Baseline Template Identifier (BTID)

  Identifier that specifies a Template suggested to be used in the creation of a set of Content Items.

Coding Scheme

  Dictionary (lexicons) of concepts (terms) with assigned codes and well defined meanings.

  ### Note

  Examples of coding schemes include SNOMED and LOINC.

Context Group

  A set of coded concepts defined by a Mapping Resource forming a set appropriate to use in a particular context.

Context Group Version

  Version of a Context Group.

Context ID (CID)

  Identifier of a Context Group.

Defined Context Group Identifier (DCID)

  Identifier that specifies the Context Group for a Code Sequence Attribute that shall be used.

  See Table 5.6-1 “Conventions for Specification of Context Groups” in PS3.3 .

Defined Template Identifier (DTID)

  Identifier that specifies a Template that shall be used in the creation of a set of Content Items.

DICOM Content Mapping Resource (DCMR)

  A Mapping Resource that defines Templates and Context Groups for use in DICOM IODs.

Extensible Context Group

  Context Group that may be extended by a particular application by inclusion of additional concepts.

  See Table 5.6-1 “Conventions for Specification of Context Groups” in PS3.3 .

Extensible Template

  A Template that may be extended by a particular application by inclusion of additional Content Items beyond those specified in the Template.

Mapping Resource

  A resource that defines context-dependent usage constraints (i.e., Value Set or Relationship Type restrictions) for Attributes. A resource that specifies the mapping of the content of an external controlled terminology to the components of a message standard.

Non-Extensible Context Group

  Context Group whose defined set of concepts shall not be extended by an application.

  See Table 5.6-1 “Conventions for Specification of Context Groups” in PS3.3 .

Non-Extensible Template

  A Template that specifies the exact set of Content Items and corresponding Value Sets that shall be used and that shall not be extended by an application.

Relationship Type

  The association between two Concepts. Examples: "HAS PROPERTIES", "CONTAINS", "INFERRED FROM".

Root Template

  A Template whose first content item is a CONTAINER content item intended to be encoded in the top level Data Set of a SOP Instance. I.e., the "root node" of the "content tree".

Template

  A pattern that describes the Content Items, Value Types, Relationship Types and Value Sets that may be used in part of a Structured Report content tree, or in other Content Item constructs, such as Acquisition Context or Protocol Context. Analogous to a Module of an Information Object Definition.

Template ID (TID)

  Identifier of a Template.

Value Set

  The allowed values of a Code Sequence Attribute in a given context. Specified either as one or more individual values or by reference to a Context Group.

## 3.2 Information Object Definitions:

This Part of the Standard makes use of the following terms defined in PS3.3:

Code Sequence Attribute

  Code Sequence Attribute.

## 3.3 Contrast Administration Definitions

Imaging Agent

  A substance administered to improve the imaging of specific organs, tissues, diseases and physiological functions. Adapted from Wikipedia http://en.wikipedia.org/wiki/Imaging_agent.

  ### Note

  1. Imaging agents include iodinated X-Ray and gadolinium-based MR contrast agents.

  2. Saline flush is not an imaging agent but may be administered in conjunction with imaging agents.

  3. Air used as a negative contrast agent is an imaging agent.

## 3.4 DICOM Introduction and Overview Definitions

This Part of the Standard makes use of the following terms defined in PS3.1:

Service-Object Pair Class (SOP Class)

  Service-Object Pair Class (SOP Class).

## 3.5 DICOM Service Class Definitions

This Part of the Standard makes use of the following terms defined in PS3.4:

Service-Object Pair Instance (SOP Instance)

  Service-Object Pair Instance (SOP Instance).

## 3.6 DICOM Data Structures and Encoding

This Part of the Standard makes use of the following terms defined in PS3.5:

Data Set

  Data Set.

## 3.7 Radiotherapy

Monitor Units (MU)

  A unit of radiation output used to quantify a Meterset. See Section C.36.1.1.3 “Meterset” in PS3.3 .

# 4 Symbols and Abbreviations

The following symbols and abbreviations are used in this Part of the Standard.

Mammography CAD

  Computer-Aided Detection and/or Computer-Aided Diagnosis for Mammography

Chest CAD

  Computer-Aided Detection and/or Computer-Aided Diagnosis for chest radiography

Colon CAD

  Computer-Aided Detection and/or Computer-Aided Diagnosis for colon radiography

ACR

  American College of Radiology

ASE

  American Society of Echocardiography

CAP

  College of American Pathologists

DCMR

  DICOM Content Mapping Resource

FHIR

  Fast Healthcare Interoperability Resources

HTML

  HyperText Markup Language

IHE

  Integrating the Healthcare Enterprise

IHE SVS

  IHE Sharing Value Sets

JSON

  JavaScript Object Notation

NEMA

  National Electrical Manufacturers Association

RECIST

  Response Evaluation Criteria In Solid Tumors

SNOMED

  Systematized Nomenclature of Medicine

UCUM

  Unified Code for Units of Measure

WHO

  World Health Organization

XML

  eXtensible Markup Language

EV

  Enumerated Value

DT

  Defined Term

CNAME

  Context Group Name

TNAME

  Template Name

BCID

  Baseline Context Group ID

DCID

  Defined Context Group ID

ECID

  Enumerated Context Group ID

BTID

  Baseline Template ID

DTID

  Defined Template ID

ETID

  Enumerated Template ID

The following upper-case abbreviations represent specific Attributes:

CV

  Code Value (0008,0100) or Long Code Value (0008,0119) or URN Code Value (0008,0120)

CSD

  Coding Scheme Designator (0008,0102)

CM

  Code Meaning (0008,0104)

CSV

  Coding Scheme Version (0008,0103)

# 5 Conventions

Terms listed in Section 3 are capitalized throughout the document.

# 6 Form of Template Specifications

Templates are patterns that specify the Concept Names, Requirements, Conditions, Value Types, Value Multiplicity, Value Set restrictions, Relationship Types and other attributes of Content Items for a particular application.

An IOD may specify that particular Standard Templates shall be used or may be used to define or constrain the content of a Content Item construct. A Content Item construct includes a coded concept name and one of several types of coded values. Content Item constructs are used in:

- the main Data Set and recursively nested Content Sequences (0040,A730) of the SR Document Content Module

- the Acquisition Context Sequence (0040,0555) of the Acquisition Context Module,

- the Protocol Context Sequence (0040,0440) and Content Item Modifier Sequence (0040,0441) of the Scheduled Procedure Step Module, Image Acquisition Results Module, and others.

- the Specimen Preparation Step Content Item Sequence (0040,0612) of the Specimen Module.

Annexes A and C of this Part define Standard Templates.

### Note

Standard Extended and Private Templates may be defined by implementers of the Standard. The rules for definition of Standard Extended and Private SR Templates are similar to the rules for definition of Standard Extended and Private SOP Classes. One row of a Template definition table corresponds to one row of a Module table.

Each Standard Template is specified by a Template table in this Part. Each Template table specifies exactly one Template, corresponding to a pattern of content within a Content Item construct.

Each Template table identifies whether the order of Content Items is significant or not significant. SOP Instances whose content is based on a Template where the order is significant shall encode the top level Content Items in the order they are specified in the Template, and the subsidiary Content Items under each parent item in the order they are specified, and so on for each Nesting Level. The significance of the order applies only to the Template itself; subsidiary included Templates may have a different order significance.

### Note

Even if a Template specifies that the order is not significant, there may be significance to the order in which Content Items are encoded in a SOP Instance. For example, CONTAINER Content Items with attribute Continuity of Content (0040,A050) value CONTINUOUS encode Content Items in narrative sequence, and procedure logs encode Content Items in time order.

The Content Items from subsidiary Templates may be intermingled if and only if the parent and subsidiary all specify that the order is not significant. This permits later refactoring into reusable Templates.

The range of concepts and the options that are permitted in a family of SR Documents vary inversely with the level of constraint that is applied by the corresponding SR Template. The more narrow the range of concepts and the more restricted the options permitted by a Template, the more predictable the content of the SR Documents will be.

### Note

1. A very specific Template defines a family of SR Documents that are very similar to each other. They have a narrow range of content options (e.g., high level of constraint of Content Item values; use of CODE or NUM with Enumerated Context Groups) and their content is therefore highly predictable. A very general (e.g., permissive or broad) Template defines a family of SR Documents that may differ considerably from one another. They have a broader range of content options (e.g., low level of constraint of Content Item values; use of TEXT and relatively little restriction of Content Item values) and their content is less predictable.

2. The degree of interoperability that may be achieved with a family of SR Documents generated from a Template may be determined intentionally and precisely at a desired level by appropriate Template design to achieve the necessary degree of predictability of SR Document contents.

## 6.1 Template Table Field Definition

SR Templates are described using tables of the following form:

Type:

  (Non-) Extensible

Order:

  (Non-) Significant

Root:

  Yes or No

Table TID <#>. <SR Context Template Name>

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  |  |  |  |  |  |
2 |  |  |  |  |  |  |  |
3 |  |  |  |  |  |  |  |

Acquisition Context Templates are described using tables of the following form:

Type:

  (Non-) Extensible

Order:

  (Non-) Significant

Table TID <#>. <Acquisition Context Template Name>

| VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | ---
1 |  |  |  |  |  |
2 |  |  |  |  |  |
3 |  |  |  |  |  |

Protocol Context Templates are described using tables of the following form:

Type:

  (Non-) Extensible

Order:

  (Non-) Significant

Table TID <#>. <Protocol Context Template Name>

| NL | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | ---
1 |  |  |  |  |  |  |
2 |  |  |  |  |  |  |
3 |  |  |  |  |  |  |

The semantics of the fields (columns) of Template tables are defined by subsections of this Section. A row of a Template table specifies either one Content Item or inclusion of another Template that may specify any number of Content Items (see Section 6.2.3 for definition of Included Templates). Each Template table is named by a title, identified by a TID number and further explained by a description such as explanation of Template contents, purpose and use cases.

The following conventions are defined for the form of references to coded concepts, Context Groups and Templates.

Code Meanings are enclosed in quotation marks (for example "cm"). Code Values and Coding Scheme Designators are not enclosed in quotation marks unless a comma occurs in the string.

References to coded concepts take the following form:

- EV or DT (CV, CSD, "CM")

  e.g., an Enumerated Value with only CV, CSD, and CM defined is represented as follows: EV (CV, CSD, "CM"), for example EV (76752008, SCT, "Breast").

- MemberOf { BCID or DCID (CID) CNAME } MemberOf selects one term from the specified context group.

If reference to a specific coding scheme version is required, it takes the following form:

- EV or DT (CV, CSD [CSV], "CM")

  e.g., DT (MA.II.A.5.4A, BI [4.0], "4A - Low suspicion").

References to Context Groups take the following form:

- BCID or DCID (CID) CNAME

  e.g., Defined Context Group 5000 is represented as follows: DCID (5000) Language.

References to Templates take the following form:

- BTID or DTID (TID) TNAME

  e.g., Baseline Template 1000 is represented as follows: BTID (1000) Quotation.

### 6.1.1 Row Number

Each row of a Template Table is denoted by a row number. The first row is numbered 1 and subsequent rows are numbered in ascending order with increments of 1. This number denotes a row for convenient description as well as reference in conditions. The Row Number of a Content Item in a Template may or may not be the same as the ordinal position of the corresponding Sequence Item (representing the Content Item) in a Content Sequence (0040,A730), depending on the number of times the Content Item is repeated.

The Content Item specified in the first row of a Template table may be of any Value Type. Specifically, it is not constrained to be a CONTAINER.

### 6.1.2 Nesting Level (NL)

The nesting level of Content Items is denoted by ">" symbols, one per level of nesting below the initial Source Content Item (of the Template) in a manner similar to the depiction of nested Sequences of Items in Modules Tables in PS3.3. When it is necessary to specify the Target Content Item(s) of a relationship, they are specified in the row(s) immediately following the corresponding Source Content Item. The Nesting Level of a Target Content Item is one greater than the Nesting Level of the corresponding (parent) Source Content Item. The Content Item specified in row 1 of a Template Table is at the top level (i.e., no ">" symbol is ever present in the NL field for the first Content Item in the table).

Acquisition Context Templates have no Nesting Level field. Protocol Context and UPS Processing Parameter Templates allow a single Nesting Level implemented through the Content Item Modifier Sequence (see PS3.3).

### 6.1.3 Relationship With Source Content Item (Parent)

Relationship Type and Relationship Mode (i.e., By-value or By-reference) constraints, if defined, are specified in this field, as described Table 6.1.3-1.

Relationship Type and Mode are specified for each row that specifies a target Content Item.

Relationship Type and Mode may also be specified when another Template is included, either "top-down" or "bottom-up" or both (i.e., in the "INCLUDE Template" row of the calling Template, or in all rows of the included Template, or in both places). There shall be no conflict between the Relationship Type and Mode of a row that includes another Template and the Relationship Type and Mode of the rows of the included Template.

### Note

SR IODs specify Enumerated Values for Relationship Types. If a Relationship Type other than one of the Defined Terms for Relationship Type (0040,A010) is specified in a Private SOP Class, there is a significant risk to interoperability. Documentation accompanying Templates for Private SOP Classes should define any Relationship-type extensions in the manner that the Standard Relationship Types are defined in PS3.3.

Acquisition Context and Protocol Context Templates have no Relationship field.

Table 6.1.3-1. Syntax of Relationship Constraints

Expression | Definition
--- | ---
RTYPE | Relationship Mode is By-value and Relationship Type is RTYPE. For example, "INFERRED FROM".
R-RTYPE | Relationship Mode is By-reference and Relationship Type is RTYPE. For example, "R-INFERRED FROM".

### 6.1.4 Value Type (VT)

The Value Type field specifies the SR Value Type of the Content Item or conveys the word "INCLUDE" to indicate that another Template is to be included (substituted for the row). See Section 6.2.3 for further description of "Included Templates".

### 6.1.5 Concept Name

Any constraints on the Concept Name are specified in the Concept Name field as defined or enumerated coded entries, or as baseline or defined context groups. Alternatively, when the VT field is "INCLUDE", the Concept Name field specifies the Template to be included.

The absence of an entry in the Concept Name field means that any code may be used, from any coding scheme, including codes from private coding schemes.

### 6.1.6 Value Multiplicity (VM)

The VM field indicates the number of times that either a Content Item of the specified pattern or an included Template may appear in this position. Table 6.1.6-1 specifies the values that are permitted in this field.

Table 6.1.6-1. Permitted Values for VM

Expression | Definition
--- | ---
i (where 'i' represents an integer) | Exactly i occurrences, where i>=1. E.g., when i=1 there shall be one occurrence of the Content Item in this position.
i-j (where 'i' and 'j' represent integers) | From i to j occurrences, where i and j are >=1 and j>i.
i-n (where 'i' and 'n' represent integers) | i or more occurrences, where i>=1.

### 6.1.7 Requirement Type

The Requirement Type field specifies the requirements on the presence or absence of the Content Item or included Template.

### Note

There is typically no need to specify Requirement Type separately for SCU and SCP of the Basic SR SOP Classes, because the SCP is required to support the entire content of any SR Document it receives. Therefore, for Basic SR SOP Classes, Requirement Type effectively only applies to the SCU.

The following symbols are used:

M

  Mandatory. Shall be present. An empty Measured Value Sequence (0040,A300) is not permitted when unknown, only for failures. See Section 6.1.7.1.

MC

  Mandatory Conditional. Shall be present if the specified condition is satisfied. An empty Measured Value Sequence (0040,A300) is not permitted when unknown, only for failures. See Section 6.1.7.1.

U

  User Option. May or may not be present.

UC

  User Option Conditional. May not be present. May be present according to the specified condition.

### Note

There is an interaction between the VM and the Requirement Type with respect to the number of times that a Content Item (or included Template) may actually be present, as follows:

Req Type | VM | Actual number of occurrences in the content tree
--- | --- | ---
M or MC | 1 | 1
M or MC | 1-n | 1 to n
U or UC | 1 | 0 or 1
U or UC | 1-n | 0 to n

#### 6.1.7.1 Requirement Type for Numeric Content Items in Structured Reports

Section C.18.1 Numeric Measurement Macro in PS3.3 permits the Measured Value Sequence (0040,A300), which contains the Numeric Value (0040,A30A) and Measurement Units Code Sequence (0040,08EA) to be zero length.

### Note

This does not apply to the Section 10.2 Content Item Macro in PS3.3 , which does not permit an empty Measured Value Sequence (0040,A300) nor does it include a Numeric Value Qualifier Code Sequence (0040,A301).

The unknown state shall be distinguished from valid arithmetic or device or algorithm failure related states (in which cases a numeric string that complies with the PS3.5 Value Representation for DS cannot be created).

If the Template Requirement Type is M or MC, then:

- A zero length Measured Value Sequence (0040,A300) is permitted for any of the reasons listed in CID 43 “Numeric Value Failure Qualifier”

- A zero length Measured Value Sequence (0040,A300) is not permitted for any of the reasons listed in CID 44 “Numeric Value Unknown Qualifier”, or any other semantically equivalent reason

### Note

The intent of the foregoing is to discourage an implementer from thwarting the requirements of the Template. Sending meaningless values, such as a value of zero, when zero is not a realistic value, is also not encouraged.

### 6.1.8 Condition

The Condition field specifies any conditions upon which presence or absence of the Content Item or its values depends. This field specifies any Concept Name(s) or Values upon which there are dependencies.

References in Condition statements to coded concepts or values, whether to select a Content Item to test or to specify a value to test against, are of the form (CV, CSD, "CM"). As is always the case for coded entries, the matching is performed against CV and CSD, irrespective of the string value of CM.

References may also be made to row numbers (e.g., to specify exclusive OR conditions that span multiple rows of a Template table).

The following abbreviations are used:

XOR

  Exclusive OR. One and only one row shall be selected from mutually-exclusive options.

  ### Note

  For example, if one of rows 1, 2, 3 or 4 may be included, then for row 2, the abbreviation "XOR rows 1, 3, 4" is specified for the condition.

IF

  Shall be present if the condition is TRUE; may be present otherwise.

IFF

  If and only if. Shall be present if the condition is TRUE; shall not be present otherwise.

### 6.1.9 Value Set Constraint

Any constraints on the Value Set for a CODE Content Item are specified in this field as defined or enumerated coded entries, or as baseline or defined context groups.

The absence of an entry in the Value Set Constraint field for a CODE Content Item means that any code may be used, from any coding scheme, including codes from private coding schemes.

The Value Set Constraint column may specify a default value for the Content Item if the Content Item is not present, either as a fixed value, or by reference to another Content Item, or by reference to an Attribute from the Data Set other than within the Content Sequence (0040,A730).

#### 6.1.9.1 NUM Units Constraint

Any constraints on units of measurement are specified in the Value Set Constraint field if and only if the Value Type is NUM. The constraints are specified either as defined or enumerated coded entries, or as baseline or defined context groups.

The constraints on the units apply only when Measured Value Sequence (0040,A300) contains an item (i.e., a numeric value is present).

### Note

The presence of constraints on the units does not imply that a value is required to be sent, since Measured Value Sequence (0040,A300) is Type 2 and may be zero length if permitted by the Requirement Type for the Content Item in the Template.

The absence of any constraint on units of measurement means that any code for units may be used, from any coding scheme, including codes from private coding schemes.

#### 6.1.9.2 CONTAINER Continuation Flag Constraint

The value of the Continuity of Content Flag (0040,A050) may be specified in the Value Set Constraint field if and only if the Value Type is CONTAINER.

### Note

The SR Document Content Module specifies "SEPARATE" and "CONTINUOUS" as the Enumerated Values for Continuity of Content Flag (0040,A050).

#### 6.1.9.3 SCOORD Graphic Type Constraint

Constraints on the value of the Graphic Type(0070,0023) may be specified in the Value Set Constraint field if and only if the Value Type is SCOORD. The constraint may specify a set of allowed values, or a set of disallowed values. For example:

- GRAPHIC TYPE = {POINT}

- GRAPHIC TYPE = {CIRCLE, ELLIPSE}

- GRAPHIC TYPE = not {MULTIPOINT}

#### 6.1.9.4 TABLE Row, Column, Units and Coded Content Constraints

Constraints on various aspects of the TABLE Content Item may be specified in the Value Set Constraint field, including the manner of encoding the tabulated values, either by row, by column, by individual cells, or by reference to other Content Items, by specifying:

- Fixed values, minimums and/or maximums for the number of table rows (NROWS) and/or columns (NCOLUMNS)

- Defined or enumerated coded entries, or baseline or defined Context Groups for Concept Name Code Sequence (0040,A043) to use in Table Row Definition Sequence (0040,A806) (ROW n) and/or Table Column Definition Sequence (0040,A807) (COLUMN n)

- Defined or enumerated coded entries, or baseline or defined Context Groups for Concept Code Sequence (0040,A168) to use in Cell Values Sequence (0040,A808) (ROW n VALUES) and/or (COLUMN n VALUES) and/or (CELL r, c VALUES)

- Defined or enumerated coded entries, or baseline or defined Context Groups for Measurement Units Code Sequence (0040,08EA) to use in Table Row Definition Sequence (0040,A806) (ROW n UNITS) and/or Table Column Definition Sequence (0040,A807) (COLUMN n UNITS) and/or Cell Values Sequence (0040,A808) (CELL r, c UNITS)

- Permitted VR to use in Selector Attribute VR (0072,0050) for specified rows (ROW n VR) , columns (COLUMN n VR) or cells (CELL r,c VR) , when values are encoded literally

- Permitted referenced Content Item target (TID ttt ROW rrr) for specified rows (ROW n REF) , columns (COLUMN n REF) or cells (CELL r,c REF), when values are specified by reference

It is also helpful to provide a detailed description of the form of the table in the corresponding Content Item Description.

Example 1:

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
5 |  | CONTAINS | TABLE | EV (113734, DCM, "X-Ray Tube Current") | 1 | M |  | NCOLUMNS = 2 COLUMN 1 = EV (111526, DCM, "DateTime Started") COLUMN 2 = EV (113734, DCM, "X-Ray Tube Current") COLUMN 2 UNITS = EV (mA, UCUM, "mA") COLUMN 1 VR = DT COLUMN 2 VR = FL

Content Item Descriptions

Row 5 | The table of X-Ray Tube Current is encoded as a two-column table, consisting of multiple rows describing corresponding values of datetime and X-Ray tube current. The number of rows is not constrained.

Example 2:

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
5 |  | CONTAINS | TABLE | EV (, , "X-Ray Source Transformation Matrix") | 1 | M |  | NCOLUMNS = 4 NROWS= 4 CELL VR = FD

Content Item Descriptions

Row 5 | The X-Ray Source Transformation Matrix is encoded as a 4 by 4 matrix of dimensionless numbers of the form defined in Section C.20.2.1.1 Frame of Reference Transformation Matrix in PS3.3 . The table may be encoded as entire rows, entire columns or individual cells of double float numeric values.

Example 3:

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
5 |  | CONTAINS | TABLE | EV (126081, DCM, "RECIST 1.1") | 1 | M |  | NCOLUMNS = 4 COLUMN 1 = EV (112039, DCM, "Tracking Identifier") COLUMN 2 = EV (363698007, SCT, "Finding Site") COLUMN 3 = EV (272741003, SCT, "Laterality") COLUMN 4 = EV (103339001, SCT, "Long Axis") COLUMN 4 UNITS = EV (mm, UCUM, "mm") COLUMN 1 REF = TID 1500 ROW 9 > TID 1501 ROW 2 COLUMN 2 REF = TID 1500 ROW 9 > TID 1501 ROW 6 COLUMN 3 REF = TID 1500 ROW 9 > TID 1501 ROW 7 COLUMN 4 REF = TID 1500 ROW 9 > TID 1501 ROW 10 > TID 300 ROW 1

Content Item Descriptions

Row 5 | The table of RECIST long axis measurements per target lesion is encoded as a four-column table, consisting of multiple rows describing corresponding values of Tracking Identifier, Finding Site, Laterality and Long Axis in mm by reference to other Content Items. The number of rows is not constrained. The Response Criteria is used as the Concept Name of the table.

Example 4:

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
6 | > | CONTAINS | TABLE | EV (111632, DCM, "Anode Target Material") | 1 | UC | XOR Row 6a | >NCOLUMNS = 2 COLUMN 1 = EV (111526, DCM, "DateTime Started") COLUMN 2 = EV (111632, DCM, "Anode Target Material") COLUMN 2 VALUES = DCID 10016 "Anode Target Material" COLUMN 1 VR = DT COLUMN 2 VR = SQ

Content Item Descriptions

Row 6 | The table of Anode Target Material values is encoded as a two-column table, consisting of multiple rows describing corresponding values of DateTime Started and Anode Target Material code values. The number of rows is not constrained. The Anode Target Material is encoded using a code selected from a Defined Context Group.

## 6.2 Special Conventions for Template Tables

### 6.2.1 Multiple Value Sets Depending On Different Conditions

When a Content Item may have different value sets, each depending on different conditions, the description of each different case begins in a separate row of the Template Table.

### 6.2.2 Target Content Items of Relationships

When it is necessary to specify the Target Content Item(s) of a relationship, they are specified in the row(s) immediately following the Source Content Item. The Nesting level of a Target Content Item (or set of Target Content Items specified indirectly via an 'include Template' macro) is one greater than the Nesting Level of the corresponding Source Content Item, as indicated by an increase in the number of ">" characters in the nesting level.

When a Content Item may be the Source of multiple relationships having different Relationship Types and/or different Relationship Modes and/or different patterns of Target Content Item(s), the description of each different case begins in a separate row of the Template Table.

When the Source Content Item of a relationship has VM of greater than 1, the specified pattern of Target Content Items applies to all instantiations of the Source Content Item.

### Note

For example, if a Template specifies that the VM of a Source Content Item is 1-n and specifies a By-value relationship to two CODE Content Items with particular value set constraints, then each instantiation of the Source Content Item has a By-value relationship to two CODE Content Items with the specified value constraints.

When a Source Content Item that has a Requirement Type of U, UC or MC is not present (is not instantiated), no Target Content Items of that Source Content Item are present, even if one or more of the Target Content Items is designated with a Requirement Type of M or MC.

### Note

In other words, potential children are not present when there is no parent.

### 6.2.3 Inclusion of Templates

A Template may specify another Template to be included by specifying "INCLUDE" in the Value Type field and the identifier of the included Template in the Concept Name field. All of the rows of the specified Template are in included in the invoking Template, effectively substituting the specified Template for the row where the inclusion is invoked. Whether or not the inclusion is user optional, mandatory or conditional is specified in the Requirement and Condition fields. The number of times the included Template may be repeated is specified in the VM field.

#### 6.2.3.1 Template Parameters

A Template that is included by another Template may include parameters that are replaced by values defined in the invoking Template. Parameters may be used to specify coded concepts or Context Groups in the Concept Name, Condition, or Value Set Constraint fields of a Template.

An included Template that accepts parameters shall be introduced by a table listing those parameters of the form:

Parameter Name | Parameter Usage
--- | ---
... | ...
... | ...

Parameters are indicated by a name beginning with the character "$".

The invoking Template may specify the value of the parameters in the included Template by name in the Value Set Constraint field of the INCLUDE row. The parameter in the included Template shall be replaced by the specified parameter value. Specification of a parameter value shall be of one of the following forms:

Notation | Definition
--- | ---
$parametername = EV or DT (CV, CSD, "CM") | The parameter passed to the Template is the specified coded term.
$parametername = (CV, CSD, "CM") | The parameter passed to the Template is the specified coded term, used as a parameter in a Condition field of the included Template.
$parametername = BCID or DCID (CID) CNAME | The parameter passed to the Template is the Context Group.
$parametername = MemberOf {BCID or DCID (CID) CNAME} | The parameter passed to the Template is a single coded term from the Context Group in curly braces.

The specification of a parameter value is valid only for the directly included Template. Therefore, it needs to be explicitly respecified in Templates intermediate between the originally specifying Template and the target Template. The intermediate Template may use the same parameter name as used by the Template it invokes; in such a case, the intermediate Template would invoke the subsidiary Template with a specification in the Value Set Constraint field such as:

$parametername = $parametername

### Note

In this case, the left hand instance of $parametername is the name in the subsidiary Template, and the right hand instance is the (parametrized) value passed into the current Template.

The invoking Template is not required to specify all parameters of included Templates. If not specified, the value set (term or context group) for that parameter is unconstrained. An unconstrained value in a Condition will cause the condition to fail.

### 6.2.4 Post-coordinated Codes and Has Concept Modifier Relationship

Though it may not be explicitly shown in a particular Template, the use of any coded Concept Name in any Content Item may be defined in a post-coordinated rather than pre-coordinated manner, unless explicitly forbidden by the IOD or the Template.

Accordingly, any such Content Item may have any number of Target Content Items via a "HAS CONCEPT MOD" relationship, even if not explicitly specified in a Template. Each Target Content Item of such a relationship may be more complicated than a single Content Item if the IOD permits (i.e., the post-coordinated concept may potentially be defined by a complex sub-tree).

### 6.2.5 Extension of Templates

An Extensible Template may be extended in an Application generating SOP Instances to include additional Content Items in its definition. Such Content Items shall not duplicate concepts for which an encoding is defined in the Template. I.e., if a method is provided for the encoding of a concept in the Template, that concept shall not be encoded using a different Content Item in an extension to the Template.

### Note

There is no requirement that the included additional Content Items in a Template extension be placed at the end of the Template. The additional Content Items may be included at any semantically appropriate location in the Template, regardless of whether the order of Content Items in the Template is significant.

A Non-extensible Template shall not be modified in an Application by the addition of Content Items to its definition.

### Note

The set of Content Items in either an Extensible or a Non-extensible Template may be changed in subsequent editions of the Standard, in accordance with the procedures of the DICOM Standards Committee.

A Non-Extensible Template may include a Template that is Extensible. In invoking such a Template, the content structure of SOP Instances created from the Non-Extensible Template may vary according to the varying content structure allowed by the extension of the included Template.

### Note

Specification of such extensible content in a Non-Extensible Template may be desirable if the Template defines, e.g., a fixed top level structure into which a variety of lower level structures may be "plugged".

# 7 DCMR Context Group Specifications

Context Groups specify Value Set restrictions for Code Value (0008,0100) (or Long Code Value (0008,0119) or URN Code Value (0008,0120)) and Code Meaning (0008,0104) of Code Sequence Attributes for given functional or operational contexts. This Section specifies the semantics of DCMR Context Group Tables.

## 7.1 Context Group Table Field Definition

Context Groups are described using tables of the following form (optional columns are shown with italic column titles):

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  (Non-) Extensible

Version:

  <yyyymmdd>

UID:

  1.2.840.10008.6.1.uuuu

Table CID <#>. <Context Group Name>

Coding Scheme Designator | Coding Scheme Version | Code Value | Code Meaning | <Reference Terminology> Equivalent Value | Units
--- | --- | --- | --- | --- | ---
... | ... | ... | ... | ... | ...
... | ... | ... | ... | ... | ...

A row of a Context Group table specifies one coded concept. Each Context Group table is named by a title and identified by a CID number and version.

The columns of the tables consist of:

- Coding Scheme Designator: the value of Coding Scheme Designator (0008,0102)

- Code Value: the value of Code Value (0008,0100) or Long Code Value (0008,0119) or URN Code Value (0008,0120)

- Coding Meaning: the value of Code Meaning (0008,0104)

In those cases where it is necessary, Coding Scheme Version (the value of Coding Scheme Version (0008,0103)) may also be specified. This column may be absent if Coding Scheme Version is not required for any of the coded concepts in the Context Group.

The value specified in the Code Meaning field is an acceptable value for the specified code value, but does not preclude the use of other synonymous text in the same or other language.

### Note

1. Some coding schemes do not specify the equivalent of a Code Meaning.

2. Capitalization in the Code Meaning is generally not significant, except for abbreviations used in units of measurement prefixes (e.g., “ml” milliliter vs. “Ml” megaliter, or “pV” picovolt vs. “PV” petavolt).

If further description of the concept represented by the code is required in the DCMR (rather than referring to an external coding scheme), it is included in a separate table.

Optional columns may provide an informative mapping from the coded concepts of the Context Group to a reference terminology specified in the column heading. Typical reference terminologies include SNOMED CT and UMLS.

An optional column may provide a normative baseline or defined set of units to use for numeric measurements using the concept, either as a single term (e.g., DT ({ratio}, UCUM, "ratio")), a list of such terms, or a reference to a Context Group (e.g., DCID 7277 "Units of Diffusion Rate Area Over Time").

A Context Group may alternatively be defined by narrative reference to an externally defined coding scheme.

### Note

See for instance CID 82 “Units of Measurement”.

## 7.2 Special Conventions for Context Group Tables

### 7.2.1 Include Context Group

The 'Include Context Group' macro is a concise mechanism for including (by-reference) all of the rows of a specified Context Group in the invoking Context Group, effectively substituting the specified Context Group for the row where the macro is invoked. If an 'Include Context Group' is specified, it shall be specified in the Concept Name column of a Context Group Table. Table 7.2.1-1 specifies the syntax of the 'Include Context Group macro. Inclusion may be nested, in that included Context Groups may themselves include other Context Groups. This gives rise to the possibility of circular inclusion and multiple inclusion, in which case the Context Group shall consist of the transitive closure of the set of all coded concepts within the included Context Groups.

### Note

For example, it is reasonable to have the following definitions for context groups:

- Context ID 1, includes Context IDs 2 and 3

- Context ID 2, includes Context IDs 4 and 5

- Context ID 3, includes Context IDs 5 and 6

- Context ID 4 contains a, b, c

- Context ID 5 contains e, f, g

- Context ID 6 contains a, h, i

The contents of Context ID 1 will be a, b, c, e, f, g, h, i.

Table 7.2.1-1. Include Context Group Macro

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
… | … | …
Include CID nnn
… | … | …

### 7.2.2 Units of Measurement

Context Group 82 is defined to include all units of measurement relevant to DICOM IODs. In the past it was envisaged that an extensible list of pre-coordinated codes would be included in the mapping resource.

DICOM has now adopted the Unified Codes for Units of Measurement (UCUM) standard for all units of measurement. This coding scheme allows for the "construction" of pre-coordinated codes from atomic components.

The specialization of the UCUM standard as it is used in DICOM involves the following rules:

- the Coding Scheme Designator is specified as "UCUM"

- the version of UCUM from which a code is constructed is not required, as it is not needed to resolve ambiguity in the Code Value or Code Meaning; however, there is no restriction on the version being specified in Coding Scheme Version

- the Code Value will be constructed from UCUM and make use of the "case-sensitive" form of UCUM code (e.g., "ml/s")

- the Code Meaning for other than UCUM unity may be one of the following:

  - the "print" value specified in UCUM (e.g., "mmHg" for Code Value mm[Hg])

  - the same string as sent in the Code Value (e.g., "ml/s")

  - constructed from the "names" of individual components using the Americanized form of name (e.g., "milliliters/second")

  - constructed from the "names" of individual components using the European form of name (e.g., " millilitres /second")

- In the case of UCUM unity ("1", or curly braces expression) it is forbidden to use "1" as a Code Meaning. Annex G provides Code Meanings for a Code Value (0008,0100) of 1. A Template or Context Group may constrain the Code Meaning according to the following rules:

  - UCUM default unit 1 shall use one of the Code Meaning synonyms specified in Annex G

  - ratios of identically dimensioned values may use ({ratio}, UCUM, "ratio")

  - unitless numeric scores may use ({M:N}, UCUM, "range: M:N") to specify the minimum and maximum value, for example, ({0:10}, UCUM, "range: 0:10")

  - counts using UCUM annotation shall always use the text within the curly braces as the Code Meaning, for example, ({masses}, UCUM, "masses")

  - compositions of a curly braces expression with other UCUM values may use a conventional clinical representation, for example, ({H.B.}/min, UCUM, "BPM")

The UCUM standard states that the preferred display values for codes deg (degrees of plane angle) and Cel (degrees Celsius) are "°" and "°C". However, the character ° does not have a representation in the DICOM default character set (ASCII, ISO-IR 6). The Code Meaning specified in this Part therefore uses "deg" and "C". SOP Instances that specify a Specific Character Set that allows the character ° may use Code Meanings "°" and "°C".

### Note

1. Code Meaning "C" formally conflicts with the Code Meaning for Coulomb. In the context of DICOM use, the possibility of confusion to a user based on the display of the Code Meaning is considered remote, as there is little use of Coulomb in imaging, and the context of the displayed item Concept Name would resolve between temperature and electric charge. Automated processing based on the Code Values should not face an issue as the Code Values differ.

2. The character ° has Unicode code point U+00B0, and is represented as 0xB0 in ISO-IR 100 (Latin-1), ISO-IR 101 (Latin-2), ISO-IR 109 (Latin-3), ISO-IR 110 (Latin-4), ISO-IR 126 (Greek), ISO-IR 138 (Hebrew), and ISO-IR 148 (Latin-5). It is not encodable in ISO-IR 13 (Katakana), ISO-IR 144 (Cyrillic), ISO-IR 127 (Arabic), or ISO-IR 166 (Thai).

### 7.2.3 Extension of Context Groups

An Application may extend an Extensible Context Group by adding terms for new concepts. Applications may not substitute other terms of the same concept in the Context Group. Applications may not add a term that means "unspecified" or "missing" or "unknown" similar; if such a concept is intended to be permitted then the Standard will include it in the Context Group already. Such extension may be made without a change in Context Group Identifier, but with the specification of Context Group Extensions (see PS3.3).

Non-extensible Context Groups shall not be modified in an Application.

### Note

The set of concepts in either an Extensible or a Non-extensible Context Group may be changed in subsequent editions of the Standard, in accordance with the procedures of the DICOM Standards Committee.

# 8 Coding Schemes

Table 8-1 lists the coding schemes (and their designators) defined for use in DICOM; Table 8-2 lists the HL7v3 coding schemes referenced for use in DICOM. Additionally, any coding scheme may be used that has an entry in the HL7 Registry of Coding Schemes (HL7 v2 Table 0396, or the equivalent online registry), in which case the HL7 Symbolic Name shall be used as the value for the Coding Scheme Designator in DICOM, as long as it does not conflict with an entry Table 8-1 and fits within the Value Representation of the DICOM Coding Scheme Designator (0008,0102) attribute. As specified in the HL7 v2 Table 0396, local or private coding schemes shall be identified by an alphanumeric identifier beginning with the characters "99".

### Note

1. An earlier version of this table was formerly contained in Annex D of PS3.3.

2. See Section 8.2 “Coding Scheme Designator and Coding Scheme Version” in PS3.3 for further description.

3. The Coding Scheme UIDs are provided for reference only; the normative specification of UIDs and their associated meaning is the responsibility of the coding scheme developer and/or HL7.

4. The current version of HL7 v2 Table 0396 is available at http://www.hl7.org/special/committees/vocab/table_0396/index.cfm.

5. The HL7 registration of Coding Schemes is available at http://www.hl7.org/oid/index.cfm.

6. Publication of codes or references to coding schemes within DICOM does not constitute a grant of intellectual property rights to implementers. Use of some Coding Schemes may require a license, or purchase of the relevant coding scheme publication. Implementers should consult the relevant coding scheme publisher; see also Section 2.

7. The values of Coding Scheme Name (0008,0115), Coding Scheme Responsible Organization (0008,0116) and Coding Scheme Resources Sequence (0008,0109), if available, may be used to fill the corresponding optional attributes of the Coding Scheme Identification Sequence (0008,0110) in the Section C.12.1 “SOP Common Module” in PS3.3 .

Table 8-1. Coding Schemes

Coding Scheme Designator (0008,0102) | Coding Scheme UID (0008,010C) | Coding Scheme Name (0008,0115) | Coding Scheme Responsible Organization (0008,0116) | Coding Scheme Resources Sequence (0008,0109) Type: URL | Description
--- | --- | --- | --- | --- | ---
ACR | 2.16.840.1.​113883.6.76 | ACR Index | ACR |  | ACR Index for Radiological Diagnosis Revised, 3rd Edition 1986
ASTM-sigpurpose | 1.2.840.10065.​1.12 | ASTM E 2084 | ASTM |  | [ASTM E 2084-00] Signature Purpose codes (see Annex A1 of ASTM E 2084), ASTM Subcommittee E 31.20 Data and System Security for Health Information
BARI |  | BARI |  |  | Bypass Angioplasty Revascularization Investigation[Alderman 1992]; endorsed by ACC/AHA Guidelines for Coronary Angiography[Scanlon 1999].
BI |  | BI-RADS | ACR |  | ACR Breast Imaging Reporting and Data System [BI-RADS®], Coding Scheme Version (0008,0103) is required; code values are section and paragraph identifiers within the publication where the code meaning is defined (e.g., "I.D.1", where I = Breast Imaging Lexicon, D = Special Cases, 1 = Tubular Density, as the code value for "Tubular Density"). ### Note In the HL7 registry, the abbreviation BI is assigned to a different coding scheme, specifically the Beth Israel problem list.
C4 | 2.16.840.1.​113883.6.12 | CPT-4 | AMA |  | American Medical Association's Current Procedure Terminology 4 (CPT-4)
C5 | 2.16.840.1.​113883.6.82 | CPT-5 | AMA |  | American Medical Association's Current Procedure Terminology 5 (CPT-5)
caDSR | 2.16.840.1.113883.3.26.2 | Cancer Data Standard Repository | NCI |  | The Public ID is used as the Code Value. These can be looked up as in the following example (the version is required): http://​cdebrowser.​nci.​nih.​gov/​CDEBrowser/​search?​dataElementDetails​=​9/​&cdeId=2178693&​version=2.1​&​PageId​=DataElementsGroup
CD2 | 2.16.840.1.​113883.6.13 | CDT-2 | ADA |  | American Dental Association's (ADA) Current Dental Terminology 2 (CDT-2)
CTV3 | 2.16.840.1.​113883.6.6 | Clinical Terms Version 3 | UK NHS |  | Read Codes
DC | 1.2.840.10008.​2.​16.​10 | Dublin Core | W3C | DOC: http://​dublincore.​org/​documents/​1998/​09/​dces/ DOC: http://​www.​ietf.​org/​rfc/​rfc2413.txt | Dublin Code Metadata for Resource Discovery. The code value is the Label field, e.g., "Creator" (capitalization significant).
DCM | 1.2.840.10008.​2.16.4 | DICOM Controlled Terminology | DICOM | DOC: http://​dicom.​nema.​org/​medical/​dicom/​current/​output/​chtml/​part16/​chapter_D.html OWL: ftp://​medical.​nema.​org/​medical/​dicom/​current/​ontology/​dcm.owl.zip | PS3.16 Content Mapping Resource, Annex D (Note that HL7 also specifies an OID of 2.16.840.1.​113883.6.31, but deprecates it in favor of 1.2.840.10008.​2.16.4).
DCMUID | 1.2.840.10008.​2.6.1 | DICOM UID Registry | DICOM | DOC: http://​dicom.​nema.​org/​medical/​dicom/​current/​output/​chtml/​part06/​chapter_A.html |
FMA | 2.16.840.1.​113883.6.119 | FMA | University of Washington, Seattle | DOC: http://​sig.​biostr.​washington.​edu/​projects/​fm/​AboutFM.​html OWL: http://​sig.​biostr.​washington.​edu/​share/​downloads/​fma/​release/​latest/​fma.​zip | Digital Anatomist Foundational Model of Anatomy
HPC | 2.16.840.1.​113883.6.14 |  |  |  | Healthcare Financing Administration (HCFA) Common Procedure Coding System (HCPCS)
I10 | 2.16.840.1.​113883.6.3 | ICD-10 | WHO |  | International Classification of Diseases revision 10 (ICD-10)
I10P | 2.16.840.1.​113883.6.4 | ICD-10-PCS | US DHHS CMS |  | ICD-10 Procedure Coding System (ICD 10 PCS)
I11 | 1.2.840.​10008.2.​16.​16 | ICD-11 | WHO | DOC: http://​icd.who.int/​browse11/​l-m/​en | International Classification of Diseases revision 11 (ICD-11)
I9 | 2.16.840.1.​113883.6.42 | ICD-9 | WHO |  | International Classification of Diseases revision 9 (ICD-9)
I9C | 2.16.840.1.​113883.6.2 | ICD-9-CM |  |  | International Classification of Diseases revision 9, with Clinical Modifications (ICD-9-CM)
IBSI | 1.2.840.10008.2.​16.​13 | Image Biomarker Standardisation Initiative |  | DOC: http://​arxiv.org/​abs/​1612.07003 |
IETF4646 |  | RFC 4646 | IETF | DOC: http://​tools.​ietf.​org/​html/​rfc4646 | [RFC 4646], Tags for Identifying Languages, The Internet Society (2005) [RFC 4646] has been superceded by [RFC 5646].
ISO639_1 | 2.16.840.1.​113883.6.99 | ISO 639-1 | ISO |  | [ISO 639-1] Two-letter language codes ### Note HL7 uses "ISO639-1" for the symbolic name, with a hyphen rather than an underscore
ISO639_2 | 2.16.840.1.​113883.6.100 | ISO 639-2 | ISO |  | [ISO 639-2] Three-letter language codes ### Note HL7 uses "ISO639-2" for the symbolic name, with a hyphen rather than an underscore
ISO3166_1 | 2.16.1 | ISO 3166-1 | ISO |  | [ISO 3166-1] alpha-2 Country Codes ### Note HL7 uses "ISO3166-1" for the symbolic name, with a hyphen rather than an underscore
ISO5218_1 |  | ISO 5218-1 | ISO |  | Representation of Human Sexes (not used) ISO5218_1, which uses numeric codes, was improperly specified in CID 7455 Sex in earlier editions of the Standard. The alphabetic codes improperly attributed to that coding scheme have been added to the DICOM Controlled Terminology, and thus all references to coding scheme ISO5218_1 should be considered equivalent to coding scheme DCM.
ISO_OID |  | ISO OID | ISO |  | [ISO 8824-1] ISO/IEC 8824-1- Information Technology - Abstract Syntax 1 (ASN.1): Specification of Basic Notation, and [ISO 9834-1] - Information technology - Open Systems Interconnection - Procedures for the operation of OSI Registration Authorities: General procedures and top arcs of the ASN.1 Object Identifier tree
ITIS_TSN | 1.2.840.10008.​2.​16.​7 | ITIS TSN | ITIS | DOC: http://​www.​itis.​gov | A Taxonomic Serial Number (TSN) is a unique, persistent, non-intelligent identifier for a scientific name in the context of the Integrated Taxonomic Information System (ITIS).
LN | 2.16.840.1.​113883.6.1 | LOINC | Regenstrief Institute | DOC: http://​loinc.​org/ | [LOINC] Logical Observation Identifier Names and Codes
MA | 1.2.840.10008.​2.​16.​5 | Adult Mouse Anatomy Ontology | The Jackson Laboratory | DOC: http://​www.​informatics.​jax.​org/​searches/​AMA.​cgi?​id=MA:0002405 | Hayamizu TF, Mangan M, Corradi JP, Kadin JA, Ringwald M. The Adult Mouse Anatomical Dictionary: a tool for annotating and integrating data. Genome Biology 2005;6(3):R29. doi:10.1186/gb-2005-6-3-r29. http://​www.​ncbi.​nlm.​nih.​gov/​pmc/​articles/​PMC1088948/
MAYOASRG | 1.2.840.​10008.2.​16.​12 | Mayo Clinic Non-radiological Images Specific Body Structure Anatomical Surface Region Guide |  |  | The numeric code of entries in the Mayo Clinic Non-radiological Images Specific Body Structure Anatomical Surface Region Guide.
MDC | 2.16.840.1.​113883.6.24 |  |  |  | ISO/IEEE 11073 Medical Device Nomenclature, including all its subsections ([ISO/IEEE 11073-10101], [ISO/IEEE 11073-10101a], [ISO/IEEE 11073-10102], etc.), encoded as decimal strings <partition>:<element>
MDNS |  |  |  |  | Universal Medical Device (UMD) Nomenclature System
MGI | 1.2.840.10008.​2.​16.​8 | MGI | The Jackson Laboratory | DOC: http://​www.​informatics.​jax.​org/​mgihome/​nomen/ | The MGI ID from the Mouse Genome Initiative (MGI) nomenclature.
MSH | 2.16.840.1.​113883.6.177 | MeSH | NLM | DOC: http://​www.​nlm.​nih.​gov/​mesh/​meshhome.​html | US National Library of Medicine (NLM) Medical Subject Headings (MeSH)
NBD | 2.16.840.1.​113883.15.2 |  |  |  | NASPE/BPEG Defibrillator Code Bernstein AD, et al."The NASPE/BPEG Defibrillator Code" PACE, 16:1776-1780, 1993
NBG | 2.16.840.1.​113883.15.3 |  |  | DOC: http://www.​hrsonline.​org/​Practice-​Guidance/​Clinical-​Guidelines-​Documents/​2002-​The-​Revised-​NASPE-​BPEG​-​Generic-​Code-​for-​Antibradycardia-​​AdaptiveRate-​and-​Multisite-​Pacing | NASPE/BPEG Generic Pacemaker Code (2000) Bernstein AD, et al."The Revised NASPE/BPEG Generic Code for antibradycardia, adaptive-rate, and multisite pacing." Pacing Clin Electrophysiol., 25:260-264, 2002 See http://​www.​hrsonline.​org/​Practice-​Guidance/​Clinical-​Guidelines-​Documents/​2002-​The-​Revised-​NASPE-​BPEG​-​Generic-​Code-​for-​Antibradycardia-​​AdaptiveRate-​and-​Multisite-​Pacing.
NCDR |  |  |  |  | American College of Cardiology National Cardiovascular Data Registry™ Cath Lab Module Version 1.1, 1997; Version 2.0b, 1999
NCIt | 2.16.840.1.​113883.3.26.1.1 | NCI Thesaurus | NCI | DOC: http://​ncit.​nci.​nih.​gov/ |
NDC | 2.16.840.1.113883.6.69 | National Drug Code Directory | US FDA | DOC: http://​www.fda.gov/​Drugs/​Information​​OnDrugs/​ucm142438.htm DOC: http://​www.hl7.org/​fhir/​ndc.html | The code value is the 10 digit 3 segment NDC code with "-" between segments included and no asterisk (leading zero placeholder).
NEU | 2.16.840.1.​113883.6.210 | NeuroNames |  | DOC: http://​braininfo.​rprc.​washington.​edu​/aboutBrainInfo.​aspx​#NeuroNames | The numeric brainInfoID is used as the code value. See
NICIP | 2.16.840.1.​113883.2.1.​3.2.4.21 | NICIP | UK NHS | DOC: http://​digital.​nhs.​uk/​article/​1108/​National-​Interim-​Clinical-​Imaging-​Procedure-​NICIP-​Code-​Set | UK National Health Service National Interim Clinical Imaging Procedures (NICIP) Short Code (e.g., "CCHAPC" for CT Thorax abdomen pelvis with contrast)
NPI |  |  |  |  | HCFA National Provider Identifier
NYUMCCG | 1.2.840.​10008.2.​16.​11 | New York University Melanoma Clinical Cooperative Group |  | DOC: http://​www.anatomymapper.com/​nyu/ | The numeric code of entries in the New York University Melanoma Clinical Cooperative Group's numbering system.
PATHLEX | 1.3.6.1.4.1.​19376.1.8.2.1 | PathLex | IHE | DOC: http://​www.ihe.net/​Technical​_Framework/​upload/​IHE​_PAT​_Suppl​_APSR​_Appendix​_Value​_Sets​_2011_03_31​.xls DOC: http://​purl.bioontology.org/​ontology/​PATHLEX | The numeric pathLexCode is used as the code value.
POS | 2.16.840.1.​113883.6.50 |  |  |  | HCFA Place of Service (POS) Codes for Professional Claims
PUBCHEM_CID | 1.2.840.10008.​2.​16.​9 | PubChem | NCBI | DOC: http://​pubchem.​ncbi.​nlm.​nih.​gov/ | US National Center for Biotechnology Information (NCBI) PubChem Compound CID.
RADLEX | 2.16.840.1.​113883.6.256 | RadLex | RSNA | DOC: http://​www.radlex.org/ | [RadLex]
RADELEMENT | 1.2.840.10008.2.​16.​15 | RadElement | RSNA | DOC: http://radelement.org/ | [RadElement]
RFC3066 | 2.16.840.1.​113883.6.121 | RFC 3066 | IETF | DOC: http://​tools.ietf.org/​html/​rfc3066 | [RFC 3066], Tags for the Identification of Languages, Internet Engineering Task Force ### Note HL7 uses "IETF3066" for the symbolic name. [RFC 3066] has been superseded by [RFC 4646], which in turn has been superceded by [RFC 5646].
RFC-3881 |  | RFC 3881 | IETF | DOC: http://​tools.ietf.org/​html/​rfc3881 | [RFC 3881], Security Audit and Access Accountability Message - XML Data Definitions for Healthcare Applications ### Note A hyphen is used in the Coding Scheme Designator for consistency with historical use in IHE. See IHE ITI TF Vol2a. Section 3.20.7.1.3.
RFC5646 | 2.16.840.1.​113883.6.316 | RFC 5646 | IETF | DOC: http://​tools.ietf.org/​html/​rfc5646 | [RFC 5646], Tags for Identifying Languages, The Internet Society (2009) ### Note The HL7 OID Registry specifies "rfc5646", not "ietf5646", as the Desired Symbolic Name (inconsistent with the pattern used for [RFC 4646]). [RFC 5646] constitutes one part of IETF Best Current Practice BCP 47 Tags for Identifying Languages, which also includes [RFC 4647] Matching of Language Tags; [RFC 4647] is not relevant in this context.
RO | 1.2.840.​10008.​2.​16.​14 | Radiomics Ontology |  | DOC: http://​bioportal.bioontology.org/​ontologies/​RO |
RXNORM | 2.16.840.1.113883.6.88 | RXNORM | NLM | DOC: http://​www.nlm.nih.gov/​research/​umls/​rxnorm/ | RxNorm provides normalized names for clinical drugs and links its names to many of the drug vocabularies commonly used in pharmacy management and drug interaction software.
99SDM | 2.16.840.1.​113883.6.53 | SDM | DICOM |  | SNOMED DICOM Microglossary (Retired) (see Section 8.1)
SCPECG |  |  |  |  | Standard Communications Protocol for Computer-Assisted Electrocardiography, Draft proposal for ISO Standard, AAMI, Revision 1.3
SNM3 | 2.16.840.1.​113883.6.51 | SNOMED V3 | SNOMED International | DOC: http://​www.snomed.org/ | SNOMED International Version 3 (see Section 8.1) ### Note This coding scheme is deprecated. The use of "SNOMED-RT style" code values is no longer authorized by SNOMED except for creation by legacy devices, legacy objects in archives, and receiving systems that need to understand them.
SCT | 2.16.840.1.​113883.6.96 | SNOMED CT | SNOMED International | DOC: http://​www.snomed.org/ | [SNOMED], using the CT code values
SRT | 2.16.840.1.​113883.6.96 | SNOMED CT | SNOMED International | DOC: http://​www.snomed.org/ | [SNOMED], using the "SNOMED-RT style" code values (see Section 8.1) ### Note HL7 uses "SNM" for the symbolic name. This coding scheme is deprecated. The use of "SNOMED-RT style" code values is no longer authorized by SNOMED except for creation by legacy devices, legacy objects in archives, and receiving systems that need to understand them.
UBERON | 1.2.840.10008.​2.​16.​6 | UBERON |  | DOC: http://​uberon.org/ | The Uberon ID from the Uberon integrated cross-species ontology covering anatomical structures in animals.
UCUM | 2.16.840.1.​113883.6.8 | UCUM | Regenstrief Institute | DOC: http://​unitsofmeasure.org/​ucum.html | [UCUM] Unified Code for Units of Measure
UMLS | 2.16.840.1.​113883.6.86 | UMLS | NLM | DOC: http://​www.nlm.nih.gov/​research/​umls/ | UMLS codes as CUIs making up the values in a coding system
UPC | 2.16.840.1.​113883.6.55 |  |  |  | Universal Product Code - Universal Code Council

Table 8-2. HL7v3 Coding Schemes

Coding Scheme Designator | Coding Scheme UID | Description
--- | --- | ---
ActCode | 2.16.840.1.113883.5.4 |
ActPriority | 2.16.840.1.113883.5.7 |
AdministrativeGender | 2.16.840.1.113883.5.1 |
mediaType | 2.16.840.1.113883.5.79 | RFC2046
NullFlavor | 2.16.840.1.113883.5.1008 |
ObservationInterpretation | 2.16.840.1.113883.5.83 |
Confidentiality | 2.16.840.1.113883.5.25 |
ParticipationType | 2.16.840.1.113883.5.90 |

## 8.1 SNOMED CT

SNOMED (the Systematized Nomenclature of Medicine) Clinical Terms (CT) is the preferred coding system within DICOM for anatomy, clinical findings, procedures, pharmaceutical/biologic products (including contrast agents), and other clinical terms.

SNOMED has had various versions, including SNOMED International (Version 3), which was issued in 1993 and revised through 1998, SNOMED Reference Terminology, the successor to SNOMED 3 that was published between 1999 and 2001, and SNOMED Clinical Terms, which has been the name since 2002. The coding scheme is fully backward-compatible across SNOMED 3, SNOMED-RT, and SNOMED CT. SNOMED CT introduced a solely numeric set of codes (ConceptID) in addition to the former alphanumeric codes (SnomedID), but all SNOMED terminology concepts have both a numeric and an alphanumeric code.

In previous editions of the DICOM Standard, the following Coding Scheme Designators were used for SNOMED codes in DICOM:

- "99SDM", denoting the provisional SNOMED DICOM Microglossary

- "SNM3", denoting SNOMED International (Version 3)

- "SRT", originally denoting SNOMED-RT, but later used to identify SNOMED CT concepts using "SNOMED-RT style" alphanumeric code values

All uses of SNOMED CT coded terms in DICOM are now indicated by the Coding Scheme Designator "SCT", identifying them as SNOMED CT numeric Concept IDs as code values.

When a Coding Scheme Designator of "99SDM", "SNM3" or "SRT" is encountered by a receiving system, the "SNOMED-RT style" alphanumeric Code Value needs to be mapped to the corresponding concept designated by the SNOMED CT Concept IDs assigned to the same concept.

### Note

"SRT" as a coding scheme designator was used only in the DICOM Standard. HL7v2 did not standardize a coding scheme designator for SNOMED-RT.

When interoperating with systems that use SNOMED CT codes, Application Entities may receive and are expected to send Code Sequences with a numeric ConceptID code. It is the responsibility of such Application Entities to convert any alphanumeric SnomedID with Coding Scheme Designator "SRT" used in old DICOM objects and services to the corresponding numeric ConceptID code.

### Note

1. Some non-DICOM systems may use a Coding Scheme Designator of "SNOMED-CT" rather than "SCT" as is used in DICOM.

2. The SNOMED organization's policy on the use of "antecedent versions", including the continued use of "SNOMED-RT style" alphanumeric code values is described at: http://​www.snomed.org/​news-articles/​timetable-​for-​the-​withdrawal-​of-​legacy-​snomed-​codes.

3. Since the SNOMED organization no longer distributes a reference set that includes a mapping of "SNOMED-RT style" SNOMED IDs to SNOMED Concept IDs a complete mapping of those used in DICOM is provided in Annex O to allow implementers to process legacy objects from legacy devices and archives.

### 8.1.1 Use of SNOMED Anatomic Concepts

In general, DICOM uses the anatomic concepts with the term "structure", rather than with the term "entire". This is an important distinction in SNOMED. "Entire" is a child concept to "structure", has a more restricted meaning, and typically is used in conjunction with treatments (e.g., "excision of entire right kidney"). It is used in distinction to other sibling children of the parent concept that may identify parts of the parent anatomic feature. Since imaging typically targets both the anatomic feature and the area around it, or sometimes just part of the anatomic feature, DICOM usually uses "structure" concepts that are more inclusive than the "entire" concepts.

## 8.2 ISO_OID

[ISO 8824-1] and [ISO 9834-1] are the standards defined for the generation of object identifiers that are used as DICOM Unique Identifiers (see PS3.5), can also serve as a general mechanism for identifying organizations and objects defined by those organizations.

When the Coding Scheme Designator is ISO_OID, the Code Value shall be the numeric (dot delimited) form of a valid object identifier.

A repository of known existing object identifiers can be found at http://www.oid-info.com/index.htm. For example:

- the ISO 9834-1 assigned numeric object identifier for the country France, is "1.0.3166.2.2.1.250" (since ISO 3166 defines a means for maintaining country codes using object identifiers)

- the object identifier for the RIPEMD-160 cryptographic hash function is "1.0.10118.3.0.49"

- the object identifier for the HL7 V2 table of codes for marital status is "2.16.840.1.113883.12.2"

The re-use of object identifiers for existing concepts that do not have an alternative more appropriate coding scheme compatible with DICOM provides a mechanism to avoid defining new codes. For example, HL7 assigned object identifiers can be found at http://www.hl7.org/oid/index.cfm.

Though the intent of ISO_OID is to define organizational roots for the hierarchical assignment of object identifiers, and not specifically to identify organizations per se, the organizational root values can be construed as identifying the organization. For example, the DICOM Standards Organization itself can be identified by the value "1.2.840.10008". See also CID 5002 “Organizations”.

## 8.3 Retired Codes and Expected Behavior

As this Standard and external coding schemes are maintained, the codes specified as Concept Names, Concept Values and in Conditions may change. The previous codes are considered Retired but implementations may continue to send them and receivers will be expected to be able to continue to recognize the Retired codes, including the Code Value and Coding Scheme Designator, even if the current Standard does not publish them.

A notable example is the change throughout the Standard from using "SNOMED-RT style" code values with a Coding Scheme Designator of "SRT", "SNM3" or "99SDM", to the use of SNOMED CT numeric code values with a Coding Scheme Designator of "SCT". A mapping of retired to new SNOMED codes is found in Annex O.

# 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.
Row 13 | Multiple SCOORD content items may be necessary to describe the source of the measurement. E.g., the measurement of an angle between two non-intersecting line segments requires two separate POLYLINE SCOORD content items with the concept name of (121223, DCM, "Arm of angle") conveyed in $Purpose.
Rows 13, 14 | (260753009, SCT, "Source") may be specified for $ImagePurpose or $WavePurpose as a generic Concept Name when there is a desire to avoid having an anonymous (unnamed) content item.
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 2D or 3D 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, 6 |
2 |  | R-INFERRED FROM | IMAGE |  | 1 | MC | XOR Rows 1, 3, 6 |
3 |  | INFERRED FROM | SCOORD | $Purpose | 1 | MC | XOR Rows 1, 2, 6 |
4 | > | SELECTED FROM | IMAGE |  | 1 | MC | XOR Row 5 |
5 | > | R-SELECTED FROM | IMAGE |  | 1 | MC | XOR Row 4 |
6 |  | INFERRED FROM | SCOORD3D | $Purpose | 1 | MC | XOR Rows 1, 2, 3 |

Content Item Descriptions

Rows 1, 2, 3, 4, 5, 6 | (260753009, SCT, "Source") may be be used as a generic Concept Name when there is a desire to avoid having an anonymous (unnamed) content item.

### 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 |

Content Item Descriptions

Rows 1, 2, 3, 4, 5 | (260753009, SCT, "Source") may be be used as a generic Concept Name when there is a desire to avoid having an anonymous (unnamed) content item.

### 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") |
4 |  | HAS OBS CONTEXT | INCLUDE | DTID 1015 “Person Observer Description” | 1 | U |  |

### 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 Accession Number (0008,0050) of the General Study Module
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 the 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 1015 Person Observer Description

This Template includes attributes describing the qualifications of the person observer relevant to the content generated by the observer.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 1015. Person Observer Description

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (128003, DCM, "Reader Specialty") | 1 | M |  | DCID 7449 “Reader Specialty”
2 | > | HAS PROPERTIES | NUM | EV (C54627, NCIt, "Experience") | 1 | M |  | UNITS = EV (a, UCUM, “Year”)

### 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, by an SCOORD3D defining an area relative to a 3D Frame of Reference, or by a reference to an ROI defined in a radiotherapy Structure Set.

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
$TrackingID | Value for Tracking Identifier
$TrackingUID | Value for Tracking Unique Identifier

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 | U |  | $TrackingID
3 | > | HAS OBS CONTEXT | UIDREF | EV (112040, DCM, "Tracking Unique Identifier") | 1 | U |  | $TrackingUID
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, 7b, 8b | GRAPHIC TYPE = not {MULTIPOINT}
6 | >> | SELECTED FROM | IMAGE |  | 1 | M |  |
7 | > | CONTAINS | IMAGE | EV (121214, DCM, "Referenced Segmentation Frame") | 1 | MC | XOR Row 5, 7b | Reference shall be to a Segmentation Image, with a single value specified in Referenced Segment Number (0062,000B). For references to tiled Segmentation Images, one or more values shall be specified in Referenced Frame Number (0008,1160), unless all frames in the referenced Segmentation Image are selected and there is only a single Segment, in which case Referenced Frame Number (0008,1160) will be absent. The referenced tiles shall all be in the same plane. For references to non-tiled Segmentation Images, a single value shall be specified in Referenced Frame Number (0008,1160), unless there is only one frame in the referenced Segmentation Image, in which case Referenced Frame Number (0008,1160) will be absent.
7b | > | CONTAINS | SCOORD3D | EV (111030, DCM, "Image Region") | 1 | MC | XOR Rows 5, 7, 8b | GRAPHIC TYPE = not {MULTIPOINT, POLYLINE or ELLIPSOID}
8 | > | CONTAINS | IMAGE | EV (121233, DCM, "Source image for segmentation") | 1 | MC | IFF Row 7 |
8b | > | CONTAINS | COMPOSITE | EV (130488, DCM, "Region in Space") | 1 | MC | XOR Row 5, 7, 7b | Reference shall be to an Instance of the RT Structure Set Storage SOP Class.
8c | >> | HAS PROPERTIES | TEXT | EV (130489, DCM, "Referenced Region of Interest Identifier") | 1 | M |  | Shall be the value of ROI Number (3006,0022) within the single referenced Item of Structure Set ROI Sequence (3006,0020) of the referenced Instance of the RT Structure Set Storage SOP Class.
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.
Row 6 | (260753009, SCT, "Source") may be used as a generic Concept Name when there is a desire to avoid having an anonymous (unnamed) content item.
Row 7 | Referenced Frame Number (0008,1160) and Referenced Segment Number (0062,000B) are attributes 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 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. Referenced Frame Number (0008,1160) may reference multiple frames in the same plane for tiled Segmentation Images (such as segmentations of Whole Slide Microscopy images).
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.
Rows 8b, 8c | A reference to a single ROI that defines a planar ROI, within an RT Structure Set.
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, by a set of SCOORD3Ds defining a volume relative to a 3D Frame of Reference, or by a reference to an ROI defined in a radiotherapy Structure Set.

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
$TrackingID | Value for Tracking Identifier
$TrackingUID | Value for Tracking Unique Identifier

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 | U |  | $TrackingID
3 | > | HAS OBS CONTEXT | UIDREF | EV (112040, DCM, "Tracking Unique Identifier") | 1 | U |  | $TrackingUID
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, 12b | GRAPHIC TYPE = not {MULTIPOINT}
6 | >> | SELECTED FROM | IMAGE |  | 1 | M |  |
7 | > | CONTAINS | IMAGE | EV (121191, DCM, "Referenced Segment") | 1 | MC | XOR Rows 5, 10, 12b | 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, 12b | 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) |
12b | > | CONTAINS | COMPOSITE | EV (130488, DCM, "Region in Space") | 1 | MC | XOR Row 5, 7, 10 | Reference shall be to an Instance of the RT Structure Set Storage SOP Class.
12c | >> | HAS PROPERTIES | TEXT | EV (130489, DCM, "Referenced Region of Interest Identifier") | 1 | M |  | Shall be the value of ROI Number (3006,0022) within the single referenced Item of Structure Set ROI Sequence (3006,0020) of the referenced Instance of the RT Structure Set Storage SOP Class.
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).
Row 5 | Even though the coordinates are image-relative, not every image slice within the spatial extent of the ROI is required to be encoded. That is, the ROI may be more coarsely sampled than the image slices, and may be irregularly sampled, and the omission of a contour on a slice does not mean that it is omitted from the ROI. For example, a user may not draw an outline on every slice. However, failure to include every intermediate slice does give rise to this potential ambiguity, and is discouraged.
Rows 5, 7, 10 | A single invocation of TID 1411 defines the entire spatial extent defined of a single ROI. A single structure with multiple fragments disconnected in spatial extent needs to be described as separate ROIs, in separate invocations of TID 1411, with different Tracking Identifiers and Tracking Unique Identifiers, but the same Finding.
Rows 5, 10 | To describe an infinitely small volume, such as the center of a lesion, a Graphic Type of POINT may be used.
Row 6 | (260753009, SCT, "Source") may be used as a generic Concept Name when there is a desire to avoid having an anonymous (unnamed) content item.
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. The extent, sampling rate and orientation of the Segmentation are not required to match that of corresponding image slices (if any), identified in Row 11 or referenced from the Segmentation. 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. The sampling rate and orientation of the contours is not required to match that of any image slices (if any), nor are the in-plane or cross-plane sampling rates required to be regular.
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.
Rows 12b, 12c | A reference to a single ROI that defines a volumetric ROI, within an RT Structure Set.
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 | U |  |
3 | > | HAS OBS CONTEXT | INCLUDE | DTID 1001 “Observation Context” | 1 | M |  |
4 | > | HAS CONCEPT MOD | CODE | EV (121058, DCM, "Procedure reported") | 1-n | U |  | BCID 100 “Quantitative Diagnostic Imaging Procedures”
5 | > | CONTAINS | INCLUDE | DTID 1600 “Image Library” | 1 | U |  |
6 | > | CONTAINS | CONTAINER | EV (126010, DCM, "Imaging Measurements") | 1 | MC | 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” $ImagePurpose = BCID 7551 “Generic Purpose of Reference to Images and Coordinates in Measurements” $Units = BCID 7181 “Abstract Multi-dimensional Image Model Component Units” $Derivation = BCID 7464 “General Region of Interest Measurement Modifiers” $Method = BCID 6147 “Response Criteria” $QualModType = BCID 210 “Qualitative Evaluation Modifier Types” $QualModValue = BCID 211 “Qualitative Evaluation Modifier Values”
10 | > | CONTAINS | CONTAINER | EV (126011, DCM, "Derived Imaging Measurements") | 1 | MC | 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 | MC | 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

Row 5 | The Image Library provides potentially relevant characteristics of images associated with the measurements. There is no requirement to include all, or any, of the images referenced in the ROIs and measurements elsewhere in this template. The template may also include images that are associated with, but not directly referenced in, the ROIs and measurements. The Image Library is not replicating the content of the SOP Instance Reference Macro.
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 Identifier. 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 measurements, such as for RECIST or WHO tumor treatment response criteria evaluation, or angle measurements. 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
$TrackingID | Value for Tracking Identifier
$TrackingUID | Value for Tracking Unique Identifier

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 | U |  | $TrackingID
3 | > | HAS OBS CONTEXT | UIDREF | EV (112040, DCM, "Tracking Unique Identifier") | 1 | U |  | $TrackingUID
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
10b | > | CONTAINS | IMAGE | $ImagePurpose | 1-n | U |  |
10c | > | CONTAINS | SCOORD | $ImagePurpose | 1-n | U |  |
10d | >> | SELECTED FROM | IMAGE |  | 1 | M |  |
10e | > | CONTAINS | SCOORD3D | $ImagePurpose | 1-n | U |  |
10f | > | CONTAINS | WAVEFORM | $WavePurpose | 1-n | U |  |
10g | > | CONTAINS | TCOORD | $WavePurpose | 1-n | U |  |
10h | >> | SELECTED FROM | WAVEFORM |  | 1 | M |  |
11 | > | CONTAINS | CODE | $QualType | 1-n | U |  | $QualValue
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 contains an optional inclusion of TID 1408 Tracking Identifier as a child of the NUM measurement, 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 factor them out into a common location for multiple measurements, and to be consistent with TID 1410 and TID 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.
Row 10 | (260753009, SCT, "Source") may be specified for $ImagePurpose or $WavePurpose as a generic Concept Name when there is a desire to avoid having an anonymous (unnamed) content item.
Rows 10b, 10c, 10d, 10e, 10f, 10g, 10h | Coordinates, image or waveform references that are the subject of this measurement group instead of, or in addition to, coordinate, image or waveform references associated with measurements in Row 10. Note that if an ROI is defined, other templates may be used, such as TID 1410 Planar ROI Measurements and Qualitative Evaluations.
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 |  |

Row 3 | These Image Library Entry Descriptors apply to all Image Library Entries in this Image Library Group.

### 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 |  |

Row 2 | These Image Library Entry Descriptors apply to the IMAGE in Row 1 and override descriptors in Row 3 of Section TID 1600 in case of conflict.

### 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 | MC | 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 | MC | 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 | MC | IFF Row 1 is present with a value of "CT" |
16 |  | HAS ACQ CONTEXT | INCLUDE | DTID 1606 “Image Library Entry Descriptors for MR” | 1 | MC | IFF Row 1 is present with a value of "MR" |
17 |  | HAS ACQ CONTEXT | INCLUDE | DTID 1607 “Image Library Entry Descriptors for PET” | 1 | MC | 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. Specialized coded content items allow more precise description of imaging sequences used for interpretation of multiparametric prostate MRI.

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 |  |
2 |  | HAS ACQ CONTEXT | NUM | EV (130542, DCM, "Magnetic field strength") | 1 | U |  | UNITS = (T, UCUM, "Tesla")
3 |  | HAS ACQ CONTEXT | NUM | EV (RID10813, RADLEX, "MR coil") | 1-n | U |  | DCID 6349 “MR Coil Types”
4 |  | HAS ACQ CONTEXT | NUM | EV (110852, DCM, "MR signal intensity") | 1 | U |  | BCID 6311 “MR Signal Intensity”
5 |  | HAS ACQ CONTEXT | NUM | EV (130546, DCM, "Cross-sectional scan plane orientation") | 1 | U |  | BCID 6312 “Cross-sectional Scan Plane Orientation”
6 |  | HAS ACQ CONTEXT | NUM | EV (113240, DCM, "Source image diffusion b-value") | 1-n | U |  | UNITS = (s/mm2, UCUM, "s/mm2")
7 |  | HAS ACQ CONTEXT | INCLUDE | DTID 1608 “Image Library Entry Descriptors for Prostate Multiparametric MR” | 1 | U |  |

Content Item Descriptions

Row 1 | 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 .
Row 6 | Multiple values may apply when entry descriptor corresponds to a parametric map such as Apparent Diffusion Coefficient (ADC) map, which utilizes multiple b-values from a Diffusion-Weighted acquisition.

### 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 1608 Image Library Entry Descriptors for Prostate Multiparametric MR

This Template includes attributes for image library entries that define the type of the sequence, as needed for PI-RADS interpretation of multiparametric MRI, specify most important sequence-specific attributes, and provide a location for reporting prostate imaging and sequence-specific technical characteristics of the acquisition.

### Note

A descriptor specific to prostate MRI and PI-RADS is provided to record Prostate DCE temporal resolution. This term follows the conventions used in the PI-RADS guidelines.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 1608. Image Library Entry Descriptors for Prostate Multiparametric MR

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | HAS ACQ CONTEXT | TEXT | EV (130544, DCM, "Endorectal coil type") | 1 | U |  |
2 |  | HAS ACQ CONTEXT | CODE | EV (130545, DCM, "Inflatable endorectal coil fill substance") | 1 | U |  | DCID 6350 “Endorectal Coil Fill Substances”
3 |  | HAS ACQ CONTEXT | NUM | EV (130547, DCM, "Dynamic contrast-enhanced temporal resolution") | 1-n | U |  | UNITS = (s, UCUM, "second")

### TID 1700 Generic Blood Lab Measurements

The Generic Blood Lab Measurements Template provides for the recording of measurements made on a blood sample that is not specific to a particular clinical application. The type and anatomic source of the blood is recorded as acquisition context. The results from the blood chemistry measurement system are quoted; the measurement names may be pre-coordinated with the type or source of the blood, or generic measurement names may be reported. In the latter case, the full measurement concept name may be effectively post-coordinated using the recorded acquisition context.

Table TID 1700. Parameters

Parameter Name | Parameter Usage
--- | ---
$Measurement | Measurement.
$Units | Measurement units.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 1700. Generic Blood Lab Measurements

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122125, DCM, "Blood lab measurements") | 1 | M |  |
2 | > | HAS ACQ CONTEXT | DATETIME | EV (111469, DCM, "Sampling DateTime") | 1 | M |  |
3 | > | HAS ACQ CONTEXT | CODE | EV (371439000, SCT, "Specimen Type") | 1 | M |  | DCID 3520 “Blood Source Type”
4 | > | HAS ACQ CONTEXT | CODE | EV (363704007, SCT, "Procedure site") | 1 | M |  | BCID 3630 “Cardiovascular Anatomic Locations”
5 | > |  | INCLUDE | DTID 1000 “Quotation” | 1 | U |  |
6 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | M |  | $Measurement = $Measurement $Units = $Units

### TID 1701 Imaging Study Quality

This template provides the mechanism to describe image quality both at the study and individual series level, following a specific quality control standard.

Table TID 1701. Parameters

Parameter Name | Parameter Usage
--- | ---
$ImageQualityControlStandard | Value for Quality Control Standard.
$StudyQualityFindings | Value for Study Quality Findings.
$SeriesQualityFindings | Value for Series Quality Findings.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 1701. Imaging Study Quality

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130549, DCM, "Imaging Study Quality") | 1 | M |  |
2 | > | CONTAINS | CODE | EV (111050, DCM, "Quality Assessment") | 1 | M |  | DCID 6044 “Types of Image Quality Assessment”
3 | >> | HAS PROPERTIES | CODE | EV (111051, DCM, "Quality Control Standard") | 1 | M |  | $ImageQualityControlStandard Defaults to BCID 6326 “Image Quality Control Standards”
4 | > | CONTAINS | CODE | EV (111052, DCM, "Quality Finding") | 1-n | U |  | $StudyQualityFindings
5 | > | CONTAINS | CONTAINER | EV (130550, DCM, “Imaging Series Quality”) | 1-n | U |  |
6 | >> | CONTAINS | UIDREF | EV (112002, DCM, “Series Instance UID”) | 1-n | M |  |
7 | >> | CONTAINS | CODE | EV (111050, DCM, "Quality Assessment") | 1 | MC | At least one of rows 7, 9, 10 shall be present | DCID 6044 “Types of Image Quality Assessment”
8 | >>> | HAS PROPERTIES | CODE | EV (111051, DCM, "Quality Control Standard") | 1 | M |  | $ImageQualityControlStandard Defaults to BCID 6326 “Image Quality Control Standards”
9 | >> | CONTAINS | CODE | EV (111052, DCM, "Quality Finding") | 1-n | MC | At least one of rows 7, 9, 10 shall be present | $SeriesQualityFindings
10 | >> | CONTAINS | NUM | EV (111029, DCM, “Image Quality Rating”) | 1-n | MC | At least one of rows 7, 9, 10 shall be present | UNITS = EV (%, UCUM, "Percent") Value = 0 - 100

Content Item Descriptions

Row 6 | Defines the series to which the assessments apply.

### 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 |  |

## Procedure Log IOD Templates

### TID 3001 Procedure Log

The Procedure Log Template is intended for the representation of reports or logs of time-stamped events occurring during an image-guided interventional or other procedure.

This Template does not require a particular ordering of the subsidiary Content Items.

### Note

1. The Procedure Log IOD (PS3.3) requires ordering by Observation DateTime; thus log entries of different types (i.e., specified by different Rows in the Template) may appear in any order.

2. While this Template is extensible, the Procedure Log IOD forbids Container Content Items subsidiary to the top level Container.

Type:

  Extensible

Order:

  Non-Significant

Root:

  Yes

Table TID 3001. Procedure Log

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | DCID 3400 “Procedure Log Titles” | 1 | M |  | Root node
2 | > |  | INCLUDE | DTID 1002 “Observer Context” | 1-n | M |  |
3 | > |  | INCLUDE | DTID 3601 “Procedure Context” | 1 | M |  |
4 | > | HAS ACQ CONTEXT | TEXT | EV (121121, DCM, "Room identification") | 1 | U |  |
5 | > | HAS ACQ CONTEXT | TEXT | EV (121122, DCM, "Equipment identification") | 1-n | U |  |
6 | > | CONTAINS | TEXT | DCID 3401 “Types of Log Notes” | 1-n | U |  |
7 | >> |  | INCLUDE | DTID 3010 “Log Entry Qualifiers” | 1 | U |  |
8 | > | CONTAINS | CODE | EV (121123, DCM, "Patient Status or Event") | 1-n | U |  | DCID 3402 “Patient Status and Events”
9 | >> |  | INCLUDE | DTID 3010 “Log Entry Qualifiers” | 1 | U |  |
10 | > | CONTAINS | PNAME | DCID 3404 “Staff Actions” | 1-n | U |  |
11 | >> |  | INCLUDE | DTID 3010 “Log Entry Qualifiers” | 1 | U |  |
12 | > | CONTAINS | TEXT | DCID 3427 “Equipment Events” | 1-n | U |  | Equipment identifier
13 | >> |  | INCLUDE | DTID 3010 “Log Entry Qualifiers” | 1 | U |  |
14 | > | CONTAINS | INCLUDE | DTID 3100 “Procedure Action” | 1-n | U |  |
15 | > | CONTAINS | INCLUDE | DTID 3101 “Image Acquisition” | 1-n | U |  |
16 | > | CONTAINS | INCLUDE | DTID 3102 “Waveform Acquisition” | 1-n | U |  |
17 | > | CONTAINS | INCLUDE | DTID 3103 “Referenced Object” | 1-n | U |  |
18 | > | CONTAINS | INCLUDE | DTID 3104 “Consumables” | 1-n | U |  |
19 | > | CONTAINS | INCLUDE | DTID 3105 “Lesion Identification and Properties” | 1-n | U |  |
20 | > | CONTAINS | INCLUDE | DTID 3106 “Drugs/Contrast Administered” | 1-n | U |  |
21 | > | CONTAINS | INCLUDE | DTID 3107 “Device Used” | 1-n | U |  |
22 | > | CONTAINS | INCLUDE | DTID 3108 “Intervention” | 1-n | U |  |
23 | > | CONTAINS | CODE | EV (116224001, SCT, "Complication of Procedure") | 1-n | U |  | DCID 3413 “Adverse Outcomes”
24 | >> |  | INCLUDE | DTID 3010 “Log Entry Qualifiers” | 1 | U |  |
25 | > | CONTAINS | INCLUDE | DTID 3109 “Measurements” | 1-n | U |  |
26 | > | CONTAINS | INCLUDE | DTID 3110 “Impressions or Findings” | 1-n | U |  |
27 | > | CONTAINS | INCLUDE | DTID 3111 “Percutaneous Entry” | 1-n | U |  |
28 | > | CONTAINS | INCLUDE | DTID 3112 “Specimen Obtained” | 1-n | U |  |
29 | > | CONTAINS | INCLUDE | DTID 3113 “Patient Support” | 1-n | U |  |
30 | > | CONTAINS | INCLUDE | DTID 3114 “Patient Assessment” | 1-n | U |  |
31 | > | CONTAINS | INCLUDE | DTID 3115 “ECG ST Assessment” | 1-n | U |  |

Content Item Descriptions

Row 2 | Includes TID 1002 “Observer Context”, which shall be used to record the identity of the person responsible for recording the log, as well as all other participants in the procedure, even though these personnel may not technically be "observers" of the Procedure Log. As participants in the procedure, they are potential sources for events and observations recorded in the Log. TID 1002 “Observer Context” allows the specification of the person's role in the organization (e.g., physician, nurse), as well as the role in the procedure (e.g., circulating, performing, etc.).
Row 5 | Shall be used to record the identity of the major equipment used in the procedure.
Row 6 | May be used to record any event not covered by a specific log entry Template.

### TID 3010 Log Entry Qualifiers

The Log Entry Qualifiers Template provides a common means for adding additional description to a procedure log Content Item. It allows identification of a source for the procedure log entry (other than the recording observer for the log as a whole), a free text comment, a link to a particular Procedure Action item, a link to a particular lesion, or the date/time of recording (if different than the time of the event occurrence recorded in the Observation DateTime of the parent Content Item).

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3010. Log Entry Qualifiers

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | INCLUDE | DTID 1000 “Quotation” | 1 | U |  |
2 |  | HAS PROPERTIES | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |
3 |  | HAS OBS CONTEXT | TEXT | EV (121124, DCM, "Procedure Action ID") | 1-n | U |  |
4 |  | HAS OBS CONTEXT | TEXT | EV (121151, DCM, "Lesion Identifier") | 1-n | U |  | Up to 3 numeric characters
5 |  | HAS OBS CONTEXT | DATETIME | EV (121125, DCM, "DateTime of Recording of Log Entry") | 1 | U |  |
6 |  | INFERRED FROM | IMAGE |  | 1-n | U |  |
7 |  | INFERRED FROM | WAVEFORM |  | 1-n | U |  |
8 |  | INFERRED FROM | COMPOSITE |  | 1-n | U |  |
9 |  | HAS OBS CONTEXT | CODE | EV (121135, DCM, "Observation DateTime Qualifier") | 1 | U |  | DCID 3430 “DateTime Qualifiers”

Content Item Descriptions

Row 3 | Procedure Action ID allows linking recorded events to a particular action, step, or phase of a procedure. See description for TID 3100 “Procedure Action”.
Row 4 | Lesion Identifier is specified as a numeric text string, and allows linking recorded events to the diagnosis or therapy of particular lesion. See description for TID 3105 “Lesion Identification and Properties”.

### TID 3100 Procedure Action

The Procedure Action Template is intended for the recording of the beginning or end of procedure steps or action items in a procedure. The level of granularity of the recorded events is not specified, and may vary between institutions, or even be at multiple levels within a single procedure log. There is no requirement for the real-world procedure step or action item recorded with this Template to end before another one begins; there may be overlapping or simultaneous procedure steps or action items.

This log entry Template may be used to record the start or stop of timers.

Other recorded events in the procedure may be linked to a particular step or action item by Procedure Action ID (see TID 3010 “Log Entry Qualifiers”).

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3100. Procedure Action

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | DCID 3421 “Procedure Action” | 1 | M |  | BCID 3405 “Procedure Action Values”
2 | > | HAS PROPERTIES | TEXT | EV (121124, DCM, "Procedure Action ID") | 1 | M |  |
3 | > | HAS PROPERTIES | PNAME | BCID 7453 “Performing Roles” | 1-n | U |  |
4 | > | HAS PROPERTIES | NUM | EV (121128, DCM, "Procedure Action Duration") | 1 | U |  |
5 | > |  | INCLUDE | DTID 3010 “Log Entry Qualifiers” | 1 | U |  |
6 | > | HAS PROPERTIES | UIDREF | EV (121126, DCM, "Performed Procedure Step SOP Instance UID") | 1 | MC | IFF a Performed Procedure Step SOP Class is used to provide status of the Procedure Step |
7 | > | HAS PROPERTIES | UIDREF | EV (121127, DCM, "Performed Procedure Step SOP Class UID") | 1 | MC | IFF a Performed Procedure Step SOP Class is used to provide status of the Procedure Step |

Content Item Descriptions

Row 2 | The value of the Procedure Action ID shall be uniquely associated with the step or action within the context of the Study, and may be used to associate various Procedure Log entries with the step or action.
Row 3 | May be used to record the identity of staff roles for the purpose of this Procedure Action, which may differ from their roles in the procedure as a whole.

### TID 3101 Image Acquisition

The Image Acquisition Template allows recording of the essential parameters of a digital image acquired during the procedure.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3101. Image Acquisition

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | IMAGE | EV (121138, DCM, "Image Acquired") | 1 | M |  |
2 | > | HAS ACQ CONTEXT | UIDREF | EV (112002, DCM, "Series Instance UID") | 1 | M |  |
3 | > | HAS ACQ CONTEXT | CODE | EV (121139, DCM, "Modality") | 1 | M |  | DCID 29 “Acquisition Modality” Derived from referenced image SOP Instance attribute (0008,0060)
4 | > | HAS PROPERTIES | NUM | EV (121140, DCM, "Number of Frames") | 1 | U |  |
5 | > | HAS PROPERTIES | TEXT | EV (121141, DCM, "Image Type") | 1 | U |  | From referenced image SOP Instance attribute (0008,0008)
6 | > | HAS ACQ CONTEXT | NUM | EV (112011, DCM, "Positioner Primary Angle") | 1 | U |  | UNITS = EV (deg, UCUM, "deg")
7 | > | HAS ACQ CONTEXT | NUM | EV (112012, DCM, "Positioner Secondary Angle") | 1 | U |  | UNITS = EV (deg, UCUM, "deg")
8 | > |  | INCLUDE | DTID 3010 “Log Entry Qualifiers” | 1 | U |  |

### TID 3102 Waveform Acquisition

The Waveform Acquisition Template allows recording of the essential parameters of a digital waveform acquired during the procedure.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3102. Waveform Acquisition

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | WAVEFORM | EV (121143, DCM, "Waveform Acquired") | 1 | M |  |
2 | > | HAS ACQ CONTEXT | CODE | EV (121139, DCM, "Modality") | 1 | M |  | DCID 29 “Acquisition Modality” Derived from referenced waveform SOP Instance attribute (0008,0060)
3 | > | HAS ACQ CONTEXT | NUM | EV (121142, DCM, "Acquisition Duration") | 1 | U |  |
4 | > |  | INCLUDE | DTID 3010 “Log Entry Qualifiers” | 1 | U |  |

### TID 3103 Referenced Object

The Referenced Object Template allows reference to measurement or report objects, such as prior medical reports, laboratory results, hemodynamic measurement reports, or quantitative analysis reports.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3103. Referenced Object

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | COMPOSITE | BCID 3407 “Purpose of Reference to Object” | 1 | M |  |
2 | > | HAS PROPERTIES | CODE | EV (121144, DCM, "Document Title") | 1 | MC | IFF Row 1 references an SR object | Root node concept of referenced SR object
3 | > |  | INCLUDE | DTID 3010 “Log Entry Qualifiers” | 1 | U |  |

### TID 3104 Consumables

The Consumables Template allows recording of devices (e.g., catheters or stents), drugs, or contrast agents accessed in a procedure. This Content Item is directed towards inventory control and billing. The actual clinical use of the particular consumable is recorded using TID 3106 “Drugs/Contrast Administered” or TID 3107 “Device Used”.

This Template allows recording both consumable retrieval from, and return to, inventory or stock, and disposal of used material. The quantity involved in each recorded transaction may be specified.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3104. Consumables

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | DCID 3408 “Actions With Consumables” | 1 | M |  | Vendor or local bar coded values
2 | > | HAS PROPERTIES | TEXT | DCID 3426 “Consumables Parameters” | 1-n | U |  |
3 | > | HAS PROPERTIES | NUM | EV (121146, DCM, "Quantity of Material") | 1 | U |  |
4 | > | HAS PROPERTIES | CODE | EV (121147, DCM, "Billing Code") | 1 | U |  | local billing codes
5 | > |  | INCLUDE | DTID 3010 “Log Entry Qualifiers” | 1 | U |  |

### TID 3105 Lesion Identification and Properties

The Lesion Identification and Properties Template allows recording the identification of each lesion addressed in a procedure. The lesion identifier may be used to relate diagnostic or therapeutic actions with their target lesion (see Row 4 in TID 3010 “Log Entry Qualifiers”). This Content Item may include the initial visually estimated measurements of stenosis or TIMI flow; measured values from a quantitative measurement report may be referenced indirectly (through TID 3103 “Referenced Object”), or by quotation (TID 3109 “Measurements”). Subsequent (e.g., post-intervention) stenosis measurements may be encoded using TID 3109 “Measurements”, with the Lesion Identifier conveyed through its subsidiary TID 3010 “Log Entry Qualifiers” Template.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3105. Lesion Identification and Properties

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | TEXT | EV (121151, DCM, "Lesion Identifier") | 1 | M |  | Up to 3 numeric characters
2 | > | HAS PROPERTIES | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | DCID 3604 “Arterial Lesion Locations”
3 | >> | HAS CONCEPT MOD | CODE | EV (106233006, SCT, "Topographical modifier") | 1 | U |  | DCID 3019 “Cardiovascular Anatomic Location Modifiers”
4 | > | HAS PROPERTIES | CODE | EV (121153, DCM, "Lesion Risk") | 1 | U |  | DCID 3418 “Lesion Risk”
5 | > | HAS PROPERTIES | NUM | EV (408715008, SCT, "Lumen Diameter Stenosis") | 1 | U |  | UNITS = EV (%, UCUM, "%")
6 | >> | HAS CONCEPT MOD | CODE | EV (129085009, SCT, "Catheterization Procedure Phase") | 1 | M |  | EV (128955008, SCT, "Baseline Phase")
7 | >> | HAS CONCEPT MOD | CODE | EV (121401, DCM, "Derivation") | 1 | U |  | DCID 3745 “Calculation Method”
8 | > | HAS PROPERTIES | CODE | EV (122109, DCM, "Baseline TIMI Flow") | 1 | UC | IFF Row 2 specifies a coronary artery | DCID 3713 “TIMI Flow Characteristics”
9 | > | HAS PROPERTIES | CODE | EV (122131, DCM, "Degree of Thrombus") | 1 | U |  | DCID 3714 “Thrombus”
10 | > | HAS PROPERTIES | CODE | EV (129737002, SCT, "Lesion Margin Characteristics") | 1 | U |  | DCID 3715 “Lesion Margin”
11 | > | HAS PROPERTIES | CODE | EV (122134, DCM, "Vessel Morphology") | 1-n | U |  | DCID 3712 “Vessel Descriptors”
12 | > | HAS PROPERTIES | CODE | EV (122132, DCM, "Severity of Calcification") | 1 | U |  | DCID 3716 “Severity”
13 | > | HAS PROPERTIES | IMAGE | DT (121080, DCM, "Best illustration of finding") | 1 | U |  |
14 | > |  | INCLUDE | DTID 3010 “Log Entry Qualifiers” | 1 | U |  |

Content Item Descriptions

Row 1 | Lesion Identifier is specified as a numeric text string in order to facilitate transcoding to DICOM Attribute (0018,3105) Lesion Number and to formats for outcomes registries, such as the ACC National Cardiovascular Data Registry™.

### TID 3106 Drugs/Contrast Administered

The Drugs/Contrast Administered Template allows the recording of the start or end of that type of event, together with its parameters. If start and end are represented by a single log entry (e.g., for an injection), the concept name "Drug/contrast administered" shall be used.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3106. Drugs/Contrast Administered

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | DCID 3409 “Administration of Drugs/Contrast” | 1 | M |  | BCID 10 “Interventional Drug” or BCID 12 “Radiographic Contrast Agent”
2 | > | HAS PROPERTIES | TEXT | EV (121145, DCM, "Description of Material") | 1 | U |  |
3 | > | HAS PROPERTIES | CODE | EV (410675002, SCT, "Route of administration") | 1 | U |  | BCID 11 “Route of Administration”
4 | > | HAS PROPERTIES | NUM | DCID 3410 “Numeric Parameters of Drugs/Contrast” | 1-n | U |  |
5 | > | HAS PROPERTIES | PNAME | EV (121152, DCM, "Person administering drug/contrast") | 1 | U |  |
6 | > |  | INCLUDE | DTID 3010 “Log Entry Qualifiers” | 1 | U |  |

### TID 3107 Device Used

The Device Used Template allows recording of the use of interventional diagnostic and therapeutic devices.

The identification of one device used to deploy another device (e.g., a balloon catheter to deploy a stent) may be described with two entries, with one identified as a deployment device in the Concept Modifier of Row 6 of this Template, and linked by the same Procedure Action ID in the Log Entry Qualifiers of the included TID 3010 “Log Entry Qualifiers”.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3107. Device Used

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | DCID 3422 “Device Use Actions” | 1 | M |  | BCID 3429 “Catheterization Devices”
2 | > | HAS PROPERTIES | CODE | EV (121150, DCM, "Device Code") | 1-n | U |  | Vendor or local bar coded values
3 | > | HAS PROPERTIES | TEXT | EV (121145, DCM, "Description of Material") | 1 | U |  |
4 | > | HAS PROPERTIES | NUM | DCID 3423 “Numeric Device Characteristics” | 1-n | U |  |
5 | > | HAS PROPERTIES | CODE | EV (363704007, SCT, "Procedure site") | 1 | U |  | BCID 3630 “Cardiovascular Anatomic Locations”
6 | > | HAS CONCEPT MOD | CODE | EV (363703001, SCT, "Has Intent") | 1 | U |  | DT (121155, DCM, "Deployment")
7 | > |  | INCLUDE | DTID 3010 “Log Entry Qualifiers” | 1 | U |  |

### TID 3108 Intervention

The Intervention Template allows recording of interventions, including atherectomy, angioplasty, stent placement, brachytherapy, etc. The record may include reference to an image that documents the intervention.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3108. Intervention

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (122090, DCM, "Intervention Action") | 1 | M |  | DCID 3412 “Intervention Actions and Status”
2 | > | HAS PROPERTIES | CODE | EV (363704007, SCT, "Procedure site") | 1 | M |  | DCID 3604 “Arterial Lesion Locations”
3 | >> | HAS CONCEPT MOD | CODE | EV (106233006, SCT, "Topographical modifier") | 1 | U |  | DCID 3019 “Cardiovascular Anatomic Location Modifiers”
4 | > | HAS PROPERTIES | TEXT | EV (121154, DCM, "Intervention attempt identifier") | 1 | M |  | Up to 3 numeric characters
5 | > | HAS PROPERTIES | CODE | EV (116682006, SCT, "Uses Equipment") | 1-n | U |  | BCID 3411 “Intracoronary Devices”
6 | >> | HAS CONCEPT MOD | CODE | EV (122111, DCM, "Primary Intervention Device") | 1 | MC | IF Device is Primary for this Lesion | DCID 230 “Yes-No”
7 | > | HAS PROPERTIES | NUM | DCID 3425 “Intervention Parameters” | 1-n | U |  |
8 | > | HAS PROPERTIES | IMAGE | BCID 7003 “Diagnostic Imaging Report Purposes of Reference” | 1 | U |  |
9 | > |  | INCLUDE | DTID 3010 “Log Entry Qualifiers” | 1 | U |  |

Content Item Descriptions

Row 4 | Intervention attempt Identifier is specified as a numeric text string, and shall be treated as the ordinal of the recorded attempted intervention within this procedure (i.e., "1" for the first attempted intervention, "2" for the second, etc.).

### TID 3109 Measurements

The Measurements Template allows recording of significant measurements, such as vital signs, laboratory results, hemodynamic measurements, or quantitative analysis measurements. These measurements are often quoted from another source, which would be documented in the included TID 3010 “Log Entry Qualifiers”.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3109. Measurements

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | NUM |  | 1 | U |  |
2 | > |  | INCLUDE | DTID 3010 “Log Entry Qualifiers” | 1 | U |  |
3 | > | HAS PROPERTIES | INCLUDE | DTID 310 “Measurement Properties” | 1 | U |  |
4 |  |  | CODE |  | 1 | U |  |
5 | > |  | INCLUDE | DTID 3010 “Log Entry Qualifiers” | 1 | U |  |

### TID 3110 Impressions or Findings

The Impressions or Findings Template allows the recording of unconfirmed (provisional) impressions or findings noted during the procedure. It is not intended to convey the Cath Lab Clinical Report (the formal report from the performing physician), although it may be used (like any Procedure Log entry) for the subsequent construction of the Cath Lab Clinical Report.

A finding that is supported by a specific image frame may reference that image in the INFERRED FROM / IMAGE row of the included TID 3010 “Log Entry Qualifiers” Template.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3110. Impressions or Findings

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (121071, DCM, "Finding") | 1 | U |  | BCID 3728 “Cath Findings”
2 | > | HAS PROPERTIES | CODE | EV (246112005, SCT, "Severity") | 1 | U |  | DCID 3716 “Severity”
3 | > | HAS PROPERTIES | CODE | EV (363698007, SCT, "Finding Site") | 1 | U |  |
4 | >> | HAS CONCEPT MOD | CODE | EV (106233006, SCT, "Topographical modifier") | 1 | U |  | DCID 3019 “Cardiovascular Anatomic Location Modifiers”
5 | > |  | INCLUDE | DTID 3010 “Log Entry Qualifiers” | 1 | U |  |
6 |  |  | TEXT | BCID 3419 “Findings Titles” | 1 | U |  |
7 | > |  | INCLUDE | DTID 3010 “Log Entry Qualifiers” | 1 | U |  |

Content Item Descriptions

Row 3 | Finding Site has no Baseline Context ID specified. Typically terms would be drawn from coronary segments, other arterial segments, myocardial segments, etc.

### TID 3111 Percutaneous Entry

The Percutaneous Entry Template allows recording of the opening or closing of invasive access ports.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3111. Percutaneous Entry

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (121156, DCM, "Percutaneous Entry Action") | 1 | M |  | DCID 3403 “Percutaneous Entry”
2 | > | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | U |  | DCID 244 “Laterality”
3 | > |  | INCLUDE | DTID 3010 “Log Entry Qualifiers” | 1 | U |  |

### TID 3112 Specimen Obtained

The Specimen Obtained Template allows recording of obtaining a specimen, and the identifiers for that specimen. This is particularly designed for blood samples that will be analyzed for blood oxygen-related measurements. The analysis of the sample may be recorded in one or more log entries using TID 3109 “Measurements”, or in a separate Structured Report SOP Instance referenced by a log entry using TID 3103 “Referenced Object”.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3112. Specimen Obtained

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (121123, DCM, "Patient Status or Event") | 1 | M |  | DCID 3515 “Specimen Collection”
2 | > | HAS ACQ CONTEXT | CODE | EV (371439000, SCT, "Specimen Type") | 1 | UC | IFF specimen is blood sample | DCID 3520 “Blood Source Type”
3 | > | HAS ACQ CONTEXT | CODE | EV (363704007, SCT, "Procedure site") | 1 | U |  | BCID 3630 “Cardiovascular Anatomic Locations”
4 | > | HAS PROPERTIES | INCLUDE | DTID 1009 “Subject Context, Specimen” | 1 | U |  |

### TID 3113 Patient Support

The Patient Support Template allows recording of the use of various support technologies, including oxygen, ventilation, pacing, etc.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3113. Patient Support

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | DCID 3530 “Oxygen Administration Actions” | 1 | U |  | DCID 3531 “Oxygen Administration”
2 | > | HAS PROPERTIES | NUM | EV (121160, DCM, "Oxygen Administration Rate") | 1 | MC | IFF Row 1 Concept is (121161, DCM, "Begin Oxygen Administration") | UNITS = DT (l/min, UCUM, "l/min")
3 | > |  | INCLUDE | DTID 3010 “Log Entry Qualifiers” | 1 | U |  |
4 |  |  | CODE | DCID 3550 “Circulatory Support Actions” | 1 | U |  | DCID 3553 “Circulatory Support”
5 | > |  | INCLUDE | DTID 3010 “Log Entry Qualifiers” | 1 | U |  |
6 |  |  | CODE | DCID 3551 “Ventilation Actions” | 1 | U |  | DCID 3554 “Ventilation”
7 | > |  | INCLUDE | DTID 3010 “Log Entry Qualifiers” | 1 | U |  |
8 |  |  | CODE | DCID 3552 “Pacing Actions” | 1 | U |  | DCID 3555 “Pacing”
9 | > |  | INCLUDE | DTID 3010 “Log Entry Qualifiers” | 1 | U |  |

### TID 3114 Patient Assessment

The Patient Assessment Template allows recording of the assessment of the patient's cardiovascular, neurological, and/or respiratory condition. A particular use of this Template is for "vital signs", which are a specific subset of mandatory patient assessment measurements.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3114. Patient Assessment

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (121123, DCM, "Patient Status or Event") | 1 | M |  | DT (121165, DCM, "Patient Assessment Performed") DT (61746007, SCT, "Observation of Vital Signs")
2 | > | HAS PROPERTIES | INCLUDE | DTID 300 “Measurement” | 1 | MC | IF Row 1 value = (61746007, SCT, "Observation of Vital Signs") | $Measurement = EV (271649006, SCT, "Systolic blood pressure") $Units = DCID 3500 “Pressure Units” $Method = BCID 3560 “Blood Pressure Methods”
3 | > | HAS PROPERTIES | INCLUDE | DTID 300 “Measurement” | 1 | MC | IF Row 1 value = (61746007, SCT, "Observation of Vital Signs") | $Measurement = EV (271650006, SCT, "Diastolic blood pressure") $Units = DCID 3500 “Pressure Units”
4 | > | HAS PROPERTIES | INCLUDE | DTID 300 “Measurement” | 1 | MC | IF Row 1 value = (61746007, SCT, "Observation of Vital Signs") | $Measurement = EV (8867-4, LN, "Heart rate") $Units = EV ({H.B.}/min, UCUM, "BPM")
5 | > | HAS PROPERTIES | INCLUDE | DTID 300 “Measurement” | 1 | MC | IF Row 1 value = (61746007, SCT, "Observation of Vital Signs") | $Measurement = EV (8310-5, LN, "Body temperature") $Units = EV (Cel, UCUM, "C")
6 | > | HAS PROPERTIES | INCLUDE | DTID 300 “Measurement” | 1 | MC | IF Row 1 value = (61746007, SCT, "Observation of Vital Signs") | $Measurement = DCID 3526 “Blood Gas Saturation” $Units = EV (%, UCUM, "%")
7 | > | HAS PROPERTIES | INCLUDE | DTID 300 “Measurement” | 1 | MC | IF Row 1 value = (61746007, SCT, "Observation of Vital Signs") | $Measurement = EV (86290005, SCT, "Respiration rate") $Units = EV (/min, UCUM, "breaths/min")
8 | > | HAS PROPERTIES | INCLUDE | DTID 300 “Measurement” | 1-n | MC | IF Row 1 value = (61746007, SCT, "Observation of Vital Signs") | $Measurement = EV (122195, DCM, "Pulse Strength") $Method = BCID 3442 “Peripheral Pulse Methods” $TargetSite = BCID 3440 “Peripheral Pulse Locations” $Units = DT ({0:4}, UCUM, "range 0:4")
9 | > | HAS PROPERTIES | INCLUDE | DTID 300 “Measurement” | 1 | MC | IF Row 1 value = (61746007, SCT, "Observation of Vital Signs") | $Measurement = EV (225908003, SCT, "Pain Score") $Units = DT ({1:10}, UCUM, "range 1:10")
10 | > | HAS PROPERTIES | CODE | DT (8884-9, LN, "Cardiac Rhythm") | 1 | U |  | BCID 3415 “Cardiac Rhythms”
11 | > | HAS PROPERTIES | CODE | DT (9304-7, LN, "Respiration Rhythm") | 1 | U |  | BCID 3416 “Respiration Rhythms”
12 | > | HAS PROPERTIES | CODE | DT (364062005, SCT, "Respiration Assessment") | 1 | U |  | BCID 3448 “Airway Assessment”
13 | > | HAS PROPERTIES | CODE | DT (364528001, SCT, "Skin condition") | 1-n | U |  | BCID 3446 “Skin Condition”
14 | > | HAS PROPERTIES | CODE | DT (363871006, SCT, "Patient mental state assessment") | 1 | U |  |
15 | > | HAS PROPERTIES | TEXT | BCID 3441 “Patient Assessments” | 1-n | U |  |

Content Item Descriptions

Row 8 | Pulse Strength allows the assessment of the patient's pulse at multiple locations using the Topographical concept modifier. It may also be used for a single pulse strength measurement from an unspecified location, as is typical of vital signs assessments.
Row 16 | Allows free text description of patient assessments that are not expressible by coded entries of Rows 10 to 14.

### TID 3115 ECG ST Assessment

The ECG ST Assessment Template allows recording of the assessment of changes in the patient ECG relative to baseline.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3115. ECG ST Assessment

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (121123, DCM, "Patient Status or Event") | 1 | M |  | DT (258181008, SCT, "ECG Analysis")
2 | > | HAS PROPERTIES | NUM | DT (122099, DCM, "ST change from baseline") | 1-n | M |  | UNITS = EV (uV, UCUM, "uV")
3 | >> | HAS CONCEPT MOD | CODE | DT (122148, DCM, "Lead ID") | 1 | M |  | BCID 3001 “ECG Leads”

## Quantitative Ventricular Analysis Report SR IOD Templates

The Templates that comprise the Quantitative Ventricular Analysis SR are interconnected as in Figure A-3:

Figure A-3. Quantitative Ventricular Analysis Report SR IOD Template Structure

### TID 3202 Ventricular Analysis

The Ventricular Analysis Template provides a CONTAINER with a structure for reporting the result of the ventricular analysis.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3202. Ventricular Analysis

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122292, DCM, "Quantitative Ventriculography Report") | 1 | M |  |
2 | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | M |  |
3 | > | HAS OBS CONTEXT | INCLUDE | DTID 1002 “Observer Context” | 1-n | M |  |
4 | > | CONTAINS | INCLUDE | DTID 3602 “Cardiovascular Patient Characteristics” | 1 | U |  |
5 | > | CONTAINS | CONTAINER | EV (122144, DCM, "Quantitative Analysis") | 1-n | M |  |
6 | >> | HAS OBS CONTEXT | INCLUDE | DTID 1002 “Observer Context” | 1-n | U |  |
7 | >> | HAS OBS CONTEXT | TEXT | EV (111001, DCM, "Algorithm Name") | 1 | M |  |
8 | >> | HAS OBS CONTEXT | TEXT | EV (111003, DCM, "Algorithm Version") | 1 | M |  |
9 | >> | HAS OBS CONTEXT | TEXT | EV (122405, DCM, "Algorithm Manufacturer") | 1 | M |  |
10 | >> | CONTAINS | IMAGE | EV (121112, DCM, "Source of Measurement") | 1-n | M |  |
11 | >>> | HAS CONCEPT MOD | CODE | EV (246092007, SCT, "Cardiac Phase") | 1 | M |  | DCID 12233 “Cardiac Phase”
12 | >>> | HAS CONCEPT MOD | CODE | EV (111031, DCM, "Image View") | 1 | MC | If Biplane Analysis | DCID 3466 “Plane Identification”
13 | >> | HAS ACQ CONTEXT | INCLUDE | DTID 3205 “Calibration” | 1-2 | U | VM = 1: Single plane analysis, VM = 2: Biplane analysis | $CalibrationPlane = DCID 3466 “Plane Identification”
14 | >> | HAS ACQ CONTEXT | INCLUDE | DTID 3520 “Hemodynamic Clinical Context” | 1 | U |  |
15 | >> | CONTAINS | INCLUDE | DTID 3206 “VA Main Results” | 1 | M |  |
16 | >> | CONTAINS | INCLUDE | DTID 3207 “AA Main Results” | 1 | U |  |
17 | >> | CONTAINS | INCLUDE | DTID 3208 “Frame-to-Frame Results” | 1 | U |  |
18 | >> | CONTAINS | INCLUDE | DTID 3209 “Centerline Wall Motion” | 1-2 | U | VM = 1: Single plane analysis, VM = 2: Biplane analysis |
19 | >> | CONTAINS | INCLUDE | DTID 3210 “Radial Based Wall Motion” | 1-2 | U | VM = 1: Single plane analysis, VM = 2: Biplane analysis |
20 | >> | CONTAINS | INCLUDE | DTID 3211 “Landmark Based Wall Motion” | 1-2 | U | VM = 1: Single plane analysis, VM = 2: Biplane analysis |

Content Item Descriptions

Row 7 | Identifies the Ventricular Analysis program
Row 8 | Identifies the Ventricular Analysis program version
Row 9 | Identifies the Ventricular Analysis program manufacturer
Row 10 | Identifies the ES and ED images on which the analysis is based, for frame by frame analysis the analyzed image are specified in the frame by frame results (3208) Template

### TID 3205 Calibration

The Calibration Template consists of a CONTAINER, with a structure for reporting of the calibration of images used in the analysis.

Table TID 3205. Parameters

Parameter Name | Parameter Usage
--- | ---
$CalibrationPlane | XA Imaging plane

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3205. Calibration

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122505, DCM, "Calibration") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (111031, DCM, "Image View") | 1 | U |  | $CalibrationPlane
3 | > | HAS OBS CONTEXT | TEXT | EV (111001, DCM, "Algorithm Name") | 1 | MC | IF different from Analysis program specified in the invoking Template |
4 | > | HAS OBS CONTEXT | TEXT | EV (111003, DCM, "Algorithm Version") | 1 | MC | IF different from Analysis program specified in the invoking Template |
5 | > | HAS OBS CONTEXT | TEXT | EV (122405, DCM, "Algorithm Manufacturer") | 1 | MC | IF different from Analysis program specified in the invoking Template |
6 | > | CONTAINS | CODE | EV (122422, DCM, "Calibration Method") | 1 | M |  | DCID 3452 “Calibration Methods”
7 | > | CONTAINS | CODE | EV (122421, DCM, "Calibration Object") | 1 | MC | If row 6 value specifies Calibration Object Used | DCID 3451 “Calibration Objects”
8 | > | CONTAINS | NUM | EV (122423, DCM, "Calibration Object Size") | 1 | MC | If row 6 value specifies Calibration Object Used | DCID 3510 “Catheter Size Units”
9 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (111026, DCM, "Horizontal Pixel Spacing") $Unit = DT (mm/{pixel}, UCUM, "mm/pixel") $ImagePurpose = EV (121112, DCM, "Source of Measurement")
10 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (111066, DCM, "Vertical Pixel Spacing") $Unit = DT (mm/{pixel}, UCUM, "mm/pixel") $ImagePurpose = EV (121112, DCM, "Source of Measurement")
11 | > | CONTAINS | IMAGE |  | 1 | U |  |

Content Item Descriptions

Row 3 | Identifies the Calibration program
Row 4 | Identifies the Calibration program version
Row 5 | Identifies the Calibration program manufacturer
Row 7 | Besides a Sphere and a Catheter, a Distance can be identified as a Calibration Object. In this case a distance measurement of a known dimension of the object is used to calculate the pixel size.
Row 8 | The catheter size units is also used to specify the size of other calibration objects (e.g., sphere)
Row 9, 10 | Spacing in the patient body. Point to a single frame containing the image used for calibration if applicable, the actual measurements may be indicated by a SCOORD (see TID 320 “Image or Spatial Coordinates”, row 3)
Row 11 | Secondary Capture image with calibration position. No purpose of reference is specified.

### TID 3206 VA Main Results

The VA Main Results Template consists of a CONTAINER with a structure for reporting the main ventricular analysis measurements.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3206. VA Main Results

| 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 |  | DCID 3462 “Chamber Identification”
3 | > | CONTAINS | CODE | EV (122429, DCM, "Volume Method") | 1 | M |  | DCID 3453 “Cardiac Volume Methods”
4 | > | CONTAINS | NUM | EV (122435, DCM, "Regression Volume Exponent") | 1 | U |  | Unit = DT (1, UCUM, "no units")
5 | > | CONTAINS | NUM | EV (122431, DCM, "Regression Slope ED") | 1 | U |  | Unit = DT ({ratio}, UCUM, "ratio")
6 | > | CONTAINS | NUM | EV (122432, DCM, "Regression Offset ED") | 1 | U |  | Unit = DT (ml, UCUM, "ml")
7 | > | CONTAINS | NUM | EV (122433, DCM, "Regression Slope ES") | 1 | U |  | Unit = DT ({ratio}, UCUM, "ratio")
8 | > | CONTAINS | NUM | EV (122434, DCM, "Regression Offset ES") | 1 | U |  | Unit = DT (ml, UCUM, "ml")
9 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = DCID 3467 “Ejection Fraction” $Unit = DT (%, UCUM, "%")
10 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = DCID 3468 “ED Volume” $Unit = DT (ml, UCUM, "ml")
11 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = DCID 3469 “ES Volume” $Unit = DT (ml, UCUM, "ml")
12 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (90096001, SCT, "Stroke Volume") $Unit = DT (ml, UCUM, "ml")
13 | > | CONTAINS | NUM | EV (8867-4, LN, "Heart Rate") | 1 | U |  | Unit = DT ({H.B.}/min, UCUM, "BPM")
14 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = DCID 3468 “ED Volume” $ModType = EV (121425, DCM, "Index") $ModValue = DCID 3455 “Index Methods” $Unit = DT (ml/m2, UCUM, "ml/m2")
15 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = DCID 3468 “ED Volume” $ModType = EV (121425, DCM, "Index") $ModValue = EV (29463-7, LN, "Patient Weight") $Unit = DT (ml/kg, UCUM, "ml/kg")
16 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = DCID 3469 “ES Volume” $ModType = EV (121425, DCM, "Index") $ModValue = DCID 3455 “Index Methods” $Unit = DT (ml/m2, UCUM, "ml/m2")
17 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = DCID 3469 “ES Volume” $ModType = EV (121425, DCM, "Index") $ModValue = EV (29463-7, LN, "Patient Weight") $Unit = DT (ml/kg, UCUM, "ml/kg")
18 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (90096001, SCT, "Stroke Volume") $ModType = EV (121425, DCM, "Index") $ModValue = DCID 3455 “Index Methods” $Unit = DT (ml/m2, UCUM, "ml/m2")
19 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (90096001, SCT, "Stroke Volume") $ModType = EV (121425, DCM, "Index") $ModValue = EV (29463-7, LN, "Patient Weight") $Unit = DT (ml/kg, UCUM, "ml/kg")
20 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (82799009, SCT, "Cardiac Output") $Unit = DT (l/min, UCUM, "l/min")
21 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (54993008, SCT, "Cardiac Index") $ModType = EV (121425, DCM, "Index") $ModValue = DCID 3455 “Index Methods” $Unit = DT (l/min/m2, UCUM, "l/min/m2")
22 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122445, DCM, "Wall Thickness") $Unit = DT (mm, UCUM, "mm")
23 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122446, DCM, "Wall Volume") $Unit = DT (ml, UCUM, "ml")
24 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122447, DCM, "Wall Mass") $Unit = DT (g, UCUM, "gram")
25 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122447, DCM, "Wall Mass") $ModType = EV (121425, DCM, "Index") $ModValue = DCID 3455 “Index Methods” $Unit = DT (g/m2, UCUM, "gram/m2")
26 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122447, DCM, "Wall Mass") $ModType = EV (121425, DCM, "Index") $ModValue = EV (29463-7, LN, "Patient Weight") $Unit = DT (g/kg, UCUM, "gram/kg")
27 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122448, DCM, "Wall Stress") $Unit = DT (dyn/cm2, UCUM, "dynes/cm2")
28 | > | CONTAINS | IMAGE |  | 1-n | U |  |

Content Item Descriptions

Row 28 | Secondary Capture image with ED and/or ES contours. No purpose of reference is specified.

### TID 3207 AA Main Results

The AA Main Results Template consists of a CONTAINER with a structure for reporting the main atrial analysis measurements.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3207. AA Main Results

| 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 |  | DCID 3462 “Chamber Identification”
3 | > | CONTAINS | CODE | EV (122429, DCM, "Volume Method") | 1 | M |  | DCID 3453 “Cardiac Volume Methods”
4 | > | CONTAINS | NUM | EV (122435, DCM, "Regression Volume Exponent") | 1 | U |  | Unit = DT (1, UCUM, "no units")
5 | > | CONTAINS | NUM | EV (122431, DCM, "Regression Slope ED") | 1 | U |  | Unit = DT ({ratio}, UCUM, "ratio")
6 | > | CONTAINS | NUM | EV (122432, DCM, "Regression Offset ED") | 1 | U |  | Unit = DT (ml, UCUM, "ml")
7 | > | CONTAINS | NUM | EV (122433, DCM, "Regression Slope ES") | 1 | U |  | Unit = DT ({ratio}, UCUM, "ratio")
8 | > | CONTAINS | NUM | EV (122434, DCM, "Regression Offset ES") | 1 | U |  | Unit = DT (ml, UCUM, "ml")
9 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = DCID 3468 “ED Volume” $Unit = DT (ml, UCUM, "ml")
10 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = DCID 3469 “ES Volume” $Unit = DT (ml, UCUM, "ml")
11 | > | CONTAINS | IMAGE |  | 1-n | U |  |

Content Item Descriptions

Row 11 | Secondary Capture image with ED and/or ES contours. No purpose of reference is specified.

### TID 3208 Frame-to-Frame Results

The Frame-to-Frame Result Template consists of a CONTAINER providing measurements derived from the angiographic images on frame-by-frame basis.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3208. Frame-To-Frame Result

| 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 (111004, DCM, "Analysis Performed") | 1 | M |  | EV (122499, DCM, "Frame to Frame Analysis")
3 | > | CONTAINS | IMAGE | EV (121112, DCM, "Source of Measurement") | 1-2 | M | VM = 1: Single plane analysis, VM = 2: Biplane analysis |
4 | > | CONTAINS | CODE | EV (122429, DCM, "Volume Method") | 1 | M |  | DCID 3453 “Cardiac Volume Methods”
5 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | M |  | $Measurement = DCID 3471 “Estimated Volumes” $TargetSite = DCID 3462 “Chamber Identification” $Unit = DT (ml, UCUM, "ml")
6 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = EV (122445, DCM, "Wall Thickness") $Unit = DT (mm, UCUM, "mm")
7 | > | CONTAINS | IMAGE |  | 1-n | U |  |

Content Item Descriptions

Row 3 | Identifies each frame analyzed, using the multi-valued Referenced Frame Number (0008,1160) attribute of the IMAGE Content Item.
Row 5, 6 | Includes one measurement for each frame referenced in Row 3.
Row 7 | Secondary Capture image with ventricular contours. No purpose of reference is specified.

### TID 3209 Centerline Wall Motion

The Centerline Wall Motion Template consists of a CONTAINER providing measurements of the centerline wall motion.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3209. Centerline Wall Motion

| 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 (111004, DCM, "Analysis Performed") | 1 | M |  | EV (122449, DCM, "Centerline Wall Motion Analysis")
3 | >> | HAS CONCEPT MOD | CODE | EV (122410, DCM, "Contour Realignment") | 1 | M |  | DCID 3458 “Contour Realignment”
4 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 100 | M |  | $Measurement = EV (122450, DCM, "Normalized Chord Length") $Unit = DT (%, UCUM, "%")
5 | > | CONTAINS | NUM | EV (122411, DCM, "Threshold Value") | 1 | M |  | Values shall be 1, 2 or 3 UNITS = EV ({sd}, UCUM, "Standard Deviations")
6 | > | CONTAINS | CONTAINER | EV (122451, DCM, "Abnormal Region") | 1-6 | U |  |
7 | >> | CONTAINS | CODE | EV (60797005, SCT, "Cardiac Wall Motion") | 1 | M |  | DCID 3703 “Wall Motion”
8 | >> | CONTAINS | CODE | EV (255593009, SCT, "Circumferential Extent") | 1 | U |  | DCID 3460 “Circumferential Extent”
9 | >> | CONTAINS | NUM | EV (122452, DCM, "First Chord of Abnormal Region") | 1 | M |  | Unit = DT (1, UCUM, "no unit")
10 | >> | CONTAINS | NUM | EV (122453, DCM, "Last Chord of Abnormal Region") | 1 | M |  | Unit = DT (1, UCUM, "no unit")
11 | > | CONTAINS | CONTAINER | EV (122417, DCM, "Regional Abnormal Wall Motion") | 1-4 | U |  |
12 | >> | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | DCID 3461 “Regional Extent”
13 | >> | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (122459, DCM, "Territory Region Severity") $ModType = EV (60797005, SCT, "Cardiac Wall Motion") $ModValue = DCID 3703 “Wall Motion” $Unit = DT ({sd}, UCUM, "Standard Deviations")
14 | >> | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (122461, DCM, "Opposite Region Severity") $ModType = EV (60797005, SCT, "Cardiac Wall Motion") $ModValue = DCID 3703 “Wall Motion” $Unit = DT ({sd}, UCUM, "Standard Deviations")
15 | > | CONTAINS | IMAGE |  | 1 | U |  |

Content Item Descriptions

Row 4 | Normalized lengths of the chords determined between ED and ES contour. The measurement Template allows the specification of the statistical properties of the normal population and of the chord measurement relative to the population.
Row 8 | If the Circumferential Extent is not specified no limitations to the boundaries for regions are assumed.
Row 11 | The Regional Abnormal Wall Motion container holds the information on the severity of the decreased or increased wall motion of the 4 predefined regions as described in [Sheehan, 1986].
Row 12 | The name of the region with an abnormal ventricular wall motion as described in [Sheehan, 1986].
Row 13 | The severity of the wall motion abnormality expressed in Standard Deviations above or below normal in the territory region as described in [Sheehan, 1986].
Row 14 | The severity of the wall motion abnormality expressed in Standard Deviations above or below normal in the opposite region as described in [Sheehan, 1986].
Row 15 | Secondary Capture image with centerline analysis result. No purpose of reference is specified.

### TID 3210 Radial Based Wall Motion

The Radial Based Wall Motion Template consists of a CONTAINER providing measurements of the radial based wall motion.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3210. Radial Based Wall Motion

| 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 (111004, DCM, "Analysis Performed") | 1 | M |  | EV (122493, DCM, "Radial Based Wall Motion Analysis")
3 | >> | HAS CONCEPT MOD | CODE | EV (122410, DCM, "Contour Realignment") | 1 | M |  | DCID 3458 “Contour Realignment”
4 | > | CONTAINS | CONTAINER | EV (59776-5, LN, "Findings") | 1-n | M |  |
5 | >> | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | DCID 3718 “Myocardial Wall Segments in Projection”
6 | >> | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (122495, DCM, "Regional Contribution to Ejection Fraction") $Unit = DT (%, UCUM, "%")
7 | >> | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = EV (122496, DCM, "Radial Shortening") $Unit = DT (%, UCUM, "%")
8 | > | CONTAINS | IMAGE |  | 1 | U |  |

Content Item Descriptions

Row 6 | The CREF values of the 6 regions determined for the radial based wall motion
Row 7 | The shortening of the measured radials within the region
Row 8 | Secondary Capture image with radial based analysis result. No purpose of reference is specified.

### TID 3211 Landmark Based Wall Motion

The Landmark Based Wall Motion Template consists of a CONTAINER providing measurements of the landmark based wall motion.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3211. Landmark Based Wall Motion

| 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 (111004, DCM, "Analysis Performed") | 1 | M |  | EV (122497, DCM, "Landmark Based Wall Motion Analysis")
3 | >> | HAS CONCEPT MOD | CODE | EV (122410, DCM, "Contour Realignment") | 1 | M |  | DCID 3458 “Contour Realignment”
4 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | M |  | $Measurement = EV (122498, DCM, "Slice Contribution to Ejection Fraction") $Unit = DT (%, UCUM, "%")
5 | > | CONTAINS | CONTAINER | EV (59776-5, LN, "Findings") | 5 | M |  |
6 | >> | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | DCID 3718 “Myocardial Wall Segments in Projection”
7 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (122495, DCM, "Regional Contribution to Ejection Fraction") $Unit = DT (%, UCUM, "%")
8 | > | CONTAINS | IMAGE |  | 1 | U |  |

Content Item Descriptions

Row 8 | Secondary Capture image with Landmark Based Analysis result. No purpose of reference is specified.

## Quantitative Arterial Analysis Report SR IOD Templates

The Templates that comprise the Quantitative Arterial Analysis SR are interconnected as in Figure A-4:

Figure A-4. Quantitative Arterial Analysis Report SR IOD Template Structure

### TID 3213 Quantitative Arterial Analysis

The Quantitative Arterial Analysis Template consists of a CONTAINER with a structure for reporting the result of the quantitative arterial analysis process.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3213. Quantitative Arterial Analysis

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122291, DCM, "Quantitative Arteriography Report") | 1 | M |  |
2 | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | M |  |
3 | > | HAS OBS CONTEXT | INCLUDE | DTID 1002 “Observer Context” | 1-n | M |  |
4 | > | CONTAINS | INCLUDE | DTID 3602 “Cardiovascular Patient Characteristics” | 1 | U |  |
5 | > | HAS OBS CONTEXT | TEXT | EV (111001, DCM, "Algorithm Name") | 1 | M |  |
6 | > | HAS OBS CONTEXT | TEXT | EV (111003, DCM, "Algorithm Version") | 1 | M |  |
7 | > | HAS OBS CONTEXT | TEXT | EV (122405, DCM, "Algorithm Manufacturer") | 1 | M |  |
8 | > | CONTAINS | INCLUDE | DTID 3214 “Analyzed Segment” | 1-n | M |  |

Content Item Descriptions

Row 5 | Identifies the Arterial Analysis program
Row 6 | Identifies the Arterial Analysis program version
Row 7 | Identifies the Arterial Analysis program manufacturer

### TID 3214 Analyzed Segment

The Analyzed Segment Template consists of a CONTAINER providing quantitative arterial analysis measurements derived from the angiographic images.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3214. Analyzed Segment

| 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 |  | DCID 3604 “Arterial Lesion Locations”
3 | > | CONTAINS | IMAGE | EV (121112, DCM, "Source of Measurement") | 1 | M |  |
4 | > | CONTAINS | INCLUDE | DTID 3205 “Calibration” | 1 | M |  |
5 | > | HAS ACQ CONTEXT | INCLUDE | DTID 3520 “Hemodynamic Clinical Context” | 1 | U |  |
6 | > | HAS ACQ CONTEXT | CODE | EV (129085009, SCT, "Catheterization Procedure Phase") | 1 | U |  | DCID 3651 “Hemodynamic Measurement Phase”
7 | > | CONTAINS | SCOORD | EV (122507, DCM, "Left Contour") | 1 | M |  | GRAPHIC TYPE = {POLYLINE}
8 | >> | R-SELECTED FROM | IMAGE |  | 1 | M |  | Must reference Row 3
9 | > | CONTAINS | SCOORD | EV (122508, DCM, "Right Contour") | 1 | M |  | GRAPHIC TYPE = {POLYLINE}
10 | >> | R-SELECTED FROM | IMAGE |  | 1 | M |  | Must reference Row 3
11 | > | CONTAINS | INCLUDE | DTID 3219 “Segment Values” | 1 | M |  |
12 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (397413000, SCT, "Vessel Luminal Diameter") $Derivation = EV (255605001, SCT, "Minimum") $Unit = DT (mm, UCUM, "mm")
13 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (397413000, SCT, "Vessel Luminal Diameter") $Derivation = EV (56851009, SCT, "Maximum") $Unit = DT (mm, UCUM, "mm")
14 | > | CONTAINS | CONTAINER | EV (122509, DCM, "Diameter Graph") | 1 | U |  |
15 | >> | CONTAINS | NUM | EV (122511, DCM, "Graph Increment") | 1 | M |  | Value = 1 UNITS = DT ({pixels}, UCUM, "pixels")
16 | >> | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | M |  | $Measurement = EV (397413000, SCT, "Vessel Luminal Diameter") $Unit = DT (mm, UCUM, "mm")
17 | > | CONTAINS | NUM | EV (122382, DCM, "Site of Luminal Minimum") | 1 | U |  | UNITS = DT ({pixels}, UCUM, "pixels")
18 | > | CONTAINS | NUM | EV (122516, DCM, "Site of Luminal Maximum") | 1 | U |  | UNITS = DT ({pixels}, UCUM, "pixels")
19 | > | CONTAINS | INCLUDE | DTID 3215 “Angiographic Lesion Analysis” | 1-n | U |  |
20 | > | CONTAINS | INCLUDE | DTID 3217 “Sub-segmental Data” | 1-n | U |  |
21 | > | CONTAINS | IMAGE |  | 1 | U |  |

Content Item Descriptions

Row 1 | Observation DateTime (0040,A032) of container needs to be flagged with the time of the analysis
Row 7 | Numeric coordinates (x,y) identifying the contour points from proximal to distal of left contour. Left is relative to the direction of the blood flow.
Row 9 | Numeric coordinates (x,y) identifying the contour points from proximal to distal of right contour. Right is relative to the direction of the blood flow.
Row 12, 13 | Positions are relative to the midpoint between the first left and right contour points and measured along the midline between the left and right contour.
Row 14 | The X-axis represents the pixel points of the midline of the vessel from proximal to distal. The points on the midline are not necessarily equidistant.
Row 16 | For each point of the midline of the vessel a measurement value for the diameter is calculated.
Row 17, 18 | The positions in the graph are related to the points on the midline of the vessel.
Row 21 | Secondary Capture image with Arterial Analysis contour. No purpose of reference is specified.

Definition of Left and Right defined by the direction of the blood flow as in Figure A-4b:

Figure A-4b. Direction of Blood Flow

### TID 3215 Angiographic Lesion Analysis

The Angiographic Lesion Analysis Template consists of a CONTAINER providing quantitative arterial analysis measurements derived for an obstruction in a total analyzed segment.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3215. Angiographic Lesion Analysis

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (300577008, SCT, "Lesion Finding") | 1 | M |  |
2 | > | CONTAINS | TEXT | EV (121151, DCM, "Lesion Identifier") | 1 | M |  |
3 | >> | HAS PROPERTIES | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | DCID 3604 “Arterial Lesion Locations”
4 | >>> | HAS CONCEPT MOD | CODE | EV (106233006, SCT, "Topographical modifier") | 1 | U |  | DCID 3019 “Cardiovascular Anatomic Location Modifiers”
5 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (397413000, SCT, "Vessel Luminal Diameter") $Derivation = EV (255605001, SCT, "Minimum") $Unit = DT (mm, UCUM, "mm")
6 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = EV (397415007, SCT, "Vessel Lumen Cross-Sectional Area") $Method = DCID 3470 “Vessel Lumen Cross-sectional Area Calculation Methods” $Derivation = EV (255605001, SCT, "Minimum") $Unit = DT (mm2, UCUM, "mm2")
7 | > | CONTAINS | CODE | EV (122430, DCM, "Reference Method") | 1 | M |  | DCID 3465 “QA Reference Methods”
8 | > | CONTAINS | CONTAINER | EV (122438, DCM, "Reference Points") | 1 | U |  |
9 | >> | CONTAINS | NUM | EV (122337, DCM, "Relative Position") | 1-n | M |  | UNITS = DT (mm, UCUM, "mm")
10 | >>> | HAS PROPERTIES | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (397413000, SCT, "Vessel Luminal Diameter") $Unit = DT (mm, UCUM, "mm")
11 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (397413000, SCT, "Vessel Luminal Diameter") $TargetSite = (122382, DCM, "Site of Luminal Minimum") $Unit = DT (mm, UCUM, "mm")
12 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (397415007, SCT, "Vessel Lumen Cross-Sectional Area") $Derivation = EV (122404, DCM, "Reconstructed") $TargetSite = (122382, DCM, "Site of Luminal Minimum") $Unit = DT (mm2, UCUM, "mm2")
13 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (397413000, SCT, "Vessel Luminal Diameter") $Derivation = EV (258090004, SCT, "Calculated") $TargetSite = EV (122481, DCM, "Contour Start") $Unit = DT (mm, UCUM, "mm")
14 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (397413000, SCT, "Vessel Luminal Diameter") $Derivation = EV (258090004, SCT, "Calculated") $TargetSite = EV (122482, DCM, "Contour End") $Unit = DT (mm, UCUM, "mm")
15 | > | CONTAINS | INCLUDE | DTID 3218 “Position in Arterial Segment” | 1 | M |  |
16 | > | CONTAINS | CONTAINER | EV (122517, DCM, "Densitometric Luminal Cross-sectional Area Graph") | 1 | U |  |
17 | >> | CONTAINS | NUM | EV (122511, DCM, "Graph Increment") | 1 | M |  | Value = 1 UNITS = DT ({pixels}, UCUM, "pixels")
18 | >> | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | M |  | $Measurement = EV (397415007, SCT, "Vessel Lumen Cross-Sectional Area") $Unit = (mm2, UCUM, "mm2")
19 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (397415007, SCT, "Vessel Lumen Cross-Sectional Area") $Derivation = EV (258090004, SCT, "Calculated") $Method = EV (122474, DCM, "Densitometric method") $TargetSite = EV (122481, DCM, "Contour Start") $Unit = (mm2, UCUM, "mm2")
20 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (397415007, SCT, "Vessel Lumen Cross-Sectional Area") $Derivation = EV (258090004, SCT, "Calculated") $Method = EV (122474, DCM, "Densitometric method") $TargetSite = EV (122482, DCM, "Contour End") $Unit = (mm2, UCUM, "mm2")
21 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (408716009, SCT, "Stenotic Lesion Length") $Unit = DT (mm, UCUM, "mm")
22 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (408715008, SCT, "Lumen Diameter Stenosis") $Unit = DT (%, UCUM, "%")
23 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = EV (408714007, SCT, "Lumen Area Stenosis") $Method = DCID 3470 “Vessel Lumen Cross-sectional Area Calculation Methods” $Unit = DT (%, UCUM, "%")
24 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = EV (122372, DCM, "Lumen Volume") $Method = DCID 3470 “Vessel Lumen Cross-sectional Area Calculation Methods” $Unit = DT (mm3, UCUM, "mm3")
25 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122542, DCM, "Plaque Area") $Unit = DT (mm2, UCUM, "mm2")
26 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122376, DCM, "Total Plaque Volume") $Unit = DT (mm3, UCUM, "mm3")
27 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122544, DCM, "Diameter Symmetry") $Unit = DT ({ratio}, UCUM, "ratio")
28 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122545, DCM, "Area Symmetry") $Unit = DT ({ratio}, UCUM, "ratio")
29 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122546, DCM, "Inflow Angle") $Unit = DT (deg, UCUM, "deg")
30 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122547, DCM, "Outflow Angle") $Unit = DT (deg, UCUM, "deg")
31 | > | CONTAINS | INCLUDE | DTID 3216 “Stenotic Flow Reserve” | 1 | U |  |
32 | > | CONTAINS | IMAGE |  | 1 | U |  |

Content Item Descriptions

Row 8 | Set of user defined reference position for method that requires local reference position.
Row 9 | Distance of local reference position from an arbitrary landmark.
Row 10 | Diameter at a local reference position.
Row 11 | The reference diameter for the arterial lesion calculated with the applicable reference method
Row 12 | The reference area for the arterial lesion calculated with the applicable reference method
Row 13 | The diameter measurement at the start of the reconstruction line in the diameter graph (TID 3214 “Analyzed Segment” Row 14)
Row 14 | The diameter measurement at the end of the reconstruction line in the diameter graph (TID 3214 “Analyzed Segment” Row 14)
Row 15 | The positions of the lesion, borders of the lesion, etc.
Row 16 | The graph with the calculated cross sectional area results based on the densitometric method
Row 18 | The cross sectional area measurements calculated based on the densitometric method
Row 19 | The cross sectional area measurement at the start of the reconstruction line in the area graph
Row 20 | The cross sectional area measurement at the end of the reconstruction line in the area graph
Row 21 | Measured along the midline of the left and right contour
Row 22 | The diameter stenosis is calculated as follows: (Reference Luminal Diameter - Minimum Luminal Diameter / Reference Luminal Diameter) * 100%
Row 23 | The circular and the densitometric area stenosis are calculated respectively as: (Reference Vessel Lumen Cross-Sectional Area - Minimum Luminal Circular Area / Reference Vessel Lumen Cross-Sectional Area) * 100%(Reference Vessel Lumen Cross-Sectional Area - Minimum Luminal Densitometric Area / Reference Vessel Lumen Cross-Sectional Area) * 100%
Row 24 | Estimated lumen volume between proximal border and distal border of lesion (TID 3218 “Position in Arterial Segment”, row 1 and 2)
Row 32 | Secondary Capture image with obstruction analysis contour. No purpose of reference is specified.

### TID 3216 Stenotic Flow Reserve

The Stenotic Flow Reserve Template consists of a CONTAINER providing quantitative arterial analysis measurements derived for an obstruction in a total analyzed segment.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3216. Stenotic Flow Reserve

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (122548, DCM, "Stenotic Flow Reserve") $Unit = DT ({ratio}, UCUM, "ratio")
2 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (122549, DCM, "Poiseuille Resistance") $Unit = DT (mm[Hg].s/cm, UCUM, "mmHG.s/cm")
3 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (122550, DCM, "Turbulence Resistance") $Unit = DT (mm[Hg].s2/cm2, UCUM, "mmHG.s2/cm2")
4 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (122555, DCM, "Estimated Normal Flow") $Unit = DT (ml/s, UCUM, "ml/s")
5 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122551, DCM, "Pressure Drop at SFR") $Unit = DT (mm[Hg], UCUM, "mmHg")
6 |  | CONTAINS | IMAGE |  | 1 | U |  |

Content Item Descriptions

Row 6 | Secondary Capture image with SFR analysis contour. No purpose of reference is specified.

### TID 3217 Sub-segmental Data

The Sub-segmental Data Template consists of a CONTAINER providing quantitative arterial analysis measurements derived for a sub-segment in a total analyzed segment.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3217. Sub-Segmental Data

| 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 |  | DCID 3604 “Arterial Lesion Locations”
3 | >> | HAS CONCEPT MOD | CODE | EV (106233006, SCT, "Topographical modifier") | 1 | U |  | DCID 3019 “Cardiovascular Anatomic Location Modifiers”
4 | > | CONTAINS | CODE | EV (122554, DCM, "Segmentation Method") | 1 | M |  | DCID 3456 “Sub-segment Methods”
5 | > | CONTAINS | INCLUDE | DTID 3219 “Segment Values” | 1 | U |  |
6 | > | CONTAINS | INCLUDE | DTID 3218 “Position in Arterial Segment” | 1 | M |  |
7 | > | CONTAINS | IMAGE |  | 1 | U |  |

Content Item Descriptions

Row 7 | Secondary Capture image with obstruction analysis contour. No purpose of reference is specified.

### TID 3218 Position in Arterial Segment

The Position in Arterial Segment Template consists of the position Content Items common for the Angiographic Lesion Analysis and Sub-Segmental Data.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3218. Position in Arterial Segment

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (122528, DCM, "Position of Proximal Border") $Unit = DT (mm, UCUM, "mm")
2 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (122529, DCM, "Position of Distal Border") $Unit = DT (mm, UCUM, "mm")
3 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (122382, DCM, "Site of Luminal Minimum") $Unit = DT (mm, UCUM, "mm")
4 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (122516, DCM, "Site of Luminal Maximum") $Unit = DT (mm, UCUM, "mm")
5 |  | CONTAINS | NUM | EV (122528, DCM, "Position of Proximal Border") | 1 | UC | IFF TID 3214 “Analyzed Segment” Row 14 is present | UNITS = DT ({pixels}, UCUM, "pixels")
6 |  | CONTAINS | NUM | EV (122529, DCM, "Position of Distal Border") | 1 | UC | IFF TID 3214 “Analyzed Segment” Row 14 is present | UNITS = DT ({pixels}, UCUM, "pixels")
7 |  | CONTAINS | NUM | EV (122382, DCM, "Site of Luminal Minimum") | 1 | UC | IFF TID 3214 “Analyzed Segment” Row 14 is present | UNITS = DT ({pixels}, UCUM, "pixels")
8 |  | CONTAINS | NUM | EV (122516, DCM, "Site of Luminal Maximum") | 1 | UC | IFF TID 3214 “Analyzed Segment” Row 14 is present | UNITS = DT ({pixels}, UCUM, "pixels")

Content Item Descriptions

Row 1, 2, 3, 4 | Positions are relative to the midpoint of the first left and right contour points and measured along the midline of the left and right contour
Row 5, 6, 7, 8 | The positions are relative to the measurement locations of the Diameter Graph of TID 3214 “Analyzed Segment” row 14.

### TID 3219 Segment Values

The Segment Values Template consists of Content Items providing quantitative arterial analysis measurements for a total analyzed segment or sub segment.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3219. Segment Values

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (122510, DCM, "Length Luminal Segment") $Unit = DT (mm, UCUM, "mm")
2 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (397413000, SCT, "Vessel Luminal Diameter") $Derivation = EV (255605001, SCT, "Minimum") $Unit = DT (mm, UCUM, "mm")
3 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (397413000, SCT, "Vessel Luminal Diameter") $Derivation = EV (56851009, SCT, "Maximum") $Unit = DT (mm, UCUM, "mm")
4 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (397413000, SCT, "Vessel Luminal Diameter") $Derivation = EV (373098007, SCT, "Mean") $Unit = DT (mm, UCUM, "mm")
5 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (397413000, SCT, "Vessel Luminal Diameter") $Derivation = EV (386136009, SCT, "Standard Deviation") $Unit = DT (mm, UCUM, "mm")

Content Item Descriptions

Row 1 | Measured along the midline of the left and right contour.

## IVUS Report Templates

The Templates that comprise the IVUS Report within the Evidence Report IOD are interconnected as shown in Figure A-5.

Figure A-5. IVUS Report Template Hierarchy

### TID 3250 IVUS Report

The IVUS Report Template is the root structure for the representation of IVUS measurements acquired during a catheterization procedure.

Type:

  Extensible

Order:

  Significant

Root:

  Yes

Table TID 3250. IVUS Report

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122325, DCM, "IVUS 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 1002 “Observer Context” | 1-n | U |  |
4 | > |  | INCLUDE | DTID 3601 “Procedure Context” | 1 | U |  |
5 | > | CONTAINS | INCLUDE | DTID 3602 “Cardiovascular Patient Characteristics” | 1 | U |  |
6 | > | CONTAINS | CONTAINER | EV (111028, DCM, "Image Library") | 1 | U |  |
7 | >> | CONTAINS | IMAGE |  | 1-n | U |  |
8 | > | CONTAINS | INCLUDE | DTID 3251 “IVUS Vessel” | 1-n | M |  |

Content Item Descriptions

Row 7 | No purpose of reference is specified.

### TID 3251 IVUS Vessel

The IVUS Vessel Template provides a structure for grouping one or more lesions analyzed and/or treated during a single phase of a catheterization procedure, according to vessel (or arterial location).

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3251. IVUS Vessel

| 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 | U |  | DCID 3604 “Arterial Lesion Locations”
3 | >> | HAS CONCEPT MOD | CODE | EV (106233006, SCT, "Topographical modifier") | 1 | U |  | DCID 3019 “Cardiovascular Anatomic Location Modifiers”
4 | >> | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | UC | IFF anatomy has laterality | DCID 244 “Laterality”
5 | > | HAS ACQ CONTEXT | CODE | EV (129085009, SCT, "Catheterization Procedure Phase") | 1 | U |  | DCID 3480 “IVUS Procedure Phases”
6 | > | CONTAINS | CODE | EV (122134, DCM, "Vessel Morphology") | 1-n | U |  | CID 3712 “Vessel Descriptors”
7 | > | CONTAINS | INCLUDE | DTID 3819 “Common Findings” | 1-n | U |  |
8 | > | CONTAINS | CODE | EV (115, NCDR [2.0b], "Dissection in segment") | 1 | U |  | DCID 230 “Yes-No”
9 | > | CONTAINS | INCLUDE | DTID 3252 “IVUS Lesion” | 1-n | U |  |

### TID 3252 IVUS Lesion

The IVUS Lesion Template provides a structure for grouping measurements and observations made on a single lesion during an Intravascular Ultrasound Procedure.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3252. IVUS Lesion

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (300577008, SCT, "Lesion Finding") | 1 | M |  |
2 | > | HAS OBS CONTEXT | TEXT | EV (121151, DCM, "Lesion Identifier") | 1 | M |  | Up to 3 numeric characters
3 | >> | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1-n | U |  | DCID 3604 “Arterial Lesion Locations”
4 | >>> | HAS CONCEPT MOD | CODE | EV (106233006, SCT, "Topographical modifier") | 1 | U |  | DCID 3019 “Cardiovascular Anatomic Location Modifiers”
5 | > | HAS ACQ CONTEXT | INCLUDE | DTID 3107 “Device Used” | 1-n | U |  |
6 | > | CONTAINS | INCLUDE | DTID 3253 “IVUS Measurements” | 1 | MC | One or both of rows 6 & 7 must be present |
7 | > | CONTAINS | INCLUDE | DTID 3254 “IVUS Qualitative Assessments” | 1 | MC | One or both of rows 6 & 7 must be present |
8 | > | CONTAINS | INCLUDE | DTID 3819 “Common Findings” | 1-n | U |  |

Content Item Descriptions

Row 2 | Lesion Identifier is specified as a numeric text string in order to facilitate trans-coding to DICOM Attribute (0018,3105) Lesion Number and to formats for outcomes registries, such as the ACC National Cardiovascular Data Registry™. ### Note Also see TID 3105 “Lesion Identification and Properties”.
Row 3 | Finding site may span multiple segments with the proximal and distal extent specified by separate items. These may not be totally contained with the segment specified at the Vessel level.

### TID 3253 IVUS Measurements

The IVUS measurements Template groups together simple distance, area and angle measurements, along with derived measurements that made during an IVUS procedure. Refer to the " ACC Clinical Expert Consensus Document on Standards for Acquisition, measurement and Reporting of Intravascular Ultrasound Studies (IVUS) "for more information.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3253. IVUS Measurements

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3481 “IVUS Distance Measurements” $Units = EV (mm, UCUM, "mm") $Derivation = DCID 3488 “Min/Max/Mean” $TargetSite = BCID 3486 “Vascular Measurement Sites”
2 |  |  | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3482 “IVUS Area Measurements” $Units = EV (mm2, UCUM, "mm2") $Derivation = DCID 3488 “Min/Max/Mean” $TargetSite = BCID 3486 “Vascular Measurement Sites”
3 |  |  | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3483 “IVUS Longitudinal Measurements” $Units = EV (mm, UCUM, "mm")
4 |  |  | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = EV (122355, DCM, "Arc of Calcium") $Units = EV (deg, UCUM, "degrees") $TargetSite = BCID 3486 “Vascular Measurement Sites”
5 |  |  | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (408714007, SCT, "Lumen Area Stenosis") $Units = EV (%, UCUM, "%")
6 |  |  | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122354, DCM, "Plaque Burden") $Units = EV (%, UCUM, "%") $TargetSite = BCID 3486 “Vascular Measurement Sites”
7 |  |  | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3484 “IVUS Indices and Ratios” $Units = EV ({ratio}, UCUM, "ratio") $TargetSite = BCID 3486 “Vascular Measurement Sites”
8 |  |  | INCLUDE | DTID 3255 “IVUS Volume Measurement” | 1-n | U |  |
9 |  |  | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122339, DCM, "Stent Volume Obstruction") $Units = EV (%, UCUM, "%")

### TID 3254 IVUS Qualitative Assessments

The IVUS Qualitative Assessments Template groups together the qualitative properties of a lesion that are observed during an IVUS procedure. Refer to the "ACC Clinical Expert Consensus Document on Standards for Acquisition, measurement and Reporting of Intravascular Ultrasound Studies (IVUS) " for more information.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3254. IVUS Qualitative Assessments

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (122133, DCM, "Lesion Morphology") | 1-n | U |  | DCID 3491 “IVUS Lesion Morphologies”
2 |  |  | CODE | EV (121071, DCM, "Finding") | 1-n | U |  | DCID 3494 “IVUS Non Morphological Findings”
3 | > |  | INCLUDE | DTID 1350 “Negation Modifier, Presence of Finding” | 1 | U |  |
4 |  |  | CODE | EV (121071, DCM, "Finding") | 1 | U |  | EV (710864009, SCT, "Arterial Dissection")
5 | > | HAS CONCEPT MOD | CODE | EV (122387, DCM, "Dissection Classification") | 1 | U |  | DCID 3492 “Vascular Dissection Classifications”
6 | > |  | INCLUDE | DTID 1350 “Negation Modifier, Presence of Finding” | 1 | U |  |
7 |  |  | CODE | EV (122391, DCM, "Relative Stenosis Severity") | 1 | U |  | DCID 3493 “IVUS Relative Stenosis Severities”
8 |  |  | CODE | EV (108, NCDR [2.0b], "Previously Dilated Lesion") | 1 | U |  | DCID 3750 “Previously Dilated Lesion”
9 |  |  | CODE | EV (121071, DCM, "Finding") | 1 | U |  | EV (122393, DCM, "Restenotic Lesion")
10 | > |  | INCLUDE | DTID 1350 “Negation Modifier, Presence of Finding” | 1 | U |  |
11 |  |  | CODE | EV (111009, DCM, "Calcification Type") | 1 | U |  | DCID 3489 “Calcium Distribution”

### TID 3255 IVUS Volume Measurement

The IVUS Volume Measurement Template contains information describing an IVUS Volumetric measurement

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3255. IVUS Volume Measurement

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = DCID 3485 “IVUS Volume Measurements” $Units = EV (mm3, UCUM, "mm3") $TargetSite = BCID 3487 “Intravascular Volumetric Regions”
2 | > | HAS PROPERTIES | NUM | EV (122336, DCM, "Vascular Volume measurement length") | 1 | U |  | UNITS = DT (mm, UCUM, "mm")
3 | > | HAS PROPERTIES | NUM | EV (122337, DCM, "Relative position") | 1 | U |  | UNITS = DT (mm, UCUM, "mm")
4 | >> | HAS CONCEPT MOD | CODE | EV (122340, DCM, "Fiducial feature") | 1 | M |  | DCID 3496 “IVUS Fiducial Points”

## Stress Testing Report Templates

### TID 3300 Stress Testing Report

The Stress Testing Report Template is the root structure for the representation of measurements and findings of a stress testing procedure.

Type:

  Extensible

Order:

  Significant

Root:

  Yes

Table TID 3300. Stress Testing Report

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | DT (18752-6, LN, "Stress Testing Report") | 1 | M |  | Root node
2 | > | HAS CONCEPT MOD | CODE | EV (121058, DCM, "Procedure reported") | 1 | M |  | BCID 3200 “Stress Test Procedure”
3 | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | M |  |
4 | > | HAS OBS CONTEXT | INCLUDE | DTID 1002 “Observer Context” | 1-n | M |  |
5 | > | CONTAINS | CONTAINER | EV (18785-6, LN, "Indications for Procedure") | 1 | U |  |
6 | >> | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1-n | U |  | DCID 3201 “Indications for Stress Test”
7 | >> | CONTAINS | TEXT | EV (121071, DCM, "Finding") | 1 | U |  |
8 | > | CONTAINS | INCLUDE | DTID 3602 “Cardiovascular Patient Characteristics” | 1 | M |  |
9 | > | CONTAINS | INCLUDE | DTID 3802 “Cardiovascular Patient History” | 1 | U |  |
10 | > | CONTAINS | INCLUDE | DTID 3301 “Stress Test Procedure Description” | 1 | M |  |
11 | > | CONTAINS | INCLUDE | DTID 3303 “Stress Test Phase Data” | 1-n | M |  |
12 | > | CONTAINS | INCLUDE | DTID 3311 “Stress Test Summary” | 1 | U |  |
13 | > | CONTAINS | INCLUDE | DTID 3318 “Comparison to Prior Stress Exam” | 1 | U |  |
14 | > | CONTAINS | INCLUDE | DTID 3320 “Conclusions and Recommendations” | 1 | U |  |

### TID 3301 Stress Test Procedure Description

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3301. Stress Test Procedure Description

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | DT (55111-9, LN, "Current Procedure Descriptions") | 1 | M |  |
2 | > | CONTAINS | CODE | DT (109056, DCM, "Stress Protocol") | 1 | U |  | BCID 3261 “Stress Protocols”
3 | > | CONTAINS | TEXT | DT (109056, DCM, "Stress Protocol") | 1 | U |  |
4 | > | CONTAINS | CODE | DT (10:11345, MDC, "Lead System") | 1 | U |  | BCID 3263 “Electrode Placement Values”
5 | > | CONTAINS | CODE | DT (111045004, SCT, "Exerciser Device") | 1 | U |  | BCID 3203 “Exerciser Device”
6 | > | CONTAINS | CODE | DT (246489000, SCT, "Pharmacological Stress Agent") | 1 | MC | IFF Pharmacological Stress used | BCID 3204 “Stress Agents”
7 | > | CONTAINS | CONTAINER | EV (122700, DCM, "Indications for Pharmacological Stress") | 1 | MC | IFF Pharmacological Stress used |
8 | >> | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1-n | U |  | DCID 3205 “Indications for Pharmacological Stress Test”
9 | > | CONTAINS | CODE | DT (363679005, SCT, "Imaging procedure") | 1 | MC | IFF imaging used in procedure | DCID 3206 “Non-invasive Cardiac Imaging Procedures”
10 | > | CONTAINS | CODE | DT (125203, DCM, "Acquisition Protocol") | 1 | UC | IFF Nuclear imaging | DCID 3110 “Nuclear Cardiology Protocols”
11 | > | CONTAINS | CODE | DT (125203, DCM, "Acquisition Protocol") | 1 | UC | IFF PET imaging | DCID 3106 “PET Cardiology Protocols”
12 | > | CONTAINS | TEXT | DT (121141, DCM, "Image Type") | 1 | UC | IFF Nuclear or PET imaging | STATIC, DYNAMIC, or GATED.
13 | > | CONTAINS | CODE | DT (RID11248, RADLEX, "Cardiac Gating") | 1 | U |  | DCID 3104 “Cardiac Synchronization Technique”
14 | > | CONTAINS | CODE | DT (125203, DCM, "Acquisition Protocol") | 1 | UC | IFF Contrast echocardiography | DT (433231002, SCT, "Contrast echocardiography")
15 | > | CONTAINS | CODE | DT (113743, DCM, "Patient Orientation") | 1 | U |  | DCID 19 “Patient Orientation”
16 | >> | HAS CONCEPT MOD | CODE | EV (113744, DCM, "Patient Orientation Modifier") | 1 | U |  | DCID 20 “Patient Orientation Modifier”
17 | > | CONTAINS | TEXT | DT (121065, DCM, "Procedure Description") | 1 | U |  |
18 | > | CONTAINS | DATETIME | DT (122701, DCM, "Procedure Time Base") | 1 | U |  |

Content Item Descriptions

Row 12 | Image Type may be copied from the NM Image SOP Instance attribute Image Type (0008,0008) value 3, or from the PET Image SOP Instance attribute Series Type (0054,1000).
Row 18 | The Procedure Time Base is the time from which elapsed times are measured. The Study Time (0008,0030) may include the patient prep period, while this Procedure Time Base is typically established when baseline data collection begins.

### TID 3303 Stress Test Phase Data

The Stress Test Phase Data Template provides a structure for measurements acquired during a single procedure phase.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3303. Stress Test Phase Data

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | DT (59776-5, LN, "Findings") | 1 | M |  |
2 | > | HAS ACQ CONTEXT | CODE | EV (128954007, SCT, "Procedure phase") | 1 | MC | XOR row 3 | BCID 3207 “Stress Test Procedure Phases”
3 | > | HAS ACQ CONTEXT | CODE | EV (128954007, SCT, "Procedure phase") | 1 | MC | IFF Nuclear Imaging; XOR row 2 | DCID 3101 “Cardiac Procedural State Values”
4 | > | HAS ACQ CONTEXT | TEXT | EV (128954007, SCT, "Procedure phase") | 1 | U |  |
5 | > | CONTAINS | INCLUDE | DTID 3301 “Stress Test Procedure Description” | 1 | MC | IFF protocol changed from initial specification |
6 | > | HAS ACQ CONTEXT | NUM | EV (109055, DCM, "Protocol Stage") | 1 | U |  | UNITS = DT ({stage}, UCUM, "stage")
7 | > | CONTAINS | INCLUDE | DTID 3304 “Stress Test Measurement Group” | 1-n | U |  |
8 | > | CONTAINS | INCLUDE | DTID 3307 “NM/PET Perfusion Measurement Group” | 1 | MC | IFF Nuclear or PET Imaging |
9 | > | CONTAINS | INCLUDE | DTID 3309 “Stress Echo Measurement Group” | 1 | UC | IFF Echocardiography Imaging |

Content Item Descriptions

Row 1 | The Container shall have a specific Content Item Observation DateTime (0040,A032) attribute to indicate the time at which the phase began.

### TID 3304 Stress Test Measurement Group

Each instance of the Stress Test Measurement Group represents a group of data elements acquired at approximately the same instant, and conventionally rendered as row in a tabular presentation. It is typically generated during the Stress exam whenever a time interval elapses (for example, every minute of the phase), when a technician observes data worth capturing, or when measurements exceed a given range.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3304. Stress Test Measurement Group

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | DT (59776-5, LN, "Findings") | 1 | M |  |
2 | > | CONTAINS | NUM | DT (252131008, SCT, "Time since start of exam") | 1 | M |  | UNITS = DT (min, UCUM, "min")
3 | > | CONTAINS | NUM | DT (122710, DCM, "Time since start of stage") | 1 | M |  | UNITS = DT (min, UCUM, "min")
4 | > | CONTAINS | NUM | DT (122702, DCM, "Treadmill speed") | 1 | U |  | UNITS = DCID 3212 “Treadmill Speed”
5 | > | CONTAINS | NUM | DT (122703, DCM, "Treadmill gradient") | 1 | U |  | UNITS = EV (%, UCUM, "%")
6 | > | CONTAINS | NUM | DT (122704, DCM, "Ergometer power") | 1 | U |  | UNITS = EV (W, UCUM, "Watts")
7 | > | CONTAINS | NUM | DT (122709, DCM, "Activity workload") | 1 | U |  | UNITS = DT ([MET], UCUM, "METS")
8 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = DT (122706, DCM, "Rating of Perceived Exertion") $Method = BCID 3239 “Perceived Exertion Scales”
9 | > | CONTAINS | NUM | DT (122705, DCM, "Pharmacological Stress Agent Dose Rate") | 1 | MC | IFF Pharmacological Stress used | UNITS = EV (ug/kg/min, UCUM, "ug/kg/min")
10 | > | CONTAINS | INCLUDE | DTID 3106 “Drugs/Contrast Administered” | 1 | U |  |
11 | > | CONTAINS | NUM | EV (8867-4, LN, "Heart Rate") | 1 | U |  | UNITS = EV ({H.B.}/min, UCUM, "BPM")
12 | > | CONTAINS | NUM | EV (271649006, SCT, "Systolic Blood Pressure") | 1 | U |  | UNITS = DCID 3500 “Pressure Units”
13 | > | CONTAINS | NUM | EV (271650006, SCT, "Diastolic Blood Pressure") | 1 | U |  | UNITS = DCID 3500 “Pressure Units”
14 | > | CONTAINS | NUM | DT (122707, DCM, "Number of Ectopic Beats") | 1 | U |  | UNITS = EV ({beats}, UCUM, "beats")
15 | >> | HAS PROPERTIES | NUM | DT (260867005, SCT, "Period of collection") | 1 | M |  | UNITS = DT (min, UCUM, "min")
16 | >> | HAS PROPERTIES | CODE | EV (116676008, SCT, "Associated Morphology") | 1-n | U |  | BCID 3234 “Ectopic Beat Morphology”
17 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DT (164931005, SCT, "ST Elevation") $Units = DT (mV, UCUM, "mV") $TargetSite = DCID 3001 “ECG Leads”
18 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DT (429622005, SCT, "ST Depression") $Units = DT (mV, UCUM, "mV") $TargetSite = DCID 3001 “ECG Leads”
19 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3228 “ECG Timing Measurements” $Units = DT (ms, UCUM, "ms") $TargetSite = DCID 3001 “ECG Leads”
20 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3227 “QTc Measurements” $Units = DT (ms, UCUM, "ms") $TargetSite = DCID 3001 “ECG Leads” $Equation = DCID 3678 “QT Correction Algorithms”
21 | >> | INFERRED FROM | NUM | DT (2:16000, MDC, "RR Interval for QTc") | 1 | U |  | UNITS = DT (ms, UCUM, "ms")
22 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3229 “ECG Axis Measurements” $Units = DT (deg, UCUM, "deg")
23 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = DCID 3526 “Blood Gas Saturation” $Units = EV (%, UCUM, "%")
24 | > | CONTAINS | NUM | DT (122708, DCM, "Double Product") | 1 | U |  | UNITS = DT (mm[Hg].{H.B.}/min, UCUM, "mmHg.BPM")
25 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1-n | U |  | DCID 3220 “Stress Symptoms”
26 | > | CONTAINS | CODE | EV (271921002, SCT, "ECG Finding") | 1-n | U |  | DCID 3230 “ECG Findings”
27 | > | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |

Content Item Descriptions

Row 1 | The Container shall have a specific Content Item Observation DateTime (0040,A032) attribute to indicate the time at which the measurements were made.
Row 10 | Included TID 3106 “Drugs/Contrast Administered” allows the recording of test medications other than the Pharmacological Stress Agent identified in TID 3301 “Stress Test Procedure Description”.
Rows 17, 18 | ECG ST elevation/depression is measured in units of mV, but is conventionally reported in units of mm, based on strip recordings with scaling of 100 uV/mm. The display application should render these measurements in units meaningful to the user.
Row 19 | Note that the MDC codes for "per lead" measurements specified in CID 3228 “ECG Timing Measurements” are base codes for post-coordination with lead identifiers conveyed in the Target Site modifier in TID 300 “Measurement”. MDC also defines pre-coordinated codes that include both the measurement and the lead, which may be used in this row.
Row 20 | Note that the MDC code for "QTc interval per lead" specified in CID 3227 “QTc Measurements” is a base code for post-coordination with lead identifiers conveyed in the Target Site modifier in TID 300 “Measurement”. MDC also defines pre-coordinated codes that include both the measurement and the lead, which may be used in this row. Note that TID 300 “Measurement” enables the encoding of a non-standard correction algorithm, either as a local code, or as a TEXT Method Citation (see TID 300 “Measurement” row 12).
Row 21 | R-R interval used for QT correction algorithm
Row 22 | Recommended range for ECG axis measurements is -90° to +270°

### TID 3307 NM/PET Perfusion Measurement Group

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3307. NM/PET Perfusion Measurement Group

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | DT (59776-5, LN, "Findings") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (121058, DCM, "Procedure reported") | 1 | M |  | BCID 3108 “NM/PET Procedures”
3 | > | CONTAINS | CODE | EV (349358000, SCT, "Radiopharmaceutical agent") | 1 | M |  | DCID 3111 “Nuclear Cardiology Radiopharmaceuticals”
4 | > | CONTAINS | NUM | EV (123006, DCM, "Radionuclide Total Dose") | 1 | M |  | DCID 3083 “Units of Radioactivity”
5 | > | CONTAINS | DATETIME | EV (123003, DCM, "Radiopharmaceutical Start DateTime") | 1 | M |  |
6 | > | CONTAINS | NUM | DT (122711, DCM, "Exercise duration after stress agent injection") | 1 | U |  | UNITS = DT (min, UCUM, "min")
7 | > | CONTAINS | DATETIME | EV (122712, DCM, "Imaging Start DateTime") | 1 | M |  |
8 | > | CONTAINS | CODE | EV (122713, DCM, "Attenuation correction") | 1 | U |  | BCID 3112 “Attenuation Correction”
9 | >> | HAS PROPERTIES | CODE | EV (111001, DCM, "Algorithm Name") | 1 | U |  | BCID 3117 “Attenuation Correction Methods”
10 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1-n | U |  | BCID 3113 “Types of Perfusion Defects”
11 | >> | HAS PROPERTIES | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | BCID 3717 “Left Ventricle Myocardial Wall 17 Segments”
12 | >> | HAS PROPERTIES | CODE | EV (112025, DCM, "Size Descriptor") | 1 | M |  | BCID 252 “S-M-L Size Descriptor”
13 | >> | HAS PROPERTIES | CODE | EV (246112005, SCT, "Severity") | 1 | M |  | BCID 3716 “Severity”
14 | > | CONTAINS | CODE | EV (250907009, SCT, "Left Ventricular Function") | 1 | U |  | BCID 3119 “LV Function”
15 | >> | HAS PROPERTIES | CODE | EV (246112005, SCT, "Severity") | 1 | U |  | BCID 3716 “Severity”
16 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (10230-1, LN, "LV Ejection Fraction") $Units = EV (%, UCUM, "%") $Derivation = DT (258090004, SCT, "Calculated")
17 | > | CONTAINS | CODE | EV (250924003, SCT, "Left Ventricular Size") | 1 | U |  | BCID 3122 “Ventricular Enlargement”
18 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (8821-1, LN, "Left Ventricular ED Volume") $Units = EV (ml, UCUM, "ml")
19 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (8823-7, LN, "Left Ventricular ES Volume") $Units = EV (ml, UCUM, "ml")
20 | > | CONTAINS | INCLUDE | DTID 5204 “Wall Motion Analysis” | 1 | U |  | $Procedure = DCID 3108 “NM/PET Procedures”

### TID 3309 Stress Echo Measurement Group

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3309. Stress Echo Measurement Group

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | DT (59776-5, LN, "Findings") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (121058, DCM, "Procedure reported") | 1 | M |  | DT (40701008, SCT, "Echocardiography")
3 | > | CONTAINS | INCLUDE | DTID 5203 “Echo Measurement” | 1-n | U |  | $Measurement = DCID 12200 “Echocardiography Left Ventricle” $Method = CID 12227 “Echocardiography Measurement Method”
4 | >> | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | MC | IF Row 3 measurement concept is in CID 12222 “Orifice Flow Properties” | EV (87878005, SCT, "Left Ventricle")
5 | > | CONTAINS | INCLUDE | DTID 5203 “Echo Measurement” | 1-n | U |  | $Measurement = DCID 12211 “Echocardiography Aortic Valve” $Method = CID 12227 “Echocardiography Measurement Method”
6 | >> | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | MC | IF Row 5 measurement concept is in CID 12222 “Orifice Flow Properties” | EV (34202007, SCT, "Aortic Valve")
7 | > | CONTAINS | INCLUDE | DTID 5203 “Echo Measurement” | 1-n | U |  | $Measurement = DCID 12207 “Echocardiography Mitral Valve” $Method = CID 12227 “Echocardiography Measurement Method”
8 | >> | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | MC | IF Row 7 measurement concept is in CID 12222 “Orifice Flow Properties” | EV (91134007, SCT, "Mitral Valve")
9 | > | CONTAINS | INCLUDE | DTID 5203 “Echo Measurement” | 1-n | U |  | $Measurement = DCID 12208 “Echocardiography Tricuspid Valve” $Method = CID 12227 “Echocardiography Measurement Method”
10 | >> | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | MC | IF Row 9 measurement concept is in CID 12222 “Orifice Flow Properties” | EV (46030003, SCT, "Tricuspid Valve")
11 | > | CONTAINS | INCLUDE | DTID 5204 “Wall Motion Analysis” | 1 | U |  | $Procedure = DT (35757004, SCT, "Echocardiography for Determining Ventricular Contraction")

Content Item Descriptions

Rows 3-10 | These invocations of TID 5203 “Echo Measurement” do not include an inherited Findings Site concept, for example as in the invocations of TID 5203 “Echo Measurement” from TID 5202 “Echo Section”. Echo measurements that do not have the associated Finding Site pre-coordinated in the measurement concept (i.e., the orifice flow measurements of CID 12222 “Orifice Flow Properties”), shall have the Finding Site explicitly post-coordinated with a Concept Modifier (Rows 4, 6, 8, and 10). This Template does not include the concept of an Image Library, for example as used in TID 5200 “Echocardiography Procedure Report”. Image Content Items in the Echo Measurement Template shall be included with by-value relationships, not with by-reference relationships.

### TID 3311 Stress Test Summary

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3311. Stress Test Summary

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (55112-7, LN, "Summary") | 1 | M |  |
2 | > | CONTAINS | TEXT | EV (55112-7, LN, "Summary") | 1 | U |  |
3 | > | CONTAINS | INCLUDE | DTID 3312 “Physiological Summary” | 1 | U |  |
4 | > | CONTAINS | INCLUDE | DTID 3313 “Stress ECG Summary” | 1 | U |  |
5 | > | CONTAINS | INCLUDE | DTID 3317 “Stress Imaging Summary” | 1 | U |  |
6 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1 | U |  | EV (300995000, SCT, "Exercise-induced angina")
7 | >> |  | INCLUDE | DTID 1350 “Negation Modifier, Presence of Finding” | 1 | M |  |
8 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1-n | U |  | DCID 3220 “Stress Symptoms”
9 | > | CONTAINS | TEXT | EV (121071, DCM, "Finding") | 1 | U |  |
10 | > | CONTAINS | CODE | DT (246101005, SCT, "Reason for stopping test") | 1 | U |  | DCID 3221 “Stress Test Termination Reasons”
11 | > | CONTAINS | NUM | DT (122715, DCM, "Pharmacological Stress Agent Dose") | 1 | U |  | DT (mg/kg, UCUM, "mg/kg")

Content Item Descriptions

Rows 6-7 | These rows allow an explicit finding of presence or absence of exercise-induced angina through the TID 1350 “Negation Modifier, Presence of Finding” Concept Modifier "Presence of property"

### TID 3312 Physiological Summary

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3312. Physiological Summary

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | NUM | DT (40443-4, LN, "Resting Heart Rate") | 1 | M |  | UNITS = DT ({H.B.}/min, UCUM, "BPM")
2 |  |  | NUM | EV (271649006, SCT, "Systolic Blood Pressure") | 1 | M |  | UNITS = DCID 3500 “Pressure Units”
3 | > | HAS CONCEPT MOD | CODE | EV (109054, DCM, "Patient State") | 1 | M |  | DT (128975004, SCT, "Resting State")
4 |  |  | NUM | EV (271650006, SCT, "Diastolic Blood Pressure") | 1 | M |  | UNITS = DCID 3500 “Pressure Units”
5 | > | HAS CONCEPT MOD | CODE | EV (109054, DCM, "Patient State") | 1 | M |  | DT (128975004, SCT, "Resting State")
6 |  |  | NUM | DT (428420003, SCT, "Target HR") | 1 | M |  | UNITS = DT ({H.B.}/min, UCUM, "BPM")
7 |  |  | NUM | DT (428630002, SCT, "Maximum HR Achieved") | 1 | M |  | UNITS = DT ({H.B.}/min, UCUM, "BPM")
8 |  |  | NUM | DT (428630002, SCT, "Maximum HR Achieved") | 1 | M |  | UNITS = EV (%, UCUM, "%")
9 | > | HAS CONCEPT MOD | CODE | EV (121425, DCM, "Index") | 1 | M |  | DT (428420003, SCT, "Target HR")
10 |  |  | NUM | DT (122716, DCM, "Maximum Power Output Achieved") | 1 | U |  | UNITS = DT (W, UCUM, "Watts")
11 |  |  | NUM | DT (122717, DCM, "Peak activity workload") | 1 | U |  | UNITS = DT ([MET], UCUM, "METS")
12 |  |  | CODE | DT (428531008, SCT, "HR Response") | 1 | U |  | DCID 3210 “Speed of Response”
13 |  |  | NUM | DT (314439003, SCT, "Maximum systolic blood pressure") | 1 | U |  | UNITS = DCID 3500 “Pressure Units”
14 |  |  | NUM | DT (314452008, SCT, "Maximum diastolic blood pressure") | 1 | U |  | UNITS = DCID 3500 “Pressure Units”
15 |  |  | CODE | DT (427732000, SCT, "BP Response") | 1 | U |  | DCID 3210 “Speed of Response”
16 |  |  | NUM | DT (122718, DCM, "Peak Double Product") | 1 | U |  | UNITS = DT (mm[Hg].{H.B.}/min, UCUM, "mmHg.BPM")
17 |  |  | NUM | DT (252130009, SCT, "Total Exercise duration") | 1 | U |  | UNITS = DT (min, UCUM, "min")
18 |  |  | NUM | DT (252129004, SCT, "Total test duration") | 1 | U |  | UNITS = DT (min, UCUM, "min")
19 |  |  | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = DT (429160000, SCT, "Functional capacity")
20 |  |  | TEXT | DT (429160000, SCT, "Functional capacity") | 1 | U |  |
21 |  |  | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = EV (122760, DCM, "Stress test score") $Method = BCID 3238 “Stress Scoring Scales”
22 |  |  | NUM | DT (429157007, SCT, "Heart rate recovery time") | 1 | U |  | UNITS = DT (s, UCUM, "s")
23 |  |  | CODE | EV (121071, DCM, "Finding") | 1-n | U |  | BCID 3213 “Stress Hemodynamic Findings”
24 |  |  | CODE | EV (395112001, SCT, "Cardiovascular event risk") | 1 | U |  | BCID 3118 “Level of Risk”

Content Item Descriptions

Row 22 | Numerical scoring of a patient's functional capacity shall include the range of the scoring system in the Units of Measurement (see Section 7.2.2), and may include a coded identifier for the scoring system in the Method concept modifier of TID 300 “Measurement”.

### TID 3313 Stress ECG Summary

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3313. Stress ECG Summary

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | TEXT | EV (271921002, SCT, "ECG Finding") | 1 | U |  | Device Generated Test Summary
2 | > | HAS OBS CONTEXT | CODE | EV (121005, DCM, "Observer Type") | 1 | M |  | EV (121007, DCM, "Device")
3 | > | HAS OBS CONTEXT | INCLUDE | DTID 1004 “Device Observer Identifying Attributes” | 1 | M |  |
4 |  |  | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = EV (164931005, SCT, "ST Elevation") $Units = DT (mV, UCUM, "mV") $Derivation = EV (56851009, SCT, "Maximum") $TargetSite = DCID 3001 “ECG Leads”
5 |  |  | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = EV (429622005, SCT, "ST Depression") $Units = DT (mV, UCUM, "mV") $Derivation = EV (56851009, SCT, "Maximum") $TargetSite = DCID 3001 “ECG Leads”
6 |  |  | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = EV (428550008, SCT, "T wave alternans") $Units = DT (uV, UCUM, "uV") $Derivation = EV (56851009, SCT, "Maximum") $TargetSite = DCID 3001 “ECG Leads”
7 |  |  | CODE | EV (365416000, SCT, "ST Segment Finding") | 1 | U |  | BCID 3231 “ST Segment Findings”
8 | > | HAS PROPERTIES | CODE | EV (363698007, SCT, "Finding Site") | 1-n | U |  | BCID 3232 “ST Segment Location”
9 | > | HAS PROPERTIES | CODE | EV (116676008, SCT, "Associated Morphology") | 1 | U |  | BCID 3233 “ST Segment Morphology”
10 |  |  | NUM | DT (122707, DCM, "Number of Ectopic Beats") | 1 | U |  | UNITS = EV ({beats}, UCUM, "beats")
11 | > | HAS PROPERTIES | CODE | EV (116676008, SCT, "Associated Morphology") | 1-n | U |  | BCID 3234 “Ectopic Beat Morphology”
12 |  |  | CODE | DT (8884-9, LN, "Cardiac Rhythm") | 1-2 | U |  | BCID 3415 “Cardiac Rhythms”
13 | > | HAS CONCEPT MOD | CODE | EV (109054, DCM, "Patient State") | 1 | M |  | DCID 3102 “Rest-Stress”
14 |  |  | CODE | EV (271921002, SCT, "ECG Finding") | 1-n | U |  | BCID 3230 “ECG Findings”
15 | > | HAS CONCEPT MOD | CODE | EV (109054, DCM, "Patient State") | 1 | U |  | BCID 3262 “ECG Patient State Values”

Content Item Descriptions

Rows 4-14 | Each observation (measurement or finding) may have a specific Content Item Observation DateTime attribute to indicate the time in the procedure at which the observation was made (e.g., time of maximum heart rate, or time of occurrence of an arrhythmia).
Row 12-13 | This Concept and the associated Concept Modifier may be instantiated twice, once for resting state measurements, once for stress.

### TID 3317 Stress Imaging Summary

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3317. Stress Imaging Summary

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | DT (122739, DCM, "Overall study quality") | 1 | M |  | BCID 3114 “Study Quality”
2 |  |  | CODE | DT (113010, DCM, "Quality Issue") | 1 | U |  | BCID 3115 “Stress Imaging Quality Issues”
3 |  |  | CODE | EV (121071, DCM, "Finding") | 1 | U |  | BCID 3116 “NM Extracardiac Findings”
4 |  |  | INCLUDE | DTID 300 “Measurement” | 1-2 | U |  | $Measurement = DT (427751006, SCT, "Perfusion defect extent") $ModType = EV (109054, DCM, "Patient State") $ModValue = DCID 3102 “Rest-Stress” $Units = EV (%, UCUM, "%")
5 |  |  | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = DT (429162008, SCT, "Stress ischemia extent") $Units = EV (%, UCUM, "%")
6 |  |  | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = DT (122762, DCM, "Number of diseased vessel territories") $Units = EV ({territories}, UCUM, "territories")
7 |  |  | CODE | EV (121071, DCM, "Finding") | 1 | U |  | EV (53741008, SCT, "Coronary artery disease")
8 | > | HAS PROPERTIES | CODE | EV (363698007, SCT, "Finding Site") | 1-n | M |  | BCID 3016 “Major Coronary Arteries”
9 |  |  | CODE | EV (251053005, SCT, "Myocardial perfusion") | 1-2 | U |  | BCID 3120 “Perfusion Findings”
10 | > | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | BCID 3463 “Ventricle Identification”
11 | > | HAS PROPERTIES | CODE | EV (116676008, SCT, "Associated Morphology") | 1 | U |  | BCID 3121 “Perfusion Morphology”
12 |  |  | CODE | EV (121071, DCM, "Finding") | 1 | U |  | DT (429710001, SCT, "Transient cavitary dilatation")
13 | > |  | INCLUDE | DTID 1350 “Negation Modifier, Presence of Finding” | 1 | U |  |
14 |  |  | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = DT (428832008, SCT, "Transient cavitary dilatation ratio") $Units = EV ({ratio}, UCUM, "ratio")
15 |  |  | INCLUDE | DTID 300 “Measurement” | 1-2 | U |  | $Measurement = EV (10230-1, LN, "LV Ejection Fraction") $ModType = EV (109054, DCM, "Patient State") $ModValue = DCID 3102 “Rest-Stress” $Units = EV (%, UCUM, "%")

Content Item Descriptions

Row 4 | This row may be instantiated twice, once for resting state measurements, once for stress.
Row 15 | The LVEF code specified in this row is defined in LOINC with method "imaging". LVEF measurement by ultrasound may also be encoded elsewhere in the Content Tree (e.g., in TID 3309 “Stress Echo Measurement Group”) with LOINC code 18043-0, which has method "ultrasound". It is recommended that such findings from the per-phase measurements be summarized here with the generic "LVEF by Imaging" concept code.

### TID 3318 Comparison to Prior Stress Exam

This Template describes changes in findings from a prior stress exam. Comparison is to only one prior exam, even though the generic concept name for the Template uses the plural "exams".

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3318. Comparison to Prior Stress Exam

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (111424, DCM, "Comparison to previous exams") | 1 | M |  |
2 | > | CONTAINS | CODE | DT (121058, DCM, "Procedure Reported") | 1 | U |  | BCID 3200 “Stress Test Procedure”
3 | >> | HAS PROPERTIES | DATETIME | EV (122146, DCM, "Procedure DateTime") | 1 | U |  |
4 | >> | HAS PROPERTIES | UIDREF | EV (121018, DCM, "Procedure Study Instance UID") | 1 | U |  |
5 | >> | HAS PROPERTIES | COMPOSITE | EV (122075, DCM, "Prior report for current patient") | 1-n | U |  |
6 | > | CONTAINS | CODE | DT (248243004, SCT, "Exercise tolerance") | 1 | U |  | BCID 3236 “Tolerance Comparison Findings”
7 | > | CONTAINS | CODE | DT (251053005, SCT, "Myocardial Perfusion") | 1 | U |  | BCID 3235 “Perfusion Comparison Findings”
8 | >> | HAS CONCEPT MOD | CODE | EV (370129005, SCT, "Measurement Method") | 1-n | U |  | BCID 3215 “Perfusion Finding Method”
9 | > | CONTAINS | CODE | DT (250909007, SCT, "LV Wall motion") | 1-n | U |  | BCID 3237 “Wall Motion Comparison Findings”
10 | >> | HAS CONCEPT MOD | CODE | EV (109054, DCM, "Patient State") | 1 | M |  | DCID 3102 “Rest-Stress”
11 | > | CONTAINS | CODE | EV (111424, DCM, "Comparison to previous exams") | 1 | U |  | BCID 3217 “Comparison Finding”
12 | > | CONTAINS | NUM | DT (122768, DCM, "Difference in Ejection Fraction") | 1 | U |  | UNITS = EV (%, UCUM, "%")
13 | > | CONTAINS | NUM | DT (122769, DCM, "Difference in ED LV Volume") | 1 | U |  | UNITS = EV (ml, UCUM, "ml")
14 | > | CONTAINS | NUM | DT (122769, DCM, "Difference in ED LV Volume") | 1 | U |  | UNITS = EV (ml/m2, UCUM, "ml/m2")
15 | >> | HAS CONCEPT MOD | CODE | EV (121425, DCM, "Index") | 1 | M |  | DT (8277-6, LN, "BSA")

### TID 3320 Conclusions and Recommendations

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 3320. Conclusions and Recommendations

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (55110-1, LN, "Conclusions") | 1 | MC | IF Completion Flag (0040,A491) = COMPLETE |
2 | > | CONTAINS | TEXT | EV (121077, DCM, "Conclusion") | 1 | U |  |
3 | > | CONTAINS | CODE | EV (271921002, SCT, "ECG Finding") | 1 | M |  | DCID 3208 “Summary Codes Exercise ECG”
4 | > | CONTAINS | CODE | EV (365853002, SCT, "Imaging Finding") | 1 | M |  | DCID 3209 “Summary Codes Stress Imaging”
5 |  |  | CONTAINER | EV (121074, DCM, "Recommendations") | 1 | U |  |
6 | > | CONTAINS | TEXT | EV (121075, DCM, "Recommendation") | 1 | U |  |

## Hemodynamics Report Templates

The Templates that comprise the Hemodynamic Report are interconnected as shown in Figure A-6.

Figure A-6. Hemodynamic Report Template Hierarchy

Figure A-6 shows only the use of Templates specific to the Hemodynamic Report; it does not show common structural Templates such as TID 300 “Measurement”.

### Note

Figure A-6 shows the relationship of Templates; it does not show the structural hierarchy of Content Items in the IOD. See Figure L-1 “Hemodynamics Report Structure” in PS3.17 .

### TID 3500 Hemodynamics Report

The Hemodynamic Report Template is the root structure for the representation of measurements acquired during a procedure in a cardiac catheterization lab.

Type:

  Extensible

Order:

  Significant

Root:

  Yes

Table TID 3500. Hemodynamics Report

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122120, DCM, "Hemodynamics Report") | 1 | M |  | Root node
2 | > | HAS OBS CONTEXT | INCLUDE | DTID 1002 “Observer Context” | 1-n | M |  |
3 | > |  | INCLUDE | DTID 3601 “Procedure Context” | 1 | M |  |
4 | > | HAS OBS CONTEXT | INCLUDE | DTID 3602 “Cardiovascular Patient Characteristics” | 1 | M |  |
5 | > | HAS ACQ CONTEXT | INCLUDE | DTID 3603 “Procedure Environmental Characteristics” | 1 | U |  |
6 | > | CONTAINS | INCLUDE | DTID 3501 “Hemodynamics Measurement Group” | 1-n | M |  |
7 | > | CONTAINS | INCLUDE | DTID 3570 “Summary, Hemodynamics” | 1 | U |  |

### TID 3501 Hemodynamics Measurement Group

The Hemodynamic Measurement Group Template provides a structure for measurements acquired during a single procedure phase in a cardiac catheterization lab.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3501. Hemodynamics Measurement Group

| 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 ACQ CONTEXT | CODE | EV (129085009, SCT, "Catheterization Procedure Phase") | 1 | M |  | DCID 3651 “Hemodynamic Measurement Phase”
3 | > | HAS ACQ CONTEXT | INCLUDE | DTID 3520 “Hemodynamic Clinical Context” | 1 | U |  |
4 | > | HAS ACQ CONTEXT | TEXT | EV (121124, DCM, "Procedure Action ID") | 1 | U |  |
5 | > | CONTAINS | INCLUDE | DTID 3510 “Vital Signs” | 1-n | U |  |
6 | > | CONTAINS | INCLUDE | DTID 3504 “Arterial Pressure Measurement” | 1-n | U |  |
7 | > | CONTAINS | INCLUDE | DTID 3505 “Atrial Pressure Measurement” | 1-n | U |  |
8 | > | CONTAINS | INCLUDE | DTID 3506 “Venous Pressure Measurement” | 1-n | U |  |
9 | > | CONTAINS | INCLUDE | DTID 3507 “Ventricular Pressure Measurement” | 1-n | U |  |
10 | > | CONTAINS | INCLUDE | DTID 3508 “Gradient Measurement” | 1-n | U |  |
11 | > | CONTAINS | INCLUDE | DTID 3509 “Blood Velocity Measurement” | 1-n | U |  |
12 | > | CONTAINS | INCLUDE | DTID 3515 “Cardiac Output Measurement by Indicator Dilution” | 1-n | U |  |
13 | > | CONTAINS | INCLUDE | DTID 3516 “Blood Lab Measurements” | 1-n | U |  |
14 | > | CONTAINS | INCLUDE | DTID 3560 “Derived Hemodynamic Measurements” | 1-n | U |  |
15 | > | CONTAINS | INCLUDE | DTID 3714 “ECG Lead Measurements” | 1-n | U |  |

Content Item Descriptions

Row 4 | Procedure Action ID allows linkage between the hemodynamic measurements recorded in this Template and a procedure step or phase recorded in the Procedure Log, e.g., using TID 3100 “Procedure Action”.

### TID 3504 Arterial Pressure Measurement

The Arterial Pressure Measurement Template consists of a CONTAINER, with an acquisition context of the measurement anatomic site, and containing systolic, diastolic, and mean measurements. This implies that the name of the measurement is effectively post-coordinated from the measurement name, the Hemodynamic Measurement Group container (procedure phase) name, and the acquisition context (finding site) value.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3504. Arterial Pressure Measurement

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (73002000, SCT, "Arterial pressure measurements") | 1 | M |  |
2 | > |  | INCLUDE | DTID 3530 “Hemodynamic Acquisition Context” | 1 | M |  | $LocationName = EV (363698007, SCT, "Finding Site") $LocationValue = DCID 3606 “Arterial Source Locations”
3 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (8480-6, LN, "Intravascular arterial Systolic pressure") $Units = DCID 3500 “Pressure Units”
4 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (8462-4, LN, "Intravascular arterial Diastolic pressure") $Units = DCID 3500 “Pressure Units”
5 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (8478-0, LN, "Intravascular arterial mean pressure") $Units = DCID 3500 “Pressure Units”
6 | > | CONTAINS | INCLUDE | DTID 3550 “Pressure Waveform Measurements” | 1-n | U |  |

### TID 3505 Atrial Pressure Measurement

The Atrial Pressure Measurement Template consists of a CONTAINER, with an acquisition context of the measurement anatomic site, and containing a-wave, v-wave, and mean measurements. This implies that the name of the measurement is effectively post-coordinated from the measurement name, the Hemodynamic Measurement Group container (procedure phase) name, and the acquisition context (finding site) value.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3505. Atrial Pressure Measurement

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122121, DCM, "Atrial pressure measurements") | 1 | M |  |
2 | > |  | INCLUDE | DTID 3530 “Hemodynamic Acquisition Context” | 1 | M |  | $LocationName = EV (363698007, SCT, "Finding Site") $LocationValue = DCID 3608 “Atrial Source Locations”
3 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (109016, DCM, "A-wave peak pressure") $Units = DCID 3500 “Pressure Units”
4 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (109034, DCM, "V-wave peak pressure") $Units = DCID 3500 “Pressure Units”
5 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (6797001, SCT, "Mean blood pressure") $Units = DCID 3500 “Pressure Units”
6 | > | CONTAINS | INCLUDE | DTID 3550 “Pressure Waveform Measurements” | 1-n | U |  |

### TID 3506 Venous Pressure Measurement

The Venous Pressure Measurement Template consists of a CONTAINER, with an acquisition context of the measurement anatomic site, and containing a mean measurement. This implies that the name of the measurement is effectively post-coordinated from the measurement name, the Hemodynamic Measurement Group container (procedure phase) name, and the acquisition context (finding site) value.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3506. Venous Pressure Measurement

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (31724009, SCT, "Venous pressure measurements") | 1 | M |  |
2 | > |  | INCLUDE | DTID 3530 “Hemodynamic Acquisition Context” | 1 | M |  | $LocationName = EV (363698007, SCT, "Finding Site") $LocationValue = DCID 3607 “Venous Source Locations”
3 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (6797001, SCT, "Mean blood pressure") $Units = DCID 3500 “Pressure Units”
4 | > | CONTAINS | INCLUDE | DTID 3550 “Pressure Waveform Measurements” | 1-n | U |  |

### TID 3507 Ventricular Pressure Measurement

The Ventricular Pressure Measurement Template consists of a CONTAINER, with an acquisition context of the measurement anatomic site, and containing systolic and end-diastolic measurements. This implies that the name of the measurement is effectively post-coordinated from the measurement name, the Hemodynamic Measurement Group container (procedure phase) name, and the acquisition context (finding site) value.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3507. Ventricular Pressure Measurement

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122122, DCM, "Ventricular pressure measurements") | 1 | M |  |
2 | > |  | INCLUDE | DTID 3530 “Hemodynamic Acquisition Context” | 1 | M |  | $LocationName = EV (363698007, SCT, "Finding Site") $LocationValue = DCID 3609 “Ventricular Source Locations”
3 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | MC | IFF $LocationValue selected in row 2 is (87878005, SCT, "Left Ventricle") or subsite thereof | $Measurement = EV (276780008, SCT, "Left Ventricular Systolic blood pressure") $Units = DCID 3500 “Pressure Units”
4 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | MC | IFF $LocationValue selected in row 2 is (87878005, SCT, "Left Ventricle") or subsite thereof | $Measurement = EV (276781007, SCT, "Left Ventricular End Diastolic pressure") $Units = DCID 3500 “Pressure Units”
5 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | MC | IFF $LocationValue selected in row 2 is (53085002, SCT, "Right Ventricle") or subsite thereof | $Measurement = EV (276772001, SCT, "Right Ventricular Systolic blood pressure") $Units = DCID 3500 “Pressure Units”
6 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | MC | IFF $LocationValue selected in row 2 is (53085002, SCT, "Right Ventricle") or subsite thereof | $Measurement = EV (276774000, SCT, "Right Ventricular End Diastolic pressure") $Units = DCID 3500 “Pressure Units”
7 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | MC | IFF $LocationValue selected in row 2 is (45503006, SCT, "Common Ventricle") | $Measurement = EV (122194, DCM, "Ventricular Systolic blood pressure") $Units = DCID 3500 “Pressure Units”
8 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | MC | IFF $LocationValue selected in row 2 is (45503006, SCT, "Common Ventricle") | $Measurement = EV (122191, DCM, "Ventricular End Diastolic pressure") $Units = DCID 3500 “Pressure Units”
9 | > | CONTAINS | INCLUDE | DTID 3550 “Pressure Waveform Measurements” | 1-n | U |  |

### TID 3508 Gradient Measurement

The Gradient Measurement Template consists of a CONTAINER, with an acquisition context of the measurement anatomic site, and containing the gradient measurement. This implies that the name of the measurement is effectively post-coordinated from the measurement name, the Hemodynamic Measurement Group container (procedure phase) name, and the acquisition context (finding site) value.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3508. Gradient Measurement

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122123, DCM, "Gradient assessment") | 1 | M |  |
2 | > |  | INCLUDE | DTID 3530 “Hemodynamic Acquisition Context” | 1 | MC | XOR with Rows 3 & 4 IFF single location is appropriate | $LocationName = EV (363698007, SCT, "Finding Site") $LocationValue = DCID 3610 “Gradient Source Locations”
3 | > |  | INCLUDE | DTID 3530 “Hemodynamic Acquisition Context” | 1 | MC | XOR with Row 2 IFF a dual location is appropriate | $LocationName = EV (121116, DCM, "Proximal Finding Site") $LocationValue = DCID 3630 “Cardiovascular Anatomic Locations”
4 | > |  | INCLUDE | DTID 3530 “Hemodynamic Acquisition Context” | 1 | MC | XOR with Row 2 IFF a dual location is appropriate | $LocationName = EV (121117, DCM, "Distal Finding Site") $LocationValue = DCID 3630 “Cardiovascular Anatomic Locations”
5 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | M |  | $Measurement = EV (251081004, SCT, "Pressure Gradient") $Units = DCID 3500 “Pressure Units” $Derivation = DCID 3627 “Measurement Type”
6 | > | CONTAINS | INCLUDE | DTID 3550 “Pressure Waveform Measurements” | 1-n | U |  |

Content Item Descriptions

Row 5 | Is used to encode the gradient measurements. Uses TID 300 “Measurement” for the Content Item structure of the measurements. That Template allows an INFERRED FROM relationship to other numeric measurements used in the computation or derivation of the current measurement. In the case of a gradient measurement, the pressure measurements at the distal and proximal locations may thus be explicitly conveyed.

### TID 3509 Blood Velocity Measurement

The Blood Velocity Measurement Template consists of a CONTAINER, with an acquisition context of the measurement anatomic site, and containing primary (not derived) velocity measurements, e.g., from a Doppler catheter. Derived velocity measurements may be recorded using TID 3560 “Derived Hemodynamic Measurements”.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3509. Blood Velocity Measurement

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122124, DCM, "Blood velocity measurements") | 1 | M |  |
2 | > |  | INCLUDE | DTID 3530 “Hemodynamic Acquisition Context” | 1 | M |  | $LocationName = EV (363704007, SCT, "Procedure site") $LocationValue = BCID 3606 “Arterial Source Locations”
3 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | M |  | $Measurement = DCID 3612 “Blood Velocity Measurements” $Units = EV (mm/s, UCUM, "mm/s")
4 | > | CONTAINS | INCLUDE | DTID 3550 “Pressure Waveform Measurements” | 1-n | U |  |

### TID 3510 Vital Signs

The Vital Signs Template consists of a CONTAINER containing the various vital signs measurements. These measurements may be acquired automatically from patient monitoring equipment, or may be entered based on manual measurements.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3510. Vital Signs

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (8716-3, LN, "Vital Signs") | 1 | M |  |
2 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (271649006, SCT, "Systolic blood pressure") $Units = DCID 3500 “Pressure Units” $Method = BCID 3560 “Blood Pressure Methods”
3 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (271650006, SCT, "Diastolic blood pressure") $Units = DCID 3500 “Pressure Units”
4 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (8867-4, LN, "Heart rate") $Units = EV ({H.B.}/min, UCUM, "BPM")
5 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (8310-5, LN, "Body temperature") $Units = EV (Cel, UCUM, "C")
6 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = DCID 3526 “Blood Gas Saturation” $Units = EV (%, UCUM, "%")
7 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (86290005, SCT, "Respiration rate") $Units = EV (/min, UCUM, "breaths/min")
8 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122195, DCM, "Pulse Strength") $Units = DT ({0:4}, UCUM, "range 0:4")
9 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (225908003, SCT, "Pain Score") $Units = DT ({1:10}, UCUM, "range 1:10")
10 | > | CONTAINS | CODE | DT (8884-9, LN, "Cardiac Rhythm") | 1 | U |  | BCID 3415 “Cardiac Rhythms”
11 | > | CONTAINS | CODE | DT (9304-7, LN, "Respiration Rhythm") | 1 | U |  | BCID 3416 “Respiration Rhythms”

### TID 3515 Cardiac Output Measurement by Indicator Dilution

The Cardiac Output Measurement by Indicator Dilution Template consists of a CONTAINER containing the measurement and significant parameters of the technical method. If the measurement is based on a DICOM Hemodynamic Waveform SOP Instance, that object may also be referenced.

### Note

Fick Cardiac Output is encoded in TID 3560 “Derived Hemodynamic Measurements”.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3515. Cardiac Output Measurement By Indicator Dilution

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (117610000, SCT, "Cardiac Output measurement") | 1 | M |  |
2 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (8737-9, LN, "Cardiac Output by Indicator Dilution") $Units = EV (l/min, UCUM, "l/min") $Method = DCID 3628 “Cardiac Output Methods” $WavePurpose = DT (121112, DCM, "Source of Measurement")
3 | > | HAS ACQ CONTEXT | NUM | EV (122319, DCM, "Catheter Size") | 1 | MC | IFF Row 2 indicates a thermal method | UNITS = DCID 3510 “Catheter Size Units”
4 | > | HAS ACQ CONTEXT | NUM | EV (122320, DCM, "Injectate Temperature") | 1 | MC | IFF Row 2 indicates a thermal method | UNITS = EV (Cel, UCUM, "C")
5 | > | HAS ACQ CONTEXT | NUM | EV (122321, DCM, "Injectate Volume") | 1 | M |  | UNITS = DT (ml, UCUM, "ml")
6 | > | HAS ACQ CONTEXT | NUM | EV (122322, DCM, "Calibration Factor") | 1 | M |  | UNITS = DT (1, UCUM, "no units")

### TID 3516 Blood Lab Measurements

The Blood Lab Measurements Template provides for the recording of measurements made on blood samples obtained during a catheterization procedure. The type and anatomic source of the blood is recorded as acquisition context. The results from the blood chemistry measurement system are quoted; the measurement names may be pre-coordinated with the type or source of the blood, or generic measurement names may be reported. In the latter case, the full measurement concept name may be effectively post-coordinated using the recorded acquisition context.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3516. Blood Lab Measurements

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122125, DCM, "Blood lab measurements") | 1 | M |  |
2 | > | HAS ACQ CONTEXT | CODE | EV (371439000, SCT, "Specimen Type") | 1 | M |  | DCID 3520 “Blood Source Type”
3 | > | HAS ACQ CONTEXT | CODE | EV (363704007, SCT, "Procedure site") | 1 | M |  | BCID 3630 “Cardiovascular Anatomic Locations”
4 | > |  | INCLUDE | DTID 1000 “Quotation” | 1 | U |  |
5 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (718-7, LN, "Hemoglobin") $Units = DT (g/dl, UCUM, "g/dl")
6 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3524 “Blood Gas Pressures” $Units = DCID 3500 “Pressure Units”
7 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3525 “Blood Gas Content” $Units = DT (ml/dl, UCUM, "ml/dl")
8 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3528 “Blood pH” $Units = EV ([pH], UCUM, "pH")
9 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3526 “Blood Gas Saturation” $Units = EV (%, UCUM, "%")
10 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3527 “Blood Base Excess” $Units = DT (meq/dl, UCUM, "meq/dl")
11 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122183, DCM, "Blood temperature") $Units = EV (Cel, UCUM, "C")

### TID 3520 Hemodynamic Clinical Context

The Clinical Context Template allows the recording of information about the patient's clinical state that may affect interpretation of the hemodynamic measurements. This Template includes several coded conditions (e.g., complications, drugs, physiological challenges, etc.), each of which may have a Concept Modifier of "Relative Time". This Modifier indicates the temporal relationship of the hemodynamic measurements to the conditions recorded in this Template. E.g., the Content Item structure:

[CONTAINER] "Findings"

>HAS ACQ CONTEXT "Cath Procedure Phase" "Post-intervention phase"

>HAS ACQ CONTEXT [CONTAINER] "Clinical Context"

>>CONTAINS [CODE] "Complication" "Arrhythmia"

>>>HAS CONCEPT MOD [CODE] "Relative Time" "After"

>CONTAINS [CONTAINER] "Arterial Measurements"…

conveys the semantics that this group of measurements for the post-intervention phase of a cath procedure was made after an occurrence of arrhythmia in the patient.

In the absence of a Relative Time modifier, the acquisition context is during the identified event or state.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3520. Hemodynamic Clinical Context

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122127, DCM, "Clinical Context") | 1 | M |  |
2 | > | CONTAINS | CODE | EV (109054, DCM, "Patient State") | 1-n | U |  | BCID 3602 “Hemodynamic Patient State”
3 | > | CONTAINS | TEXT | EV (109054, DCM, "Patient State") | 1 | U |  |
4 | > | CONTAINS | INCLUDE | DTID 3521 “Relative Time” | 1-n | U |  | $ConditionName = EV (116224001, SCT, "Complication of Procedure") $ConditionValue = DCID 3413 “Adverse Outcomes”
5 | > | CONTAINS | INCLUDE | DTID 3521 “Relative Time” | 1-n | U |  | $ConditionName = EV (122086, DCM, "Contrast administered") $ConditionValue = BCID 12 “Radiographic Contrast Agent”
6 | > | CONTAINS | INCLUDE | DTID 3521 “Relative Time” | 1-n | U |  | $ConditionName = EV (122083, DCM, "Drug administered") $ConditionValue = BCID 10 “Interventional Drug”
7 | > | CONTAINS | INCLUDE | DTID 3521 “Relative Time” | 1-n | U |  | $ConditionName = EV (109059, DCM, "Physiological challenges") $ConditionValue = BCID 3271 “Hemodynamic Physiological Challenges”
8 | > | CONTAINS | INCLUDE | DTID 3521 “Relative Time” | 1-n | U |  | $ConditionName = EV (122138, DCM, "Circulatory Support") $ConditionValue = DCID 3553 “Circulatory Support”
9 | > | CONTAINS | INCLUDE | DTID 3521 “Relative Time” | 1-n | U |  | $ConditionName = EV (243147009, SCT, "Controlled ventilation") $ConditionValue = DCID 3554 “Ventilation”
10 | > | CONTAINS | INCLUDE | DTID 3521 “Relative Time” | 1-n | U |  | $ConditionName = EV (18590009, SCT, "Cardiac Pacing") $ConditionValue = BCID 3555 “Pacing”
11 | > | CONTAINS | INCLUDE | DTID 3521 “Relative Time” | 1-n | U |  | $ConditionName = EV (71388002, SCT, "Procedure") $ConditionValue = BCID 3405 “Procedure Action Values”

### TID 3521 Relative Time

The Relative Time Template is invoked by 3520 Hemodynamic Acquisition Context Template. It specifies an applicable clinical context condition and the time of the current measurements relative to that condition.

Table TID 3521. Parameters

Parameter Name | Parameter Usage
--- | ---
$ConditionName | Coded term for Concept Name of condition
$ConditionValue | Context Group for condition values

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 3521. Relative Time

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | $ConditionName | 1 | M |  | $ConditionValue
2 | > | HAS CONCEPT MOD | CODE | EV (118578006, SCT, "Relative time") | 1 | U |  | BCID 3600 “Relative Times”

### TID 3530 Hemodynamic Acquisition Context

The Hemodynamic Acquisition Context Template is invoked by the various hemodynamic measurement Templates.

Table TID 3530. Parameters

Parameter Name | Parameter Usage
--- | ---
$LocationName | Coded term for Concept Name of measurement location
$LocationValue | Context Group for appropriate anatomic locations

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3530. Hemodynamic Acquisition Context

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | HAS CONCEPT MOD | CODE | $LocationName | 1 | M |  | $LocationValue
2 | > | HAS CONCEPT MOD | CODE | EV (106233006, SCT, "Topographical modifier") | 1 | U |  | BCID 3019 “Cardiovascular Anatomic Location Modifiers”
3 |  | HAS ACQ CONTEXT | CODE | EV (370129005, SCT, "Measurement Method") | 1 | U |  | BCID 3241 “Hemodynamic Measurement Techniques”
4 |  | HAS ACQ CONTEXT | WAVEFORM | DT (121112, DCM, "Source of Measurement") | 1 | UC | XOR Row 5 |
5 |  | HAS ACQ CONTEXT | TCOORD | DT (121112, DCM, "Source of Measurement") | 1 | UC | XOR Row 4 |
6 | > | SELECTED FROM | WAVEFORM |  | 1 | M |  |

### TID 3550 Pressure Waveform Measurements

The Pressure Waveform Measurements Template is invoked by the various hemodynamic measurement Templates for recording general measurements made in conjunction with the specific required measurements for that anatomic location.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3550. Pressure Waveform Measurements

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3611 “Pressure Measurements” $Units = DCID 3500 “Pressure Units”
2 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3612 “Blood Velocity Measurements” $Units = EV (mm/s, UCUM, "mm/s")
3 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3613 “Hemodynamic Time Measurements” $Units = DT (ms, UCUM, "ms")
4 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (82799009, SCT, "Cardiac Output") $Units = EV (l/min, UCUM, "l/min")
5 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (90096001, SCT, "Stroke Volume") $Units = DT (ml, UCUM, "ml")
6 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (10230-1, LN, "LV Ejection Fraction") $Units = EV (%, UCUM, "%")
7 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (8867-4, LN, "Heart rate") $Units = DT ({H.B.}/min, UCUM, "BPM")
8 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (86290005, SCT, "Respiration rate") $Units = DT (/min, UCUM, "breaths/min")
9 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (109025, DCM, "Max dp/dt") $Units = DT (mm[Hg]/s, UCUM, "mmHg/s")
10 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (109026, DCM, "Max neg dp/dt") $Units = DT (mm[Hg]/s, UCUM, "mmHg/s")
11 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122190, DCM, "Max dp/dt/P") $Units = DT (/s, UCUM, "/s")
12 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122192, DCM, "Indicator appearance time") $Units = DT (s, UCUM, "s")
13 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122193, DCM, "Maximum pressure acceleration") $Units = DT (mm[Hg]/s2, UCUM, "mmHg/s/s")
14 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3617 “Valve Flows” $Units = DT (ml/min, UCUM, "ml/min")

### TID 3560 Derived Hemodynamic Measurements

The Derived Hemodynamic Measurements Template consists of a CONTAINER containing measurements derived from one or more other measurements. These measurements are associated with a particular procedure phase, but not necessarily with a particular anatomic location.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3560. Derived Hemodynamic Measurements

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122126, DCM, "Derived Hemodynamic Measurements") | 1 | U |  |
2 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3614 “Valve Areas, Non-mitral” $Units = EV (cm2, UCUM, "cm2") $Equation = DT (122262, DCM, "Area = Flow / 44.5 * sqrt(Gradient[mmHg])")
3 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (251012002, SCT, "Mitral Valve Area") $Units = EV (cm2, UCUM, "cm2") $Equation = DT (122263, DCM, "MVA = Flow / 38.0 * sqrt(Gradient[mmHg])")
4 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3615 “Valve Areas” $ModType = EV (121425, DCM, "Index") $ModValue = EV (8277-6, LN, "Body Surface Area") $Units = DT (cm2/m2, UCUM, "cm2/m2")
5 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3616 “Hemodynamic Period Measurements” $Units = DT (s/min, UCUM, "s/min")
6 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3617 “Valve Flows” $Units = DT (ml/s, UCUM, "ml/s")
7 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (54993008, SCT, "Cardiac Index") $Units = DT (l/min/m2, UCUM, "l/min/m2")
8 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3529 “Arterial / Venous Content” $Units = DT (ml/dl, UCUM, "ml/dl")
9 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3618 “Hemodynamic Flows” $Units = DT (l/min, UCUM, "l/min")
10 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (8736-1, LN, "FICK Cardiac Output") $Units = DT (l/min, UCUM, "l/min")
11 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (8750-2, LN, "FICK Cardiac Index") $Units = DT (l/min/m2, UCUM, "l/min/m2")
12 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122229, DCM, "Arteriovenous difference") $Units = DT (ml/dl, UCUM, "ml/dl")
13 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = BCID 3620 “Hemodynamic Ratios” $Units = DT ({ratio}, UCUM, "ratio")
14 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122237, DCM, "Corrected Sinus Node Recovery Time") $Units = DT (ms, UCUM, "ms")
15 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (8861-7, LN, "Left Ventricular Stroke Work") $Units = DT (gf.m, UCUM, "gf.m")
16 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (8862-5, LN, "Right Ventricular Stroke Work") $Units = DT (gf.m, UCUM, "gf.m")
17 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (8863-3, LN, "Left Ventricular Stroke Work Index") $Units = DT (gf.m/m2, UCUM, "gf.m/m2")
18 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (8864-1, LN, "Right Ventricular Stroke Work Index") $Units = DT (gf.m/m2, UCUM, "gf.m/m2")
19 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122238, DCM, "Max volume normalized to 50mmHg pulse pressure") $Units = DT (ml, UCUM, "ml")
20 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122239, DCM, "Oxygen Consumption") $Units = DT (ml/min, UCUM, "ml/min") $Equation = BCID 3664 “Oxygen Consumption Equations and Tables”
21 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (19217-9, LN, "Oxygen partial pressure at 50% saturation (P50)") $Units = DCID 3500 “Pressure Units” $Equation = BCID 3666 “P50 Equations”
22 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (11556-8, LN, "Blood Oxygen partial pressure") $Units = DCID 3500 “Pressure Units”
23 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3618 “Hemodynamic Flows” $ModType = EV (121425, DCM, "Index") $ModValue = EV (8277-6, LN, "Body Surface Area") $Units = DT (l/min/m2, UCUM, "l/min/m2")
24 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3619 “Hemodynamic Resistance Measurements” $Units = DCID 3502 “Hemodynamic Resistance Units”
25 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3619 “Hemodynamic Resistance Measurements” $ModType = EV (121425, DCM, "Index") $ModValue = EV (8277-6, LN, "Body Surface Area") $Units = DCID 3503 “Indexed Hemodynamic Resistance Units”
26 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122227, DCM, "Left to Right Flow") $Units = DT (l/min, UCUM, "l/min")
27 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122228, DCM, "Right to Left Flow") $Units = DT (l/min, UCUM, "l/min")
28 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (90096001, SCT, "Stroke Volume") $Units = DT (ml, UCUM, "ml")
29 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (90096001, SCT, "Stroke Volume") $ModType = EV (121425, DCM, "Index") $ModValue = EV (8277-6, LN, "Body Surface Area") $Units = DT (ml/m2, UCUM, "ml/m2")
30 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (268384009, SCT, "Total blood volume") $Units = DT (l, UCUM, "l")
31 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3667 “Framingham Scores” $Units = DT (%, UCUM, "%") $Equation = DCID 3668 “Framingham Tables”

### TID 3570 Summary, Hemodynamics

This Template allows the recording of any significant numeric measurements or findings.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3570. Summary, Hemodynamics

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (55112-7, LN, "Summary") | 1 | M |  |
2 | > | CONTAINS | TEXT | EV (55112-7, LN, "Summary") | 1 | U |  |
3 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  |
4 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1-n | U |  | DCID 3640 “Hypertension”
5 | >> |  | INCLUDE | DTID 1350 “Negation Modifier, Presence of Finding” | 1 | U |  |
6 | >> | HAS PROPERTIES | CODE | EV (246112005, SCT, "Severity") | 1 | U |  | DCID 3716 “Severity”
7 | > | CONTAINS | CODE | DCID 3641 “Hemodynamic Assessments” | 1-n | U |  | DCID 3642 “Degree Findings”
8 | >> | HAS PROPERTIES | CODE | EV (260905004, SCT, "Condition") | 1 | U |  | EV (414576002, SCT, "Large v-wave")
9 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1 | U |  | EV (413985002, SCT, "Diastolic pressure equalization")

### TID 3601 Procedure Context

The Procedure Context Template describes acquisition context for measurements made or events recorded in a procedure.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3601. Procedure Context

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | HAS ACQ CONTEXT | TEXT | EV (121065, DCM, "Procedure Description") | 1 | U |  | Defaults to Study Description (0008,1030) of the General Study Module
2 |  | HAS ACQ CONTEXT | CODE | EV (363703001, SCT, "Has Intent") | 1 | U |  | BCID 3629 “Procedure Intent”
3 |  | HAS ACQ CONTEXT | CODE | EV (260870009, SCT, "Procedure Priority") | 1 | U |  | BCID 3414 “Procedure Urgency”
4 |  | HAS OBS CONTEXT | CODE | EV (121023, DCM, "Procedure Code") | 1-n | U |  | Defaults to Procedure Code Sequence (0008,1032) of the General Study Module

### TID 3602 Cardiovascular Patient Characteristics

This Template describes the characteristics of the patient that are specific to the current clinical presentation (visit). Patient Characteristic concepts in this Template, which may replicate attributes in the Patient Study Module, are included here as possible targets of by-reference relationships from other Content Items in the SR tree.

### Note

Several of the concepts in this Template duplicate concepts in TID 1007 “Subject Context, Patient”. The difference in use is that this Template has those concepts as primary observations of the patient, while in TID 1007 “Subject Context, Patient” the concepts are used to set (or reset) the context for other observations.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3602. Cardiovascular Patient Characteristics

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (121118, DCM, "Patient Characteristics") | 1 | M |  |
2 | > | CONTAINS | NUM | EV (121033, DCM, "Subject Age") | 1 | M |  | UNITS = DCID 7456 “Units of Measure for Age”
3 | > | CONTAINS | CODE | EV (121032, DCM, "Subject Sex") | 1 | M |  | DCID 7455 “Sex”
4 | > | CONTAINS | NUM | EV (8302-2, LN, "Patient Height") | 1 | M |  | UNITS = EV (cm, UCUM, "cm")
5 | > | CONTAINS | NUM | EV (29463-7, LN, "Patient Weight") | 1 | M |  | UNITS = EV (kg, UCUM, "kg")
6 | > | CONTAINS | NUM | EV (122221, DCM, "Thorax diameter, sagittal") | 1 | U |  | UNITS = EV (cm, UCUM, "cm")
7 | > | CONTAINS | NUM | EV (8277-6, LN, "Body Surface Area") | 1 | MC | IF BSA used for indexed measurements in SOP Instance | UNITS = EV (m2, UCUM, "m2")
8 | >> | INFERRED FROM | CODE | EV (8278-4, LN, "Body Surface Area Formula") | 1 | U |  | BCID 3663 “Body Surface Area Equations”
9 | > | CONTAINS | NUM | EV (60621009, SCT, "Body Mass Index") | 1 | U |  | UNITS = EV (kg/m2, UCUM, "kg/m2")
10 | >> | INFERRED FROM | CODE | EV (121420, DCM, "Equation") | 1 | U |  | DT (122265, DCM, "BMI = Wt/Ht^2")
11 | > | CONTAINS | NUM | EV (8867-4, LN, "Heart Rate") | 1 | U |  | UNITS = EV ({H.B.}/min, UCUM, "BPM")
12 | > | CONTAINS | NUM | EV (271649006, SCT, "Systolic Blood Pressure") | 1 | U |  | UNITS = DCID 3500 “Pressure Units”
13 | > | CONTAINS | NUM | EV (271650006, SCT, "Diastolic Blood Pressure") | 1 | U |  | UNITS = DCID 3500 “Pressure Units”
14 | > | CONTAINS | CODE | DT (8884-9, LN, "Cardiac Rhythm") | 1 | U |  | BCID 3415 “Cardiac Rhythms”
15 | > | CONTAINS | NUM | EV (248366000, SCT, "Chest Circumference") | 1 | U |  | UNITS = EV (cm, UCUM, "cm")
16 | > | CONTAINS | TEXT | EV (248808008, SCT, "Breast size") | 1 | U |  | Bra size as text string
17 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1 | U |  | DCID 3202 “Chest Pain”
18 | > | CONTAINS | CODE | EV (429160000, SCT, "Functional capacity") | 1 | U |  | DCID 3719 “Canadian Clinical Classification”
19 | > | CONTAINS | CODE | EV (429160000, SCT, "Functional capacity") | 1 | U |  | DCID 3736 “NYHA Classification”
20 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1-n | U |  |
21 | > | CONTAINS | TEXT | EV (55108-5, LN, "Patient Presentation") | 1 | U |  |

Content Item Descriptions

Rows 11-13 | Cardiac vital signs, for use when the SR SOP Instance does not record vital signs at multiple procedure phases or stages.
Row 16 | Breast size for interpretation of attenuation in nuclear medicine imaging

### TID 3603 Procedure Environmental Characteristics

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3603. Procedure Environmental Characteristics

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122222, DCM, "Procedure Environmental Characteristics") | 1 | M |  |
2 | > | CONTAINS | NUM | EV (122223, DCM, "Room oxygen concentration") | 1 | U |  | UNITS = EV (%, UCUM, "%")
3 | > | CONTAINS | NUM | EV (122224, DCM, "Room temperature") | 1 | U |  | UNITS = EV (Cel, UCUM, "C")
4 | > | CONTAINS | NUM | EV (122225, DCM, "Room Barometric pressure") | 1 | U |  | UNITS = DT (mbar, UCUM, "millibar")

## ECG Report Templates

### TID 3700 ECG Report

The ECG Report Template is the root structure for the representation of analysis of an ECG waveform, potentially in comparison to a prior ECG waveform analysis. The analyzed waveform may or may not be stored as a DICOM SOP Instance.

Type:

  Extensible

Order:

  Significant

Root:

  Yes

Table TID 3700. ECG Report

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (28010-7, LN, "ECG Report") | 1 | M |  | Root node
2 | > | HAS CONCEPT MOD | CODE | EV (121058, DCM, "Procedure reported") | 1 | U |  | BCID 3670 “ECG Procedure Types”
3 | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | M |  |
4 | > | CONTAINS | INCLUDE | DTID 1002 “Observer Context” | 1-n | M |  |
5 | > | CONTAINS | CONTAINER | EV (18785-6, LN, "Indications for Procedure") | 1 | U |  |
6 | >> | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1-n | U |  | DCID 3671 “Reason for ECG Exam”
7 | >> | CONTAINS | TEXT | EV (121071, DCM, "Finding") | 1 | U |  |
8 | > | CONTAINS | INCLUDE | DTID 3802 “Cardiovascular Patient History” | 1 | U |  |
9 | > | CONTAINS | INCLUDE | DTID 3704 “Patient Characteristics for ECG” | 1 | U |  |
10 | > | CONTAINS | INCLUDE | DTID 3702 “Prior ECG Exam” | 1 | U |  |
11 | > | CONTAINS | INCLUDE | DTID 3708 “ECG Waveform Information” | 1 | M |  |
12 | > | CONTAINS | CONTAINER | EV (122144, DCM, "Quantitative Analysis") | 1 | M |  |
13 | >> | CONTAINS | INCLUDE | DTID 3713 “ECG Global Measurements” | 1 | U |  |
14 | >> | CONTAINS | INCLUDE | DTID 3714 “ECG Lead Measurements” | 1-n | U |  | One instantiation per reported lead
15 | > | CONTAINS | INCLUDE | DTID 3717 “ECG Qualitative Analysis” | 1 | U |  |
16 | > | CONTAINS | INCLUDE | DTID 3719 “Summary, ECG” | 1 | U |  |

### TID 3701 Clinical Context, ECG (Retired)

This Template has been retired (see PS3.16-2009).

### TID 3702 Prior ECG Exam

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3702. Prior ECG Exam

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (55114-3, LN, "Prior Procedure Descriptions") | 1 | M |  |
2 | > | CONTAINS | CODE | EV (122140, DCM, "Comparison with Prior Exam Done") | 1 | M |  | DCID 230 “Yes-No”
3 | > | CONTAINS | DATETIME | EV (122146, DCM, "Procedure DateTime") | 1 | U |  |
4 | > | CONTAINS | UIDREF | EV (121018, DCM, "Procedure Study Instance UID") | 1 | U |  |
5 | > | CONTAINS | COMPOSITE | EV (122075, DCM, "Prior report for current patient") | 1 | U |  |
6 | > | CONTAINS | WAVEFORM | EV (121112, DCM, "Source of Measurement") | 1 | U |  |

### TID 3704 Patient Characteristics for ECG

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3704. Patient Characteristics for ECG

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (121118, DCM, "Patient Characteristics") | 1 | M |  |
2 | > | CONTAINS | NUM | EV (121033, DCM, "Subject Age") | 1 | M |  | UNITS = DCID 7456 “Units of Measure for Age”
3 | > | CONTAINS | CODE | EV (121032, DCM, "Subject Sex") | 1 | M |  | DCID 7455 “Sex”
4 | > | CONTAINS | NUM | EV (8302-2, LN, "Patient Height") | 1 | U |  | UNITS = EV (cm, UCUM, "cm")
5 | > | CONTAINS | NUM | EV (29463-7, LN, "Patient Weight") | 1 | U |  | UNITS = EV (kg, UCUM, "kg")
6 | > | CONTAINS | NUM | EV (271649006, SCT, "Systolic Blood Pressure") | 1 | U |  | UNITS = DCID 3500 “Pressure Units”
7 | > | CONTAINS | NUM | EV (271650006, SCT, "Diastolic Blood Pressure") | 1 | U |  | UNITS = DCID 3500 “Pressure Units”
8 | > | CONTAINS | CODE | EV (109054, DCM, "Patient State") | 1 | U |  | DCID 3262 “ECG Patient State Values”
9 | > | CONTAINS | CODE | EV (441509002, SCT, "Pacemaker in situ") | 1 | U |  | DCID 3672 “Pacemakers”
10 | > | CONTAINS | CODE | EV (443325000, SCT, "ICD in situ") | 1 | U |  | DCID 3692 “ICDs”

### TID 3708 ECG Waveform Information

The ECG Waveform Information Template provides reference to, and important parameters of, the analyzed waveform.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3708. ECG Waveform Information

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (55111-9, LN, "Current Procedure Descriptions") | 1 | M |  |
2 | > | CONTAINS | WAVEFORM | EV (121112, DCM, "Source of Measurement") | 1 | U |  |
3 | > | CONTAINS | CODE | EV (10:11345, MDC, "Lead System") | 1 | U |  | DCID 3263 “Electrode Placement Values”
4 | > | CONTAINS | TEXT | EV (122142, DCM, "Acquisition Device Type") | 1 | U |  |
5 | > | CONTAINS | TEXT | EV (121122, DCM, "Equipment Identification") | 1 | U |  |
6 | > | CONTAINS | INCLUDE | DTID 1003 “Person Observer Identifying Attributes” | 1 | U |  | Person performing the ECG acquisition
7 | > | CONTAINS | TEXT | EV (121121, DCM, "Room Identification") | 1 | U |  |
8 | > | CONTAINS | DATETIME | EV (122146, DCM, "Procedure DateTime") | 1 | M |  |
9 | > | CONTAINS | NUM | DCID 3690 “ECG Control Variables Numeric” | 1-n | U |  |
10 | > | CONTAINS | TEXT | DCID 3691 “ECG Control Variables Text” | 1-n | U |  |
11 | > | CONTAINS | INCLUDE | DTID 4019 “Algorithm Identification” | 1 | U |  |

### TID 3713 ECG Global Measurements

The ECG Global Measurements Template provides a structure for measurements calculated across the ECG waveform as a whole (multiple leads).

As an Extensible Template, applications may include any ECG global measurements, such as angles of the electrical vector of various ECG waves. The recommended vocabulary for such concepts is ISO/IEEE 11073-10102.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3713. ECG Global Measurements

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122158, DCM, "ECG Global Measurements") | 1 | M |  |
2 | > | HAS OBS CONTEXT | INCLUDE | DTID 3715 “ECG Measurement Source” | 1 | U |  |
3 | > | CONTAINS | NUM | DT (2:16020, MDC, "Atrial Heart Rate") | 1 | U |  | UNITS = EV ({H.B.}/min, UCUM, "BPM")
4 | > | CONTAINS | NUM | DT (2:16016, MDC, "Ventricular Heart Rate") | 1 | M |  | UNITS = EV ({H.B.}/min, UCUM, "BPM")
5 | > | CONTAINS | NUM | DT (2:16160, MDC, "QT interval global") | 1 | M |  | UNITS = EV (ms, UCUM, "ms")
6 | > | CONTAINS | NUM | DT (2:15876, MDC, "QTc interval global") | 1 | U |  | UNITS = EV (ms, UCUM, "ms")
7 | >> | HAS PROPERTIES | CODE | DT (111001, DCM, "Algorithm Name") | 1 | U |  | DCID 3678 “QT Correction Algorithms”
8 | > | CONTAINS | NUM | DT (2:15872, MDC, "PR interval global") | 1 | M |  | UNITS = EV (ms, UCUM, "ms")
9 | > | CONTAINS | NUM | DT (2:16156, MDC, "QRS duration global") | 1 | M |  | UNITS = EV (ms, UCUM, "ms")
10 | > | CONTAINS | NUM | DT (2:16168, MDC, "RR interval global") | 1 | M |  | UNITS = EV (ms, UCUM, "ms")
11 | > | CONTAINS | NUM | DCID 3689 “ECG Global Waveform Durations” | 1-n | U |  | UNITS = EV (ms, UCUM, "ms")
12 | > | CONTAINS | NUM | DCID 3229 “ECG Axis Measurements” | 1-n | U |  | UNITS = EV (deg, UCUM, "deg")
13 | > | CONTAINS | NUM | DT (2:16032, MDC, "Count of all beats") | 1 | U |  | UNITS = EV ({beats}, UCUM, "beats")
14 | > | CONTAINS | NUM | DT (122707, DCM, "Number of Ectopic Beats") | 1 | U |  | UNITS = EV ({beats}, UCUM, "beats")
15 | >> | HAS PROPERTIES | CODE | EV (116676008, SCT, "Associated Morphology") | 1-n | U |  | BCID 3234 “Ectopic Beat Morphology”

### TID 3714 ECG Lead Measurements

The ECG Lead Measurements Template provides a structure for measurements calculated on individual ECG leads.

As an Extensible Template, applications may include any ECG per lead measurements, such as integrals over time of various ECG wave voltages. The recommended vocabulary for such concepts is ISO/IEEE 11073-10102.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3714. ECG Lead Measurements

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122159, DCM, "ECG Lead Measurements") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (122148, DCM, "Lead ID") | 1 | M |  | BCID 3001 “ECG Leads”
3 | > | HAS OBS CONTEXT | INCLUDE | DTID 3715 “ECG Measurement Source” | 1 | U |  |
4 | > | CONTAINS | NUM | DCID 3687 “Electrophysiology Waveform Durations” | 1-n | U |  | UNITS = EV (ms, UCUM, "ms")
5 | > | CONTAINS | NUM | DCID 3688 “Electrophysiology Waveform Voltages” | 1-n | U |  | UNITS = EV (mV, UCUM, "mV")
6 | > | CONTAINS | CODE | EV (365416000, SCT, "ST Segment Finding") | 1 | U |  | DCID 3233 “ST Segment Morphology”
7 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1-n | U |  | DCID 3680 “ECG Lead Noise Descriptions”

### TID 3715 ECG Measurement Source

The ECG Measurement Source Template provides a structure for identifying the particular cardiac cycle, or beat, in an analyzed ECG waveform used for the measurement group for which this Template provides Observation Context. The cardiac cycle is identified by beat number, and optionally by specific temporal coordinates within a DICOM ECG Waveform SOP Instance.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3715. ECG Measurement Source

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | TEXT | EV (122149, DCM, "Beat Number") | 1 | U |  | Up to three numeric characters
2 |  |  | CODE | EV (370129005, SCT, "Measurement Method") | 1 | U |  | DCID 3676 “Lead Measurement Technique”
3 |  |  | TCOORD | EV (121112, DCM, "Source of Measurement") | 1 | U |  |
4 | > | SELECTED FROM | WAVEFORM |  | 1 | U |  |

Content Item Descriptions

Row 1 | Beat Number is specified as a numeric text string, and shall be treated as the ordinal of the beat (cardiac cycle) within the waveform acquisition for this lead that was analyzed for the measurements in this container (i.e., "1" for the first beat, "2" for the second, etc.). If absent, the measurements may have been made by a technique across multiple cycles as specified in Row 2 Measurement Method.
Rows 3 and 4 | Source of measurement identify the specific channel and time period within a DICOM ECG Waveform SOP Instance that was analyzed for the measurements in this container.

### TID 3717 ECG Qualitative Analysis

The ECG Qualitative Analysis Template allows a free text qualitative interpretation of the analyzed ECG, as well as a structure for a coded analysis.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3717. Qualitative Analysis, ECG

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (122145, DCM, "Qualitative Analysis") | 1 | M |  |
2 | > | CONTAINS | TEXT | EV (271921002, SCT, "ECG Finding") | 1 | MC | At least one of rows 2 and 3 shall be present |
3 | > | CONTAINS | CODE | EV (271921002, SCT, "ECG Finding") | 1-n | MC | At least one of rows 2 and 3 shall be present | BCID 3230 “ECG Findings”
4 | >> | HAS CONCEPT MOD | TEXT | EV (121051, DCM, "Equivalent Meaning of Value") | 1 | U |  |
5 | >> | INFERRED FROM | CODE | EV (271921002, SCT, "ECG Finding") | 1-n | U |  |
6 | >>> | HAS CONCEPT MOD | TEXT | EV (121051, DCM, "Equivalent Meaning of Value") | 1 | U |  |

Content Item Descriptions

Row 3-4 | ECG Finding provides one or more coded interpretive statements using standard or implementation-specific codes. Each coded finding will include a Code Meaning (0008,0104) using the LO Value Representation (64 characters); longer human-readable text strings for interpretive statements may be conveyed in the Row 4 Equivalent Meaning of Value Content Item..
Row 5-6 | Each primary ECG Finding of Row 3 may have multiple supporting coded findings in Row 5, with longer human-readable text strings for interpretive statements if necessary in Row 6.

### TID 3718 ECG Interpretive Statement (Retired)

This Template is retired. See PS3.16-2009.

### TID 3719 Summary, ECG

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3719. Summary, ECG

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (55112-7, LN, "Summary") | 1 | M |  |
2 | > | CONTAINS | TEXT | EV (55112-7, LN, "Summary") | 1 | U |  |
3 | > | CONTAINS | CODE | DT (18810-2, LN, "ECG overall finding") | 1 | U |  | DCID 3677 “Summary Codes ECG”

## Cath Lab Clinical Report Templates

The Templates that comprise the Cardiac Catheterization Report are interconnected as shown in Figure A-7.

Figure A-7. Cardiac Catheterization Report Template Hierarchy

### Note

Figure A-7 shows the relationship of Templates; it does not show the structural hierarchy of Content Items in the IOD.

### TID 3800 Cardiac Catheterization Report Root

The Cardiac Cath Report provides the overall clinical results of the catheterization procedure and interventions. In many cases, more detailed information is optionally available in other reports (Hemodynamic Measurements, Procedure Log, etc.). That information is collected and summarized here (and referenced when available).

When a Discharge Summary section (row 12) is included, this report Template covers the full set of information required for submission to the ACC NCDR™ (version 2.0) registry.

### Note

1. The information required for such a submission must sometimes be reformatted from a single concept in these Templates to two data elements for the registry, or vice versa.

2. This Template is expected to be used with the Basic Text SR or Enhanced SR IOD.3. This Cardiac Cath Report Template is a baseline Template within these SOP Classes that may be replaced; it is therefore in no sense binding for exchange of this type of report. It is solely an example of a possible encoding of the Cardiac Cath Report.

Type:

  Extensible

Order:

  Significant

Root:

  Yes

Table TID 3800. Cardiac Catheterization Report Root

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (18745-0, LN, "Cardiac Catheterization Report") | 1 | M |  | Root node
2 | > | HAS CONCEPT MOD | CODE | EV (121058, DCM, "Procedure reported") | 1 | M |  | BCID 3739 “Cath Procedure Type”
3 | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | M |  |
4 | > |  | INCLUDE | DTID 3601 “Procedure Context” | 1 | M |  |
5 | > | CONTAINS | INCLUDE | DTID 3802 “Cardiovascular Patient History” | 1 | U |  |
6 | > | CONTAINS | INCLUDE | DTID 3803 “Patient Presentation, Cath” | 1 | M |  |
7 | > | CONTAINS | INCLUDE | DTID 3806 “Cath Procedure” | 1 | M |  |
8 | > | CONTAINS | INCLUDE | DTID 3810 “Cardiac Catheterization Findings” | 1 | M |  |
9 | > | CONTAINS | INCLUDE | DTID 3807 “Percutaneous Coronary Intervention Procedure” | 1 | U |  |
10 | > | CONTAINS | INCLUDE | DTID 3809 “Other Interventional Procedures” | 1-n | U |  |
11 | > | CONTAINS | INCLUDE | DTID 3820 “Adverse Outcomes, Cath” | 1 | M |  |
12 | > | CONTAINS | INCLUDE | DTID 3824 “Summary, Cath” | 1 | M |  |
13 | > | CONTAINS | INCLUDE | DTID 3828 “Discharge Summary, Cath” | 1 | U |  |

### TID 3802 Cardiovascular Patient History

This Template contains information about a cardiovascular patient's past medical history that is relevant for the interpretation of the SR document of which it is part. This information is considered to have some degree of "persistence" across different episodes of care.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3802. Cardiovascular Patient History

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (11329-0, LN, "History") | 1 | M |  |
2 | > | CONTAINS | TEXT | EV (11329-0, LN, "History") | 1 | U |  |
3 | > | CONTAINS | CONTAINER | DT (11450-4, LN, "Problem List") | 1 | U |  |
4 | >> | CONTAINS | TEXT | DCID 3769 “Concern Types” | 1-n | U |  |
5 | >> | CONTAINS | INCLUDE | DTID 3829 “Problem Properties” | 1-n | U |  | $Problem = DCID 3756 “Cardiac Patient Risk Factors”
6 | >> | CONTAINS | INCLUDE | DTID 3829 “Problem Properties” | 1 | U |  | $Problem = EV (161445009, SCT, "History of Diabetes mellitus") $Therapy = DCID 3722 “Diabetic Therapy”
7 | >> | CONTAINS | INCLUDE | DTID 3829 “Problem Properties” | 1 | U |  | $Problem = EV (161501007, SCT, "History of Hypertension") $Therapy = DCID 3760 “Hypertension Therapy”
8 | >> | CONTAINS | INCLUDE | DTID 3829 “Problem Properties” | 1 | U |  | $Problem = EV (414416008, SCT, "History of Hypercholesterolemia") $Therapy = DCID 3761 “Antilipemic Agents”
9 | >> | CONTAINS | INCLUDE | DTID 3829 “Problem Properties” | 1 | U |  | $Problem = EV (44808001, SCT, "Arrhythmia") $Therapy = DCID 3762 “Antiarrhythmic Agents”
10 | >> | CONTAINS | INCLUDE | DTID 3829 “Problem Properties” | 1 | U |  | $Problem = EV (399211009, SCT, "History of Myocardial infarction") $ModType = DT (122170, DCM, "Type of Myocardial Infarction") $ModValue = DCID 3723 “MI Types” $Therapy = DCID 3764 “Myocardial Infarction Therapies”
11 | >> | CONTAINS | INCLUDE | DTID 3829 “Problem Properties” | 1 | U |  | $Problem = EV (275552000, SCT, "History of Kidney disease") $Stage = DCID 3778 “Stages”
12 | > | CONTAINS | CONTAINER | DT (29762-2, LN, "Social History") | 1 | U |  |
13 | >> | CONTAINS | TEXT | EV (160476009, SCT, "Social History") | 1 | U |  |
14 | >> | CONTAINS | TEXT | DCID 3774 “Social History” | 1-n | U |  |
15 | >> | CONTAINS | CODE | EV (365981007, SCT, "Tobacco Smoking Behavior") | 1 | U |  | DCID 3724 “Smoking History”
16 | >> | CONTAINS | CODE | DT (228366006, SCT, "Drug misuse behavior") | 1 | U |  | DT (78267003, SCT, "Cocaine Abuse")
17 | > | CONTAINS | CONTAINER | DT (10167-5, LN, "Past Surgical History") | 1 | U |  |
18 | >> | CONTAINS | TEXT | EV (11329-0, LN, "History") | 1-n | U |  |
19 | >> | CONTAINS | INCLUDE | DTID 3830 “Procedure Properties” | 1-n | U |  | $ProcType = DT (387713003, SCT, "Surgical Procedure") $Procedure = DCID 3721 “Cardiovascular Surgeries”
20 | > | CONTAINS | CONTAINER | DT (30954-2, LN, "Relevant Diagnostic Tests and/or Laboratory Data") | 1 | U |  |
21 | >> | CONTAINS | TEXT | EV (11329-0, LN, "History") | 1-n | U |  |
22 | >> | CONTAINS | INCLUDE | DTID 3830 “Procedure Properties” | 1-n | U |  | $ProcType = DT (103693007, SCT, "Diagnostic procedure") $Procedure = DCID 3757 “Cardiac Diagnostic Procedures”
23 | >> | CONTAINS | NUM | DT (2086-7, LN, "Cholesterol.in HDL") | 1 | U |  | UNITS = EV (mg/dl, UCUM, "mg/dl")
24 | >> | CONTAINS | NUM | DT (2089-1, LN, "Cholesterol.in LDL") | 1 | U |  | UNITS = EV (mg/dl, UCUM, "mg/dl")
25 | > | CONTAINS | CONTAINER | DT (10160-0, LN, "History of Medication Use") | 1 | U |  |
26 | >> | CONTAINS | TEXT | DT (111516, DCM, "Medication Type") | 1-n | U |  |
27 | >>> | HAS PROPERTIES | CODE | DT (33999-4, LN, "Status") | 1 | U |  | DCID 3773 “Use Status”
28 | >> | CONTAINS | CODE | DT (111516, DCM, "Medication Type") | 1-n | U |  |
29 | >>> | HAS PROPERTIES | NUM | DT (260911001, SCT, "Dosage") | 1 | U |  |
30 | >>> | HAS PROPERTIES | CODE | DT (33999-4, LN, "Status") | 1 | U |  | DCID 3773 “Use Status”
31 | > | CONTAINS | CONTAINER | DT (10157-6, LN, "History of Family Member Diseases") | 1 | U |  |
32 | >> | CONTAINS | TEXT | EV (11329-0, LN, "History") | 1-n | U |  |
33 | >> | CONTAINS | CODE | EV (416471007, SCT, "Family history of clinical finding") | 1-n | U |  | DCID 3758 “Cardiovascular Family History”
34 | >>> | HAS PROPERTIES | CODE | EV (408732007, SCT, "Subject relationship") | 1 | M |  | DCID 7451 “Family Member”
35 | > | CONTAINS | CONTAINER | DT (46264-8, LN, "History of medical device use") | 1 | U |  |
36 | >> | CONTAINS | TEXT | EV (11329-0, LN, "History") | 1 | U |  |
37 | >> | CONTAINS | INCLUDE | DTID 3831 “Medical Device Use” | 1-n | U |  | $Device = DCID 3777 “Implanted Devices”

### TID 3803 Patient Presentation, Cath

This Template describes the aspects of the patient that are specific to this clinical presentation (admission).

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3803. Patient Presentation, Cath

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (55108-5, LN, "Patient Presentation") | 1 | M |  |
2 | > | CONTAINS | TEXT | EV (122128, DCM, "Patient Transferred From") | 1 | U |  |
3 | > | CONTAINS | DATETIME | EV (15, NCDR [2.0b], "Admission DateTime") | 1 | U |  |
4 | > | CONTAINS | CODE | EV (17, NCDR [2.0b], "Admission Status") | 1 | U |  | DCID 3729 “Admission Status”
5 | > | CONTAINS | CODE | EV (18, NCDR [2.0b], "Insurance Payor Type") | 1 | U |  | DCID 3730 “Insurance Payor”
6 | > | CONTAINS | CODE | EV (46, NCDR [2.0b], "Congestive Heart Failure Prior to Procedure") | 1 | U |  | DCID 230 “Yes-No”
7 | > | CONTAINS | CODE | EV (47, NCDR [2.0b], "NYHA Classification") | 1 | UC | IFF Row 6 Value code meaning is <yes> | DCID 3736 “NYHA Classification”
8 | > | CONTAINS | CODE | EV (48, NCDR [2.0b], "Noninvasive Testing - Ischemia") | 1 | U |  | DCID 3737 “Non-invasive Test - Ischemia”
9 | > | CONTAINS | CODE | EV (49, NCDR [2.0b], "Pre-Cath Angina Type") | 1 | U |  | DCID 3738 “Pre-Cath Angina Type”
10 | > | CONTAINS | CODE | EV (50, NCDR [2.0b], "Pre-Cath Canadian Classification") | 1 | U |  | DCID 3719 “Canadian Clinical Classification”
11 | > | CONTAINS | CODE | EV (51, NCDR [2.0b], "Acute Coronary Syndrome Time Period") | 1 | UC | IFF Row 9 Value code meaning is <ACS> | DCID 3735 “Acute Coronary Syndrome Time Period”
12 | > | CONTAINS | CONTAINER | EV (18785-6, LN, "Indications for Procedure") | 1 | U |  |
13 | >> | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1-n | U |  | DCID 3727 “Indications for Catheterization”
14 | > | CONTAINS | NUM | EV (10230-1, LN, "LV Ejection Fraction") | 1-n | U |  | UNITS = EV (%, UCUM, "%")
15 | >> | HAS CONCEPT MOD | CODE | EV (370129005, SCT, "Measurement method") | 1 | U |  | DCID 3744 “EF Testing Method”
16 | >> |  | INCLUDE | DTID 1000 “Quotation” | 1 | U |  |
17 | > | CONTAINS | CODE | EV (121069, DCM, "Previous Finding") | 1-n | U |  | DCID 3700 “Cath Diagnosis”
18 | > | CONTAINS | TEXT | EV (55108-5, LN, "Patient Presentation") | 1 | U |  |

### TID 3806 Cath Procedure

This Template describes the patient-related information about this specific clinical encounter (catheterization).

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3806. Cath Procedure

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (55111-9, LN, "Current Procedure Descriptions") | 1 | M |  |
2 | > | CONTAINS | DATETIME | EV (122146, DCM, "Procedure DateTime") | 1 | M |  |
3 | > | CONTAINS | TEXT | EV (53, NCDR [2.0b], "Procedure Number in this admission") | 1 | U |  | Up to three numeric characters
4 | > | CONTAINS | TEXT | EV (121065, DCM, "Procedure Description") | 1 | U |  |
5 | > | CONTAINS | COMPOSITE | EV (121120, DCM, "Cath Lab Procedure Log") | 1-n | U |  |
6 | > | CONTAINS | NUM | EV (55, NCDR [2.0b], "Fluoroscopy Time") | 1 | U |  | UNITS = DT (min, UCUM, "min")
7 | > | CONTAINS | NUM | EV (122130, DCM, "Dose Area Product") | 1 | U |  | UNITS = DT (mGy.cm2, UCUM, "mGy.cm2")
8 | > | CONTAINS | PNAME | EV (76, NCDR [2.0b], "Catheterization Operator") | 1 | M |  |
9 | > | CONTAINS | PNAME | EV (121088, DCM, "Fellow") | 1-n | U |  |
10 | > | CONTAINS | PNAME | BCID 7453 “Performing Roles” | 1-n | U |  |
11 | > | CONTAINS | CODE | EV (122129, DCM, "PCI during this procedure") | 1 | U |  | DCID 230 “Yes-No”
12 | > | CONTAINS | CONTAINER | EV (182833002, SCT, "Medication Given") | 1 | M |  |
13 | >> | CONTAINS | CODE | EV (57, NCDR [2.0b], "Thrombolytics") | 1 | U |  | DCID 3740 “Thrombolytic Administration”
14 | >> | CONTAINS | CODE | EV (58, NCDR [2.0b], "IIb/IIIa Blockade") | 1 | U |  | DCID 3741 “Medication Administration, Lab Visit”
15 | >> | CONTAINS | CODE | EV (59, NCDR [2.0b], "Heparin") | 1-n | U |  | DCID 3742 “Medication Administration, PCI”
16 | >> | CONTAINS | CODE | EV (60, NCDR [2.0b], "Aspirin") | 1 | U |  | DCID 3741 “Medication Administration, Lab Visit”
17 | >> | CONTAINS | CODE | EV (61, NCDR [2.0b], "Clopidogrel/Ticlopidine") | 1 | U |  | DCID 3743 “Clopidogrel/Ticlopidine Administration”
18 | >> | CONTAINS | TEXT | EV (122083, DCM, "Drug administered") | 1-n | U |  |
19 | > | CONTAINS | CODE | EV (122138, DCM, "Circulatory Support") | 1-n | U |  | DCID 3553 “Circulatory Support”
20 | > | CONTAINS | CODE | EV (74, NCDR [2.0b], "Percutaneous Entry Site") | 1 | M |  | DCID 3746 “Percutaneous Entry Site”
21 | > | CONTAINS | CODE | EV (75, NCDR [2.0b], "Closure Device") | 1 | U |  | DCID 3747 “Percutaneous Closure”

Content Item Descriptions

Row 2 | The Concept Name was previously defined as (52, NCDR [2.0b], "Procedure DateTime").
Row 3 | Procedure Number (this admission) is specified as a numeric text string, and shall be treated as the ordinal of this catheterization procedure within the admission (i.e., "1" for the first catheterization, "2" for the second, etc.).

### TID 3807 Percutaneous Coronary Intervention Procedure

This Template describes the various aspects of a coronary intervention.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3807. Percutaneous Coronary Intervention Procedure

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (55111-9, LN, "Current Procedure Descriptions") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (121058, DCM, "Procedure reported") | 1 | M |  | DT (122061, DCM, "Percutaneous Coronary Intervention")
3 | > | CONTAINS | PNAME | EV (121114, DCM, "Performing Physician") | 1 | M |  |
4 | > | CONTAINS | PNAME | EV (121088, DCM, "Fellow") | 1-n | U |  |
5 | > | CONTAINS | PNAME | DCID 7452 “Organizational Roles” | 1-n | U |  |
6 | > | CONTAINS | CODE | EV (260870009, SCT, "Procedure Priority") | 1 | M |  | DCID 3414 “Procedure Urgency”
7 | > | CONTAINS | CONTAINER | EV (18785-6, LN, "Indications for Procedure") | 1 | U |  |
8 | >> | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1-n | U |  | DCID 3726 “Indications for Coronary Intervention”
9 | >> | CONTAINS | CODE | EV (122172, DCM, "Acute MI Present") | 1 | U |  | DCID 230 “Yes-No”
10 | >>> | HAS PROPERTIES | CODE | DT (122170, DCM, "Type of Myocardial Infarction") | 1 | U |  | DCID 3723 “MI Types”
11 | >>> | HAS PROPERTIES | DATETIME | EV (122173, DCM, "ST Elevation Onset DateTime") | 1 | U |  |
12 | >> | CONTAINS | TEXT | EV (121071, DCM, "Finding") | 1-n | U |  |
13 | > | CONTAINS | NUM | EV (122175, DCM, "Number of lesion interventions attempted") | 1 | M |  | UNITS = EV (1, UCUM, "units")
14 | > | CONTAINS | NUM | EV (122176, DCM, "Number of lesion interventions successful") | 1 | M |  | UNITS = EV (1, UCUM, "units")
15 | > | CONTAINS | CODE | EV (122177, DCM, "Procedure Result") | 1 | M |  | DCID 3749 “PCI Procedure Result”
16 | > | CONTAINS | TEXT | EV (122177, DCM, "Procedure Result") | 1 | U |  |
17 | > | CONTAINS | INCLUDE | DTID 3808 “Lesion Intervention Information” | 1-n | M |  |

Content Item Descriptions

Rows 8 and 12 | Allow the recording of findings as either codes or as text; the same finding shall not be recorded as both.
Rows 15 and 16 | Allow the recording of procedure results as either codes or as text, but not as both.

### TID 3808 Lesion Intervention Information

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3808. Lesion Intervention Information

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122178, DCM, "Lesion Intervention Information") | 1 | M |  |
2 | > | CONTAINS | INCLUDE | DTID 3105 “Lesion Identification and Properties” | 1 | M |  |
3 | > | CONTAINS | CODE | EV (108, NDR [2.0b], "Previous Dilation") | 1 | U |  | DCID 3750 “Previously Dilated Lesion”
4 | > | CONTAINS | CODE | EV (103, NDR [2.0b], "Guidewire crossing lesion") | 1 | U |  | DCID 3752 “Guidewire Crossing”
5 | > | CONTAINS | CODE | EV (116682006, SCT, "Uses Equipment") | 1-n | M |  | DCID 3411 “Intracoronary Devices”
6 | >> | HAS CONCEPT MOD | CODE | EV (122111, DCM, "Primary Intervention Device") | 1 | MC | IF Device is Primary for this Lesion | DCID 230 “Yes-No”
7 | >> | HAS PROPERTIES | TEXT | EV (121145, DCM, "Description of Material") | 1 | U |  |
8 | >> | HAS PROPERTIES | NUM | DCID 3423 “Numeric Device Characteristics” | 1-n | U |  |
9 | >> | HAS PROPERTIES | NUM | DCID 3425 “Intervention Parameters” | 1-n | U |  |
10 | >> | HAS PROPERTIES | DATETIME | EV (122105, DCM, "DateTime of Intervention") | 1 | U |  |
11 | >> | HAS PROPERTIES | NUM | EV (122106, DCM, "Duration of Intervention") | 1 | U |  | UNITS = EV (s, UCUM, "s")
12 | > | CONTAINS | NUM | EV (408715008, SCT, "Lumen Diameter Stenosis") | 1 | M |  | UNITS = EV (%, UCUM, "%")
13 | >> | HAS CONCEPT MOD | CODE | EV (129085009, SCT, "Catheterization Procedure Phase") | 1 | M |  | EV (128960007, SCT, "Post-intervention Phase")
14 | >> | HAS CONCEPT MOD | CODE | EV (121401, DCM, "Derivation") | 1 | U |  | DCID 3745 “Calculation Method”
15 | >> |  | INCLUDE | DTID 1000 “Quotation” | 1 | U |  |
16 | > | CONTAINS | CODE | EV (122110, DCM, "Post- Intervention TIMI Flow") | 1 | U |  | DCID 3713 “TIMI Flow Characteristics”
17 | > | CONTAINS | CODE | EV (115, NCDR [2.0b], "Dissection in segment observed") | 1 | U |  | DCID 230 “Yes-No”
18 | > | CONTAINS | CODE | EV (116, NCDR [2.0b], "Acute closure observed") | 1 | U |  | DCID 230 “Yes-No”
19 | > | CONTAINS | CODE | EV (117, NCDR [2.0b], "Acute closure re-opened") | 1 | UC | IFF Row 18 value is <yes> | DCID 230 “Yes-No”
20 | > | CONTAINS | CODE | EV (118, NCDR [2.0b], "Perforation occurred") | 1 | U |  | DCID 230 “Yes-No”
21 | > | CONTAINS | IMAGE | DT (121080, DCM, "Best illustration of finding") | 1 | U |  |
22 | > | CONTAINS | TEXT | DT (122177, DCM, "Procedure Result") | 1 | U |  |

### TID 3809 Other Interventional Procedures

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3809. Other Interventional Procedures

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (55111-9, LN, "Current Procedure Descriptions") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (121058, DCM, "Procedure reported") | 1 | M |  | BCID 3406 “Non-coronary Transcatheter Interventions”
3 | > | CONTAINS | TEXT | EV (121065, DCM, "Procedure Description") | 1 | U |  |
4 | > | CONTAINS | CODE | DT (121065, DCM, "Procedure Description") | 1 | U |  |
5 | > | CONTAINS | TEXT | DT (122177, DCM, "Procedure Result") | 1 | U |  |

Content Item Descriptions

Rows 3 and 4 | Allow the recording of procedure description as either code or as text; the same description shall not be recorded as both.

### TID 3810 Cardiac Catheterization Findings

The Cardiac Catheterization Findings Template provides the structure for the diagnostic findings of the cath procedure, organized into sub-sections based on type of sub-procedure. It also provides for top-level summary findings and diagnoses.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3810. Cardiac Catheterization Findings

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (59776-5, LN, "Findings") | 1 | M |  |
2 | > | CONTAINS | INCLUDE | DTID 3812 “Hemodynamic Findings” | 1 | U |  |
3 | > | CONTAINS | INCLUDE | DTID 3817 “Coronary Arteriography Findings” | 1 | U |  |
4 | > | CONTAINS | INCLUDE | DTID 3814 “Left Ventriculography Findings” | 1 | U |  |
5 | > | CONTAINS | INCLUDE | DTID 3815 “Right Ventriculography Findings” | 1 | U |  |
6 | > | CONTAINS | INCLUDE | DTID 3818 “Other Cardiographic Findings” | 1-n | U |  |
7 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1-n | U |  | DCID 3700 “Cath Diagnosis”
8 | >> | HAS PROPERTIES | CODE | EV (246112005, SCT, "Severity") | 1 | U |  | DCID 3716 “Severity”
9 | > | CONTAINS | TEXT | EV (121071, DCM, "Finding") | 1-n | U |  |

Content Item Descriptions

Rows 7 and 9 | Allow the recording of findings as either codes or as text; the same finding shall not be recorded as both.

### TID 3812 Hemodynamic Findings

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3812. Hemodynamic Findings

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (59776-5, LN, "Findings") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (121058, DCM, "Procedure reported") | 1 | M |  | DT (44324008, SCT, "Hemodynamic measurements")
3 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1-n | U |  | DCID 3640 “Hypertension”
4 | >> |  | INCLUDE | DTID 1350 “Negation Modifier, Presence of Finding” | 1 | U |  |
5 | >> | HAS PROPERTIES | CODE | EV (246112005, SCT, "Severity") | 1 | U |  | DCID 3716 “Severity”
6 | > | CONTAINS | CODE | DCID 3641 “Hemodynamic Assessments” | 1-n | U |  | DCID 3642 “Degree Findings”
7 | >> | HAS PROPERTIES | CODE | EV (260905004, SCT, "Condition") | 1 | U |  | EV (414576002, SCT, "Large v-wave")
8 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1 | U |  | EV (413985002, SCT, "Diastolic pressure equalization")
9 | > | CONTAINS | INCLUDE | DTID 3819 “Common Findings” | 1-n | U |  | $Report = DT (122120, DCM, "Hemodynamics Report")

Content Item Descriptions

Row 4 | (Through TID 3819 “Common Findings”) may be used to encode any significant hemodynamic numeric measurements. For reference, see TID 3550 “Pressure Waveform Measurements” and TID 3560 “Derived Hemodynamic Measurements”.

### TID 3814 Left Ventriculography Findings

The information contained here about the left ventricle is relatively qualitative in nature. It is a high-level summary of the more detailed information that may be contained in an optional Quantitative Ventricular Analysis report. This Template addresses findings about any ventricular septal defect (Row 7), the myocardial wall (Row 11), and about the aortic root (Row 16).

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3814. Left Ventriculography Findings

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (59776-5, LN, "Findings") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (121058, DCM, "Procedure reported") | 1 | M |  | DT (265484009, SCT, "Left Ventriculography")
3 | > | CONTAINS | CODE | EV (366188009, SCT, "Left Ventricular Function - Finding") | 1 | M |  | DCID 242 “Normal-Abnormal”
4 | > |  | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (10230-1, LN, "LV Ejection Fraction") $Units = EV (%, UCUM, "%") $Method = DCID 3748 “Angiographic EF Testing Method” $Derivation = DCID 3745 “Calculation Method”
5 | > | CONTAINS | CODE | EV (250929008, SCT, "Left Ventricular Cavity Size") | 1 | U |  | DCID 3705 “Chamber Size”
6 | > | CONTAINS | CODE | EV (250909007, SCT, "Left Ventricular Contractility") | 1 | U |  | DCID 3706 “Overall Contractility”
7 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1 | U |  | EV (30288003, SCT, "Ventricular Septal Defect")
8 | >> | HAS PROPERTIES | CODE | EV (116676008, SCT, "Associated Morphology") | 1 | U |  | DCID 3707 “VSD Description”
9 | > | CONTAINS | INCLUDE | DTID 3816 “Ventricular Assessment” | 1 | U |  |
10 | > | CONTAINS | CONTAINER | EV (59776-5, LN, "Findings") | 1 | U |  |
11 | >> | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | DT (272657006, SCT, "Myocardial Wall")
12 | >> | CONTAINS | CODE | EV (18179-2, LN, "Wall Segment") | 1-n | M |  | BCID 3717 “Left Ventricle Myocardial Wall 17 Segments”
13 | >>> | HAS PROPERTIES | CODE | EV (60797005, SCT, "Cardiac Wall Motion") | 1 | M |  | DCID 3703 “Wall Motion”
14 | >>> | HAS PROPERTIES | CODE | EV (116676008, SCT, "Associated Morphology") | 1 | U |  | DCID 3704 “Myocardium Wall Morphology Findings”
15 | >>> | HAS PROPERTIES | NUM | DT (246262008, SCT, "Score") | 1 | U |  |
16 | > | CONTAINS | CONTAINER | EV (59776-5, LN, "Findings") | 1 | U |  |
17 | >> | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | DT (364091008, SCT, "Aortic Root")
18 | >> | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1-n | M |  | DCID 3709 “Aortic Root Description”

### TID 3815 Right Ventriculography Findings

The information contained here about right ventricle is relatively qualitative in nature. It is a high-level summary of the more detailed information that may be contained in an optional Quantitative Ventricular Analysis report.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3815. Right Ventriculography Findings

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (59776-5, LN, "Findings") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (121058, DCM, "Procedure reported") | 1 | M |  | DT (265483003, SCT, "Right Ventriculography")
3 | > |  | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (10231-9, LN, "RV Ejection Fraction")) $Units = EV (%, UCUM, "%") $Method = DCID 3748 “Angiographic EF Testing Method” $Derivation = DCID 3745 “Calculation Method”
4 | > | CONTAINS | CODE | EV (250964004, SCT, "Right Ventricular Cavity Size") | 1 | U |  | DCID 3705 “Chamber Size”
5 | > | CONTAINS | CODE | EV (250949004, SCT, "Right Ventricular Contractility") | 1 | U |  | DCID 3706 “Overall Contractility”
6 | > | CONTAINS | INCLUDE | DTID 3816 “Ventricular Assessment” | 1 | U |  |

### TID 3816 Ventricular Assessment

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3816. Ventricular Assessment

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (59776-5, LN, "Findings") | 1-n | U |  |
2 | > | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | DCID 3701 “Cardiac Valves and Tracts”
3 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1-n | M |  | DCID 3711 “Valvular Abnormalities”
4 | >> | HAS PROPERTIES | CODE | EV (246112005, SCT, "Severity") | 1 | U |  | DCID 3716 “Severity”
5 | >> | HAS PROPERTIES | NUM | DT (246262008, SCT, "Score") | 1 | U |  |
6 |  | CONTAINS | INCLUDE | DTID 3819 “Common Findings” | 1-n | U |  | $Report = DT (122292, DCM, "Quantitative Ventriculography Report")

### TID 3817 Coronary Arteriography Findings

The information contained here about with regards to coronary artery lesions is relatively qualitative in nature. It is a high-level summary of the more detailed information that may be contained in an optional Quantitative Coronary Arteriography report. This Template addresses findings about the individual arteries (Row 4), and about individual lesions (Row 9).

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3817. Coronary Arteriography Findings

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (59776-5, LN, "Findings") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (121058, DCM, "Procedure reported") | 1 | M |  | DT (33367005, SCT, "Coronary Arteriography")
3 | > | CONTAINS | CODE | EV (364092001, SCT, "Coronary artery feature") | 1 | U |  | DCID 3710 “Coronary Dominance”
4 | > | CONTAINS | CONTAINER | EV (59776-5, LN, "Findings") | 1-n | U |  |
5 | >> | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | BCID 3015 “Coronary Arteries”
6 | >>> | HAS CONCEPT MOD | CODE | EV (106233006, SCT, "Topographical modifier") | 1 | U |  | BCID 3019 “Cardiovascular Anatomic Location Modifiers”
7 | >> | CONTAINS | CODE | EV (122134, DCM, "Vessel Morphology") | 1-n | U |  | DCID 3712 “Vessel Descriptors”
8 | >> | CONTAINS | INCLUDE | DTID 3819 “Common Findings” | 1-n | U |  |
9 | > | CONTAINS | CONTAINER | EV (59776-5, LN, "Findings") | 1-n | U |  |
10 | >> | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | DT (371895000, SCT, "Coronary artery lesion (culprit)")
11 | >> | CONTAINS | INCLUDE | DTID 3105 “Lesion Identification and Properties” | 1 | M |  |
12 | >> | CONTAINS | INCLUDE | DTID 3819 “Common Findings” | 1-n | U |  | $Report = DT (122291, DCM, "Quantitative Arteriography Report")

### TID 3818 Other Cardiographic Findings

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3818. Other Cardiographic Findings

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (59776-5, LN, "Findings") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (121058, DCM, "Procedure reported") | 1 | M |  | BCID 3428 “Imaging Procedures”
3 | > | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | U |  | BCID 3630 “Cardiovascular Anatomic Locations”
4 | > | CONTAINS | INCLUDE | DTID 3819 “Common Findings” | 1-n | M |  |

### TID 3819 Common Findings

Table TID 3819. Parameters

Parameter Name | Parameter Usage
--- | ---
$Report | Title of composite object (evidence document) referenced

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3819. Common Findings

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | TEXT | EV (121071, DCM, "Finding") | 1 | U |  |
2 |  |  | IMAGE | DT (121080, DCM, "Best illustration of finding") | 1 | U |  |
3 |  |  | NUM |  | 1 | U |  |
4 | > |  | INCLUDE | DTID 1000 “Quotation” | 1 | U |  |
5 |  |  | COMPOSITE | DT (122073, DCM, "Current procedure evidence") | 1 | U |  |
6 | > | HAS PROPERTIES | CODE | EV (121144, DCM, "Document Title") | 1 | U |  | $Report

Content Item Descriptions

Row 3 | May be used to encode any significant image- or waveform-based numeric measurements, with post-coordination of the Concept Name using child Content Items (with relationship HAS CONCEPT MOD), as permitted by Section 6.2.4. The source of the measurement may be noted using the Quotation Template in Row 4.

### TID 3820 Adverse Outcomes, Cath

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3820. Adverse Outcomes, Cath

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (55109-3, LN, "Complications") | 1 | M |  |
2 | > | CONTAINS | CODE | EV (116224001, SCT, "Complication of Procedure") | 1-n | U |  | DCID 3755 “Cath Complications”
3 | >> | HAS CONCEPT MOD | CODE | EV (118578006, SCT, "Relative Time") | 1 | U |  | DCID 12102 “Temporal Periods Relating to Procedure or Therapy”
4 | > | CONTAINS | CODE | EV (116224001, SCT, "Complication of Procedure") | 1-n | U |  | DCID 3754 “Vascular Complications”
5 | >> | HAS CONCEPT MOD | CODE | EV (118578006, SCT, "Relative Time") | 1 | U |  | DCID 12102 “Temporal Periods Relating to Procedure or Therapy”
6 | > | CONTAINS | TEXT | EV (116224001, SCT, "Complication of Procedure") | 1-n | U |  |
7 | > | CONTAINS | CODE | EV (122179, DCM, "Peri-procedural MI occurred") | 1 | U |  | DCID 230 “Yes-No”
8 | >> | INFERRED FROM | NUM | EV (122181, DCM, "CK-MB peak") | 1 | U |  | UNITS = EV ([iU], UCUM, "International unit")
9 | >>> | HAS PROPERTIES | NUM | EV (371933006, SCT, "Normal Range Upper Limit") | 1 | M |  | UNITS = EV ([iU], UCUM, "International unit")
10 | >> | INFERRED FROM | NUM | EV (122180, DCM, "CK-MB baseline") | 1 | M |  | UNITS = EV ([iU], UCUM, "International unit")
11 | > | CONTAINS | IMAGE | DT (121080, DCM, "Best illustration of finding") | 1-n | U |  |

Content Item Descriptions

Rows 2, 3 and 4 | Allow the recording of outcomes as either codes or as text; the same outcome shall not be recorded as both.

### TID 3824 Summary, Cath

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 3824. Summary, Cath

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (55112-7, LN, "Summary") | 1 | M |  |
2 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1-n | U |  | DCID 3728 “Cath Findings”
3 | >> | HAS PROPERTIES | CODE | EV (246112005, SCT, "Severity") | 1 | U |  | DCID 3716 “Severity”
4 | > | CONTAINS | TEXT | EV (55112-7, LN, "Summary") | 1 | U |  |
5 | > | CONTAINS | TEXT | EV (121075, DCM, "Recommendation") | 1-n | U |  |

### TID 3828 Discharge Summary, Cath

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3828. Discharge Summary, Cath

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (121115, DCM, "Discharge Summary") | 1 | M |  |
2 | > | CONTAINS | DATETIME | EV (122163, DCM, "Discharge DateTime") | 1 | U |  |
3 | > | CONTAINS | CODE | EV (122164, DCM, "Coronary Artery Bypass During This Admission") | 1 | U |  | DCID 230 “Yes-No”
4 | >> | HAS PROPERTIES | CODE | EV (260870009, SCT, "Procedure Priority") | 1 | U |  | BCID 3414 “Procedure Urgency”
5 | >> | HAS PROPERTIES | DATETIME | EV (122146, DCM, "Procedure DateTime") | 1 | U |  |
6 | > | CONTAINS | CODE | EV (122166, DCM, "Death During This Admission") | 1 | U |  | DCID 230 “Yes-No”
7 | >> | HAS PROPERTIES | DATETIME | EV (122165, DCM, "DateTime of Death") | 1 | U |  |
8 | >> | HAS PROPERTIES | CODE | EV (25, NCDR [2.0b], "Primary Cause of Death") | 1 | U |  | DCID 3733 “Primary Cause of Death”
9 | >> | HAS PROPERTIES | CODE | EV (122167, DCM, "Death During Catheterization") | 1 | U |  | DCID 230 “Yes-No”
10 | > | CONTAINS | TEXT | EV (55112-7, LN, "Summary") | 1 | U |  |

### TID 3829 Problem Properties

Table TID 3829. Parameters

Parameter Name | Parameter Usage
--- | ---
$Problem | Coded Value or Context Group for problem
$ModType | Modifier Name for Concept Name of problem
$ModValue | Modifier Value for Concept Name of problem
$Therapy | Coded Value or Context Group for therapy received for problem
$Stage | Coded Value or Context Group for problem or disease stage

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3829. Problem Properties

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (121430, DCM, "Concern") | 1 | M |  |
2 | > | CONTAINS | DATETIME | DT (121431, DCM, "DateTime Concern Noted") | 1 | U |  |
3 | > | CONTAINS | DATETIME | DT (121432, DCM, "DateTime Concern Resolved") | 1 | U |  |
4 | > | CONTAINS | CODE | DCID 3769 “Concern Types” | 1 | M |  | $Problem
5 | >> | HAS CONCEPT MOD | CODE | $ModType | 1-n | U |  | $ModValue
6 | >> | HAS PROPERTIES | DATETIME | DT (111526, DCM, "DateTime Started") | 1 | U |  |
7 | >> | HAS PROPERTIES | DATETIME | DT (121433, DCM, "DateTime Problem Resolved") | 1 | U |  |
8 | >> | HAS PROPERTIES | CODE | DT (33999-4, LN, "Status") | 1 | U |  | DCID 3770 “Problem Status”
9 | >> | HAS PROPERTIES | CODE | DT (246112005, SCT, "Severity") | 1 | U |  | DCID 3716 “Severity”
10 | >> | HAS PROPERTIES | CODE | DT (258214002, SCT, "Stage") | 1 | U |  | $Stage
11 | > | CONTAINS | CODE | DT (11323-3, LN, "Health status") | 1 | U |  | DCID 3772 “Health Status”
12 | > | CONTAINS | CODE | EV (277132007, SCT, "Therapy") | 1-n | U |  | $Therapy
13 | >> | HAS PROPERTIES | CODE | DT (33999-4, LN, "Status") | 1 | U |  | DCID 3773 “Use Status”
14 | > | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |

### TID 3830 Procedure Properties

Table TID 3830. Parameters

Parameter Name | Parameter Usage
--- | ---
$ProcType | Coded Value for class of procedure
$Procedure | Coded Value or Context Group for procedure
$ModType | Modifier Name for Concept Name of procedure
$ModValue | Modifier Value for Concept Name of procedure
$ProcedureResult | Coded result of the procedure

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3830. Procedure Properties

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | $ProcType | 1 | M |  | $Procedure
2 | > | HAS CONCEPT MOD | CODE | $ModType | 1-n | U |  | $ModValue
3 | > | HAS PROPERTIES | DATETIME | DT (122146, DCM, "Procedure DateTime") | 1 | U |  |
4 | > | HAS PROPERTIES | COMPOSITE | EV (371524004, SCT, "Clinical Report") | 1-n | U |  |
5 | >> | HAS PROPERTIES | CODE | EV (121144, DCM, "Document Title") | 1 | U |  |
6 | > | HAS PROPERTIES | TEXT | EV (371524004, SCT, "Clinical Report") | 1-n | U |  | Description of report with URL or other reference for report
7 | > | HAS PROPERTIES | TEXT | DT (121434, DCM, "Service Delivery Location") | 1 | U |  |
8 | > | HAS PROPERTIES | PNAME | DT (121435, DCM, "Service Performer") | 1 | UC | IF Service Performer is a person |
9 | > | HAS PROPERTIES | TEXT | DT (121435, DCM, "Service Performer") | 1 | UC | IF Service Performer is an organization |
10 | > | HAS PROPERTIES | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |
11 | > | HAS PROPERTIES | CODE | EV (122177, DCM, "Procedure Result") | 1-n | U |  | $ProcedureResult

Content Item Descriptions

Row 3 | The Concept Name was previously defined as (111526, DCM, "DateTime Started").

### TID 3831 Medical Device Use

Table TID 3831. Parameters

Parameter Name | Parameter Usage
--- | ---
$Device | Coded Value for type of device

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3831. Medical Device Use

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (121436, DCM, "Medical Device Used") | 1 | M |  | $Device
2 | > | HAS PROPERTIES | DATETIME | DT (111526, DCM, "DateTime Started") | 1 | U |  |
3 | > | HAS PROPERTIES | DATETIME | DT (111527, DCM, "DateTime Ended") | 1 | U |  |
4 | > | HAS PROPERTIES | CODE | DT (33999-4, LN, "Status") | 1 | U |  | DCID 3773 “Use Status”
5 | > | HAS PROPERTIES | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |

## CT/MR Cardiovascular Analysis Report Templates

### TID 3900 CT/MR Cardiovascular Analysis Report

Root Template of the Non-invasive Computed Tomography and Magnetic Resonance Cardiovascular Analysis Report.

This Template contains the top level structure and includes subordinate Templates for the various analyses.

Type:

  Extensible

Order:

  Significant

Root:

  Yes

Table TID 3900. CT/MR Cardiovascular Analysis Report

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (122600, DCM, "Cardiovascular Analysis Report") | 1 | M |  | Root node
2 | > | HAS CONCEPT MOD | CODE | EV (121058, DCM, "Procedure Reported") | 1-n | M |  | BCID 3820 “Non-invasive Vascular Procedures”
3 | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | M |  |
4 | > | HAS OBS CONTEXT | INCLUDE | DTID 1001 “Observation Context” | 1 | M |  |
5 | > | CONTAINS | INCLUDE | DTID 3602 “Cardiovascular Patient Characteristics” | 1 | U |  |
6 | > | CONTAINS | INCLUDE | DTID 3802 “Cardiovascular Patient History” | 1 | U |  |
7 | > | CONTAINS | INCLUDE | DTID 3901 “Procedure Summary” | 1 | U |  |
8 | > | CONTAINS | INCLUDE | DTID 3902 “Vascular Analysis” | 1 | U |  | $AnalysisPerformed = EV (122605, DCM, "Vascular Morphological Analysis")
9 | > | CONTAINS | INCLUDE | DTID 3902 “Vascular Analysis” | 1 | U |  | $AnalysisPerformed = EV (122606, DCM, "Vascular Functional Analysis")
10 | > | CONTAINS | INCLUDE | DTID 3920 “Ventricular Analysis” | 1 | U |  |
11 | > | CONTAINS | INCLUDE | DTID 3927 “Report Summary” | 1-n | U |  |

### TID 3901 Procedure Summary

Contains summaries related to the performed procedures.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3901. Procedure Summary

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (55111-9, LN, "Current Procedure Descriptions") | 1 | M |  |
2 | > | CONTAINS | TEXT | EV (121065, DCM, "Procedure Description") | 1-n | M |  |
3 | > | CONTAINS | CODE | DT (RID11248, RADLEX, "Cardiac Gating") | 1 | U |  | DCID 3104 “Cardiac Synchronization Technique”

### TID 3902 Vascular Analysis

Contains either morphological or functional vascular measurement results of an analysis

Table TID 3902. Parameters

Parameter Name | Parameter Usage
--- | ---
$AnalysisPerformed | Analysis Performed

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3902. Vascular Analysis

| 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 (111004, DCM, "Analysis Performed") | 1 | M |  | $AnalysisPerformed
3 | > | CONTAINS | INCLUDE | DTID 3905 “Calcium Scoring Results” | 1 | UC | IFF the value of row 2 equals EV (122605, DCM, "Vascular Morphological Analysis") |
4 | > | CONTAINS | INCLUDE | DTID 3906 “Vascular Section Measurements” | 1-n | U |  | $VascularSection = DT (281231009, SCT, "Blood Vessel of Head") $SectionLaterality = EV (7771000, SCT, "Left") $Anatomy = DCID 12105 “Intracranial Cerebral Vessels” $AnalysisPerformed = $AnalysisPerformed
5 | > | CONTAINS | INCLUDE | DTID 3906 “Vascular Section Measurements” | 1-n | U |  | $VascularSection = DT (281231009, SCT, "Blood Vessel of Head") $SectionLaterality = EV (24028007, SCT, "Right") $Anatomy = DCID 12105 “Intracranial Cerebral Vessels” $AnalysisPerformed = $AnalysisPerformed
6 | > | CONTAINS | INCLUDE | DTID 3906 “Vascular Section Measurements” | 1-n | U |  | $VascularSection = DT (281231009, SCT, "Blood Vessel of Head") $SectionLaterality = EV (66459002, SCT, "Unilateral") $Anatomy = DCID 12106 “Intracranial Cerebral Vessels (Unilateral)” $AnalysisPerformed = $AnalysisPerformed
7 | > | CONTAINS | INCLUDE | DTID 3906 “Vascular Section Measurements” | 1-n | U |  | $VascularSection = DT (119568004, SCT, "Artery of Neck") $SectionLaterality = EV (7771000, SCT, "Left") $Anatomy = DCID 12104 “Extracranial Arteries” $AnalysisPerformed = $AnalysisPerformed
8 | > | CONTAINS | INCLUDE | DTID 3906 “Vascular Section Measurements” | 1-n | U |  | $VascularSection = DT (119568004, SCT, "Artery of Neck") $SectionLaterality = EV (24028007, SCT, "Right") $Anatomy = DCID 12104 “Extracranial Arteries” $AnalysisPerformed = $AnalysisPerformed
9 | > | CONTAINS | INCLUDE | DTID 3906 “Vascular Section Measurements” | 1-n | U |  | $VascularSection = DT (70791007, SCT, "Artery of Lower Extremity") $SectionLaterality = EV (7771000, SCT, "Left") $Anatomy = DCID 12109 “Lower Extremity Arteries” $AnalysisPerformed = $AnalysisPerformed
10 | > | CONTAINS | INCLUDE | DTID 3906 “Vascular Section Measurements” | 1-n | U |  | $VascularSection = DT (70791007, SCT, "Artery of Lower Extremity") $SectionLaterality = EV (24028007, SCT, "Right") $Anatomy = DCID 12109 “Lower Extremity Arteries” $AnalysisPerformed = $AnalysisPerformed
11 | > | CONTAINS | INCLUDE | DTID 3906 “Vascular Section Measurements” | 1-n | U |  | $VascularSection = DT (122774002, SCT, "Vein of Lower Extremity") $SectionLaterality = EV (7771000, SCT, "Left") $Anatomy = DCID 12110 “Lower Extremity Veins” $AnalysisPerformed = $AnalysisPerformed
12 | > | CONTAINS | INCLUDE | DTID 3906 “Vascular Section Measurements” | 1-n | U |  | $VascularSection = DT (122774002, SCT, "Vein of Lower Extremity") $SectionLaterality = EV (24028007, SCT, "Right") $Anatomy = DCID 12110 “Lower Extremity Veins” $AnalysisPerformed = $AnalysisPerformed
13 | > | CONTAINS | INCLUDE | DTID 3906 “Vascular Section Measurements” | 1-n | U |  | $VascularSection = DT (75531005, SCT, "Artery of Upper Extremity") $SectionLaterality = EV (7771000, SCT, "Left") $Anatomy = DCID 12107 “Upper Extremity Arteries” $AnalysisPerformed = $AnalysisPerformed
14 | > | CONTAINS | INCLUDE | DTID 3906 “Vascular Section Measurements” | 1-n | U |  | $VascularSection = DT (75531005, SCT, "Artery of Upper Extremity") $SectionLaterality = EV (24028007, SCT, "Right") $Anatomy = DCID 12107 “Upper Extremity Arteries” $AnalysisPerformed = $AnalysisPerformed
15 | > | CONTAINS | INCLUDE | DTID 3906 “Vascular Section Measurements” | 1-n | U |  | $VascularSection = DT (122775001, SCT, "Vein of Upper Extremity") $SectionLaterality = EV (7771000, SCT, "Left") $Anatomy = DCID 12108 “Upper Extremity Veins” $AnalysisPerformed = $AnalysisPerformed
16 | > | CONTAINS | INCLUDE | DTID 3906 “Vascular Section Measurements” | 1-n | U |  | $VascularSection = DT (122775001, SCT, "Vein of Upper Extremity") $SectionLaterality = EV (24028007, SCT, "Right") $Anatomy = DCID 12108 “Upper Extremity Veins” $AnalysisPerformed = $AnalysisPerformed
17 | > | CONTAINS | INCLUDE | DTID 3906 “Vascular Section Measurements” | 1-n | U |  | $VascularSection = DT (303402001, SCT, "Vascular Structure of Kidney") $SectionLaterality = EV (7771000, SCT, "Left") $Anatomy = DCID 12115 “Renal Vessels” $AnalysisPerformed = $AnalysisPerformed
18 | > | CONTAINS | INCLUDE | DTID 3906 “Vascular Section Measurements” | 1-n | U |  | $VascularSection = DT (303402001, SCT, "Vascular Structure of Kidney") $SectionLaterality = EV (24028007, SCT, "Right") $Anatomy = DCID 12115 “Renal Vessels” $AnalysisPerformed = $AnalysisPerformed
19 | > | CONTAINS | INCLUDE | DTID 3906 “Vascular Section Measurements” | 1-n | U |  | $VascularSection = DT (118634008, SCT, "Artery of Abdomen") $SectionLaterality = EV (7771000, SCT, "Left") $Anatomy = DCID 12111 “Abdominopelvic Arteries (Paired)” $AnalysisPerformed = $AnalysisPerformed
20 | > | CONTAINS | INCLUDE | DTID 3906 “Vascular Section Measurements” | 1-n | U |  | $VascularSection = DT (118634008, SCT, "Artery of Abdomen") $SectionLaterality = EV (24028007, SCT, "Right") $Anatomy = DCID 12111 “Abdominopelvic Arteries (Paired)” $AnalysisPerformed = $AnalysisPerformed
21 | > | CONTAINS | INCLUDE | DTID 3906 “Vascular Section Measurements” | 1-n | U |  | $VascularSection = DT (118634008, SCT, "Artery of Abdomen") $SectionLaterality = EV (66459002, SCT, "Unilateral") $Anatomy = DCID 12112 “Abdominopelvic Arteries (Unpaired)” $AnalysisPerformed = $AnalysisPerformed
22 | > | CONTAINS | INCLUDE | DTID 3906 “Vascular Section Measurements” | 1-n | U |  | $VascularSection = DT (84421000, SCT, "Vein of Abdomen") $SectionLaterality = EV (7771000, SCT, "Left") $Anatomy = DCID 12113 “Abdominopelvic Veins (Paired)” $AnalysisPerformed = $AnalysisPerformed
23 | > | CONTAINS | INCLUDE | DTID 3906 “Vascular Section Measurements” | 1-n | U |  | $VascularSection = DT (84421000, SCT, "Vein of Abdomen") $SectionLaterality = EV (24028007, SCT, "Right") $Anatomy = DCID 12113 “Abdominopelvic Veins (Paired)” $AnalysisPerformed = $AnalysisPerformed
24 | > | CONTAINS | INCLUDE | DTID 3906 “Vascular Section Measurements” | 1-n | U |  | $VascularSection = DT (84421000, SCT, "Vein of Abdomen") $SectionLaterality = EV (66459002, SCT, "Unilateral") $Anatomy = DCID 12114 “Abdominopelvic Veins (Unpaired)” $AnalysisPerformed = $AnalysisPerformed
25 | > | CONTAINS | INCLUDE | DTID 3906 “Vascular Section Measurements” | 1-n | U |  | $VascularSection = DT (81040000, SCT, "Pulmonary Artery Structure") $SectionLaterality = EV (66459002, SCT, "Unilateral") $Anatomy = DCID 3829 “Pulmonary Arteries” $AnalysisPerformed = $AnalysisPerformed
26 | > | CONTAINS | INCLUDE | DTID 3906 “Vascular Section Measurements” | 1-n | U |  | $VascularSection = DT (41801008, SCT, "Coronary Artery Structure") $Anatomy = DCID 3015 “Coronary Arteries” $AnalysisPerformed = $AnalysisPerformed
27 | > | CONTAINS | INCLUDE | DTID 3906 “Vascular Section Measurements” | 1-n | U |  | $VascularSection = DT (85439003, SCT, "Cardiac Vein Structure") $Anatomy = DCID 3839 “Coronary Veins” $AnalysisPerformed = $AnalysisPerformed
28 | > | CONTAINS | INCLUDE | DTID 3906 “Vascular Section Measurements” | 1-n | U |  | $VascularSection = DT (122972007, SCT, "Pulmonary Venous Structure") $Anatomy = DCID 3840 “Pulmonary Veins” $AnalysisPerformed = $AnalysisPerformed

### TID 3905 Calcium Scoring Results

Contains the calcium scoring results related to plaque findings, vessels or the whole body.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3905. Calcium Scoring Results

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (59776-5, LN, "Findings") | 1 | M |  |
2 | > | CONTAINS | CODE | EV (111004, DCM, "Analysis Performed") | 1 | M |  | EV (122603, DCM, "Calcium Scoring Analysis")
3 | > | CONTAINS | NUM | EV (122657, DCM, "Agatston Score Threshold") | 1 | U |  | UNITS = DT ([hnsf'U], UCUM, "Hounsfield unit")
4 | > | CONTAINS | NUM | EV (122658, DCM, "Calcium Mass Threshold") | 1 | U |  | UNITS = DT (mg/cm3, UCUM, "mg/cm3")
5 | > | CONTAINS | NUM | EV (122659, DCM, "Calcium Scoring Calibration") | 1 | U |  | UNITS = DT (mg/[hnsf'U].cm3, UCUM, "mg/[hnsf'U].cm3")
6 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (112058, DCM, "Calcium Score") $Method = EV (112055, DCM, "Agatston Scoring Method") $Units = DT (1, UCUM, "no units")
7 | > | CONTAINS | NUM | EV (122660, DCM, "Calcium Volume") | 1 | U |  | UNITS = EV (mm3, UCUM, "mm3")
8 | > | CONTAINS | NUM | EV (122661, DCM, "Calcium Mass") | 1 | U |  | UNITS = EV (mg, UCUM, "mg")
9 | > | CONTAINS | NUM | EV (246206008, SCT, "Number of Lesions") | 1 | U |  | UNITS = DT ({lesions}, UCUM, "lesions")
10 | > | CONTAINS | INCLUDE | DTID 3909 “Best Illustration of Findings” | 1-n | U |  |

### TID 3906 Vascular Section Measurements

Sections of vascular measurements are section containers of an anatomical region consisting of measurement group containers containing the measurements.

Table TID 3906. Parameters

Parameter Name | Parameter Usage
--- | ---
$VascularSection | The concept name of the region or structure of which the anatomy is part
$SectionLaterality | The laterality (if any) of the anatomy in this section heading
$Anatomy | The concept name of the vascular anatomy
$AnalysisPerformed | The context of the measurements performed during the analysis

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3906. Vascular Section Measurements

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | $VascularSection | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | MC | IFF $SectionLaterality has a value | $SectionLaterality
3 | > | CONTAINS | CONTAINER | EV (59776-5, LN, "Findings") | 1-n | M |  |
4 | >> | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | $Anatomy
5 | >> | CONTAINS | CODE | EV (122686, DCM, "Parent Vessel Finding") | 1-n | U |  | DCID 3810 “Vascular Morphology”
6 | >>> |  | INCLUDE | DTID 1350 “Negation Modifier, Presence of Finding” | 1 | U |  |
7 | >> | CONTAINS | INCLUDE | DTID 3905 “Calcium Scoring Results” | 1 | UC | IF the value of $AnalysisPerformed equals (122605, DCM, "Vascular Morphological Analysis") |
8 | >> | CONTAINS | CONTAINER | EV (59776-5, LN, "Findings") | 1-n | U |  |
9 | >>> | HAS CONCEPT MOD | CODE | EV (125101, DCM, "Vessel Branch") | 1-n | UC | IF concept value of row 4 is not equal to (41801008, SCT, "Coronary Artery Structure") | DCID 12117 “Vessel Branch Modifiers”
10 | >>> | HAS CONCEPT MOD | CODE | EV (106233006, SCT, "Topographical Modifier") | 1 | UC | IF concept value of row 4 is not equal to (41801008, SCT, "Coronary Artery Structure") | DCID 12116 “Vessel Segment Modifiers”
11 | >>> | HAS CONCEPT MOD | CODE | EV (106233006, SCT, "Topographical Modifier") | 1 | UC | IF concept value of row 4 equals (41801008, SCT, "Coronary Artery Structure") | DCID 3019 “Cardiovascular Anatomic Location Modifiers”
12 | >>> | CONTAINS | INCLUDE | DTID 3907 “Vessel Measurements” | 1 | U |  |
13 | >>> | CONTAINS | INCLUDE | DTID 3908 “Vascular Lesion” | 1-n | UC | IF the value of$AnalysisPerformed equals (122605, DCM, "Vascular Morphological Analysis") |
14 | >>> | CONTAINS | INCLUDE | DTID 3910 “Flow Quantification” | 1 | UC | IF the value of$AnalysisPerformed equals (122606, DCM, "Vascular Functional Analysis") |

Content Item Descriptions

Row 3 | This Findings container allows an application to group related vessels or branches
Row 5 | The characteristics associated with the parent vessel shall also be reported in the findings Container for the parent vessel. Negative findings (characteristics not present) need not be reported in the parent vessel Container.

### TID 3907 Vessel Measurements

Contains measurements made on vessel level.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3907. Vessel Measurements

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | NUM | EV (408715008, SCT, "Lumen Diameter Stenosis") | 1 | U |  | UNITS = DT (%, UCUM, "%")
2 |  | CONTAINS | NUM | EV (408714007, SCT, "Lumen Area Stenosis") | 1 | U |  | UNITS = DT (%, UCUM, "%")
3 |  | CONTAINS | NUM | EV (121206, DCM, "Distance") | 1-n | U |  | UNITS = DT (mm, UCUM, "mm")
4 | > | HAS CONCEPT MOD | CODE | EV (122340, DCM, "Fiducial Feature") | 2 | M |  |
5 | >> | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | U |  | DCID 244 “Laterality”
6 | > |  | INCLUDE | DTID 320 “Image or Spatial Coordinates” | 1 | U |  |
7 |  | CONTAINS | NUM | EV (397413000, SCT, "Vessel Lumen Diameter") | 1-n | U |  | UNITS = DT (mm, UCUM, "mm")
8 | > | HAS CONCEPT MOD | CODE | EV (121401, DCM, "Derivation") | 1 | U |  | DCID 3488 “Min/Max/Mean”
9 | > | HAS PROPERTIES | NUM | EV (122337, DCM, "Relative Position") | 1 | U |  | UNITS = EV (mm, UCUM, "mm")
10 | >> | HAS CONCEPT MOD | CODE | EV (122340, DCM, "Fiducial Feature") | 1 | M |  | DCID 3837 “Fiducial Feature”
11 |  | CONTAINS | NUM | EV (130408, DCM, "Perivascular adipose tissue fat attenuation index") | 1 | U |  | UNITS = EV (1, UCUM, "no units")

Content Item Descriptions

Rows 3-5 | The distance between two identified fiducial features
Rows 7-10 | Measurement of vessel diameter made at a position relative to a fiducial feature
Row 9 | A positive value indicates a distance in the direction of flow within the vessel

### TID 3908 Vascular Lesion

Specifies properties and the features of a vascular lesion detected during the analysis. In addition it is possible to reference or include growing of lesions over time by adding references to previous reports or by adding previous examination results.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3908. Vascular Lesion

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (300577008, SCT, "Lesion Finding") | 1 | M |  |
2 | > | CONTAINS | TEXT | EV (121151, DCM, "Lesion Identifier") | 1 | M |  |
3 | > | CONTAINS | INCLUDE | DTID 3909 “Best Illustration of Findings” | 1-n | U |  |
4 | > | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1-n | U |  |
5 | > | CONTAINS | NUM | EV (122337, DCM, "Relative Position") | 1 | U |  | UNITS = EV (mm, UCUM, "mm")
6 | >> | HAS CONCEPT MOD | CODE | EV (122340, DCM, "Fiducial Feature") | 1 | M |  | DCID 3837 “Fiducial Feature”
7 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = EV (397413000, SCT, "Vessel Lumen Diameter") $Derivation = DCID 3838 “Diameter Derivation” $FindingSite = DCID 3486 “Vascular Measurement Sites” $Units = DT (mm, UCUM, "mm")
8 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = EV (397415007, SCT, "Vessel Lumen Cross-Sectional Area") $Derivation = DCID 3838 “Diameter Derivation” $FindingSite = DCID 3486 “Vascular Measurement Sites” $Units = DT (mm2, UCUM, "mm2")
9 | > | CONTAINS | CODE | EV (116676008, SCT, "Associated Morphology") | 1-n | M |  | DCID 3810 “Vascular Morphology”
10 | >> |  | INCLUDE | DTID 3909 “Best Illustration of Findings” | 1-n | U |  |
11 | >> | HAS PROPERTIES | TEXT | EV (121106, DCM, "Comment") | 1-n | U |  |
12 | >> |  | INCLUDE | DTID 3911 “Plaque Properties” | 1 | MC | IFF value of row 9 equals (1522000, SCT, "Plaque") |
13 | >> |  | INCLUDE | DTID 3912 “Stenosis Properties” | 1 | MC | IFF value of row 9 equals (415582006, SCT, "Stenosis") |
14 | >> |  | INCLUDE | DTID 3913 “Aneurysm Properties” | 1 | MC | IFF value of row 9 equals (85659009, SCT, "Aneurysm") |
15 | >> |  | INCLUDE | DTID 3914 “Arterial Dissection Properties” | 1 | MC | IFF value of row 9 equals (710864009, SCT, "Arterial Dissection") |
16 | >> | HAS PROPERTIES | CODE | EV (116676008, SCT, "Associated Morphology") | 1 | MC | IFF value of row 9 equals (107671003, SCT, "Vascular Sclerosis") | DCID 3817 “Vascular Sclerosis Types”
17 | >> |  | INCLUDE | DTID 3915 “Vascular Occlusion Properties” | 1 | MC | IFF value of row 9 equals EV (26036001, SCT, "Occlusion") |
18 | >> |  | INCLUDE | DTID 3916 “Stent Properties” | 1 | MC | IFF value of row 9 equals (65818007, SCT, "Stent") |

Content Item Descriptions

Row 5 | A positive value indicates a distance in the direction of flow within the vessel For example: An aneurysm with relative position -4 mm from the renal arteries would begin superior to the renal arteries.
Row 7, 8 | These rows are associated with the position of the most significant effect of the lesion, i.e., maximum diameter of aneurysm or the minimum diameter of stenosis

### TID 3909 Best Illustration of Findings

Specification of images, waveforms, spatial and temporal coordinates used to illustrate findings.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3909. Best Illustration of Findings

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | IMAGE | EV (121080, DCM, "Best illustration of finding") | 1 | U |  |
2 |  | CONTAINS | WAVEFORM | EV (121080, DCM, "Best illustration of finding") | 1 | U |  |
3 |  | CONTAINS | SCOORD | EV (121080, DCM, "Best illustration of finding") | 1 | U |  |
4 | > | SELECTED FROM | IMAGE |  | 1 | M |  |
5 |  | CONTAINS | TCOORD | EV (121080, DCM, "Best illustration of finding") | 1 | U |  |
6 | > | SELECTED FROM | SCOORD |  | 1 | MC | XOR row 8, 9 |
7 | >> | SELECTED FROM | IMAGE |  | 1 | M |  | must be a multi-frame image
8 | > | SELECTED FROM | WAVEFORM |  | 1 | MC | XOR row 6, 9 |
9 | > | SELECTED FROM | IMAGE |  | 1 | MC | XOR row 6, 8 | must be a multi-frame image

Content Item Descriptions

Rows 4, 7, 8, 9 | No purpose of reference is specified.

### TID 3910 Flow Quantification

Contains the flow quantification measurement results

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3910. Flow Quantification

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (59776-5, LN, "Findings") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (111004, DCM, "Analysis Performed") | 1 | M |  | EV (122604, DCM, "Flow Quantification")
3 | > | HAS OBS CONTEXT | INCLUDE | DTID 3929 “Cardiovascular Analysis Observation Context” | 1 | U |  |
4 | > | HAS OBS CONTEXT | DATETIME | EV (398201009, SCT, "Start DateTime") | 1 | M |  |
5 | > | HAS OBS CONTEXT | DATETIME | EV (397898000, SCT, "Stop DateTime") | 1 | M |  |
6 | > | CONTAINS | INCLUDE | DTID 3990 “Two Dimensional Measurement Graph” | 1 | U |  | $MeasurementGraph = EV (122667, DCM, "Blood velocity vs. time of cardiac cycle") $X-Concept = EV (122666, DCM, "Time relative to R-wave peak") $Y-Concept = EV (252064005, SCT, "Arterial Velocity") $X-AxisUnits = DT (ms, UCUM, "ms") $Y-AxisUnits = DT (cm/s, UCUM, "cm/s")
7 | > | CONTAINS | NUM | EV (122642, DCM, "Velocity Encoding Minimum Value") | 1 | U |  | UNITS = DT (cm/s, UCUM, "cm/s")
8 | > | CONTAINS | NUM | EV (122643, DCM, "Velocity Encoding Maximum Value") | 1 | U |  | UNITS = DT (cm/s, UCUM, "cm/s")
9 | > | CONTAINS | CONTAINER | EV (125007, DCM, "Measurement Group") | 1-n | M |  |
10 | >> | HAS CONCEPT MOD | TEXT | EV (363698007, SCT, "Finding Site") | 1 | MC | XOR row 11 |
11 | >> | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | MC | XOR row 10 |
12 | >> | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122207, DCM, "Blood velocity, peak") $Units = DT (cm/s, UCUM, "cm/s")
13 | >> | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122205, DCM, "Blood velocity, mean") $Units = DT (cm/s, UCUM, "cm/s")
14 | >> | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (58190003, SCT, "Blood Flow") $Derivation = EV (373098007, SCT, "Mean") $Units = DT (ml/s, UCUM, "ml/s")
15 | >> | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-2 | U |  | $Measurement = EV (58190003, SCT, "Blood Flow") $ModType = EV (260674002, SCT, "Direction of flow") $ModValue = DCID 12221 “Flow Direction” $Units = DT (ml/s, UCUM, "ml/s")
16 | >> | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122645, DCM, "Net Forward Volume") $Units = DT (ml, UCUM, "ml")
17 | >> | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122645, DCM, "Net Forward Volume") $ModType = EV (121425, DCM, "Index") $ModValue = DT (8277-6, LN, "BSA") $Units = DT (ml/m2, UCUM, "ml/m2")
18 | >> | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = EV (397415007, SCT, "Vessel Lumen Cross-Sectional Area") $Derivation = DCID 3488 “Min/Max/Mean” $Units = DT (mm2, UCUM, "mm2")

### TID 3911 Plaque Properties

Properties of a plaque finding

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3911. Plaque Properties

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | HAS PROPERTIES | NUM | EV (122376, DCM, "Total Plaque Volume") | 1 | U |  | UNITS = DT (mm3, UCUM, "mm3")
2 |  | HAS PROPERTIES | CODE | EV (112233002, SCT, "Margin") | 1 | U |  | DCID 3715 “Lesion Margin”
3 |  | HAS PROPERTIES | CODE | EV (49755003, SCT, "Morphologically Abnormal Structure") | 1-n | M |  | DCID 3802 “Plaque Structures”
4 |  | HAS PROPERTIES | INCLUDE | DTID 3905 “Calcium Scoring Results” | 1 | U |  |
5 |  | HAS PROPERTIES | CODE | EV (121071, DCM, "Finding") | 1 | U |  | DT (413912008, SCT, "Contrast Media Seen in Plaque")

### TID 3912 Stenosis Properties

Properties of a stenosis finding

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3912. Stenosis Properties

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | HAS PROPERTIES | CODE | EV (370129005, SCT, "Measurement method") | 1 | M |  | DCID 3804 “Stenosis Measurement Methods”
2 |  | HAS PROPERTIES | CODE | EV (246244004, SCT, "Type of Stenosis") | 1 | U |  | DCID 3805 “Stenosis Types”
3 |  | HAS PROPERTIES | CODE | EV (47429007, SCT, "Associated with") | 1 | U |  | DCID 3815 “Source of Vascular Finding”
4 |  | HAS PROPERTIES | CODE | EV (300842002, SCT, "Shape") | 1 | U |  | DCID 3806 “Stenosis Shape”
5 |  | HAS PROPERTIES | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = EV (397413000, SCT, "Vessel Lumen Diameter") $Derivation = DCID 3488 “Min/Max/Mean” $Units = DT (mm, UCUM, "mm")
6 |  | HAS PROPERTIES | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = EV (397415007, SCT, "Vessel Lumen Cross-Sectional Area") $Derivation = DCID 3488 “Min/Max/Mean” $Units = DT (mm2, UCUM, "mm2")
7 |  | HAS PROPERTIES | NUM | EV (408716009, SCT, "Stenotic Lesion Length") | 1 | U |  | UNITS = DT (mm, UCUM, "mm")
8 |  | HAS PROPERTIES | CODE | EV (408716009, SCT, "Stenotic Lesion Length") | 1 | U |  | DCID 3831 “Stenosis Length”
9 |  | HAS PROPERTIES | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = EV (408714007, SCT, "Lumen Area Stenosis") $Derivation = DCID 3488 “Min/Max/Mean” $Units = DT (%, UCUM, "%")
10 |  | HAS PROPERTIES | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = EV (408715008, SCT, "Lumen Diameter stenosis") $Derivation = DCID 3488 “Min/Max/Mean” $Units = DT (%, UCUM, "%")
11 |  | HAS PROPERTIES | CODE | EV (408714007, SCT, "Lumen Area Stenosis") | 1-n | U |  | DCID 3832 “Stenosis Grade”
12 | > | HAS CONCEPT MOD | CODE | EV (121401, DCM, "Derivation") | 1 | M |  | DCID 3488 “Min/Max/Mean”
13 |  | HAS PROPERTIES | CODE | EV (408715008, SCT, "Lumen Diameter Stenosis") | 1-n | U |  | DCID 3832 “Stenosis Grade”
14 | > | HAS CONCEPT MOD | CODE | EV (121401, DCM, "Derivation") | 1 | M |  | DCID 3488 “Min/Max/Mean”

### TID 3913 Aneurysm Properties

Properties of an aneurysm finding

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3913. Aneurysm Properties

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | HAS PROPERTIES | CODE | EV (116676008, SCT, "Associated Morphology") | 1-n | M |  | DCID 3808 “Aneurysm Types”
2 |  | HAS PROPERTIES | CODE | EV (47429007, SCT, "Associated with") | 1 | U |  | DCID 3815 “Source of Vascular Finding”
3 |  | HAS PROPERTIES | INCLUDE | DTID 3917 “Aneurysm Measurements” | 1 | U |  |
4 |  | HAS PROPERTIES | CODE | EV (116676008, SCT, "Associated Morphology") | 1-n | UC | IFF value of row 1 equals (85726003, SCT, "Mixed Aneurysm") | DCID 3808 “Aneurysm Types”
5 | > | HAS PROPERTIES | INCLUDE | DTID 3917 “Aneurysm Measurements” | 1 | U |  |

### TID 3914 Arterial Dissection Properties

Properties of a arterial dissection finding

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3914. Arterial Dissection Properties

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | HAS PROPERTIES | CODE | EV (122387, DCM, "Dissection Classification") | 1 | M |  | DCID 3492 “Vascular Dissection Classifications”
2 |  | HAS PROPERTIES | CODE | EV (134198009, SCT, "Etiology") | 1 | U |  | DCID 3809 “Associated Conditions”
3 |  | HAS PROPERTIES | NUM | EV (410668003, SCT, "Length") | 1 | U |  | UNITS = DT (mm, UCUM, "mm")
4 |  | HAS PROPERTIES | CODE | EV (413530006, SCT, "Anatomic structure potentially involved in evolution of disease") | 1-n | U |  | DCID 3827 “Vessel Segments”

### TID 3915 Vascular Occlusion Properties

Properties of vascular occlusion finding

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3915. Vascular Occlusion Properties

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | HAS PROPERTIES | CODE | EV (246244004, SCT, "Type of Stenosis") | 1 | M |  | DCID 3805 “Stenosis Types”
2 |  | HAS PROPERTIES | CODE | EV (47429007, SCT, "Associated with") | 1 | U |  | DCID 3815 “Source of Vascular Finding”
3 |  | HAS PROPERTIES | CODE | EV (300842002, SCT, "Shape") | 1 | U |  | DCID 3806 “Stenosis Shape”
4 |  | HAS PROPERTIES | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (408716009, SCT, "Stenotic Lesion Length") $Method = DCID 3804 “Stenosis Measurement Methods” $Units = DT (mm, UCUM, "mm")

### TID 3916 Stent Properties

Properties of a stent finding

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3916. Stent Properties

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | HAS PROPERTIES | CODE | EV (122685, DCM, "Stent Composition") | 1-n | M |  | DCID 3814 “Stent Composition”
2 |  | HAS PROPERTIES | NUM | EV (408706001, SCT, "Vascular Stent Diameter") | 1 | U |  | UNITS = DT (mm, UCUM, "mm")
3 |  | HAS PROPERTIES | NUM | EV (408703009, SCT, "Vascular Stent Length") | 1 | U |  | UNITS = DT (mm, UCUM, "mm")
4 |  | HAS PROPERTIES | CODE | EV (121071, DCM, "Finding") | 1-n | U |  | DCID 3813 “Stent Findings”
5 | > |  | INCLUDE | DTID 3912 “Stenosis Properties” | 1 | MC | IFF value of row 4 equals (415582006, SCT, "Stenosis") |

### TID 3917 Aneurysm Measurements

Measurements of aneurysms. TID 300 “Measurement” invoked from this Template allows the measurement to reference an image used as the source of the measurement.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3917. Aneurysm Measurements

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (410668003, SCT, "Length") $ModType = EV (260858005, SCT, "Extent") $ModValue = DT (38717003, SCT, "Longitudinal") $Units = DT (mm, UCUM, "mm")
2 |  |  | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (118565006, SCT, "Volume") $Method = DCID 3807 “Volume Measurement Methods” $Units = DT (mm3, UCUM, "mm3")
3 |  |  | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (415816005, SCT, "Vessel Lumen Cross-Sectional Area Increase") $Units = DT (%, UCUM, "%")
4 |  |  | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (415816005, SCT, "Vessel Lumen Cross-Sectional Area Increase") $Units = DT (mm2, UCUM, "mm2")
5 |  |  | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (415817001, SCT, "Vessel Lumen Cross-Sectional Diameter Increase") $Units = DT (%, UCUM, "%")
6 |  |  | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (415817001, SCT, "Vessel Lumen Cross-Sectional Diameter Increase") $Units = DT (mm, UCUM, "mm")

### TID 3920 Ventricular Analysis

Contains the ventricular functional measurement results.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3920. Ventricular Analysis

| 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 (111004, DCM, "Analysis Performed") | 1 | M |  | EV (122601, DCM, "Ventricular Analysis")
3 | > | HAS OBS CONTEXT | INCLUDE | DTID 3929 “Cardiovascular Analysis Observation Context” | 1 | U |  |
4 | > | CONTAINS | INCLUDE | DTID 3921 “Ventricular Measurements” | 1-n | U |  | $Ventricle = EV (87878005, SCT, "Left Ventricle")
5 | > | CONTAINS | INCLUDE | DTID 3921 “Ventricular Measurements” | 1-n | U |  | $Ventricle = EV (53085002, SCT, "Right Ventricle")
6 | > | CONTAINS | INCLUDE | DTID 3925 “Ventricular Thickening Analysis” | 1-n | U |  |
7 | > | CONTAINS | INCLUDE | DTID 3926 “Myocardial Perfusion Analysis” | 1-n | U |  |

### TID 3921 Ventricular Measurements

Ventricular measurement results related to the volume of a ventricle.

Table TID 3921. Parameters

Parameter Name | Parameter Usage
--- | ---
$Ventricle | Describes if either the left or the right ventricle was examined

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3921. Ventricular Measurements

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (59776-5, LN, "Findings") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | $Ventricle
3 | > | CONTAINS | INCLUDE | DTID 3922 “Absolute Values of Ventricular Measurements” | 1 | M |  |
4 | > | CONTAINS | INCLUDE | DTID 3923 “BSA-Normalized Ventricular Measurements” | 1 | U |  |
5 | > | CONTAINS | INCLUDE | DTID 3924 “Heart Rate-Normalized Ventricular Measurements” | 1 | U |  |

### TID 3922 Absolute Values of Ventricular Measurements

Ventricular measurement results related to the absolute volume of a ventricle.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3922. Absolute Values of Ventricular Measurements

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (122608, DCM, "Absolute Values Of Ventricular Measurements") | 1 | M |  |
2 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3833 “Cardiac Ejection Fraction” $ModType = DT (122670, DCM, "Papillary Muscle Included/Excluded") $ModValue = DCID 3821 “Papillary Muscle Included/Excluded” $Method = DCID 3807 “Volume Measurement Methods” $Units = DT (%, UCUM, "%")
3 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3835 “Cardiac Volume Measurements” $ModType = DT (122670, DCM, "Papillary Muscle Included/Excluded") $ModValue = DCID 3821 “Papillary Muscle Included/Excluded” $Units = DT (ml, UCUM, "ml")
4 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (82799009, SCT, "Cardiac Output") $ModType = DT (122670, DCM, "Papillary Muscle Included/Excluded") $ModValue = DCID 3821 “Papillary Muscle Included/Excluded” $Units = DT (l/min, UCUM, "l/min")
5 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = EV (122447, DCM, "Wall Mass") $ModType = DT (122670, DCM, "Papillary Muscle Included/Excluded") $ModValue = DCID 3821 “Papillary Muscle Included/Excluded” $Units = DT (g, UCUM, "g")
6 | >> | HAS CONCEPT MOD | CODE | EV (272518008, SCT, "Cardiac Cycle Point") | 1 | U |  | DCID 12233 “Cardiac Phase”
7 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122616, DCM, "Peak Ejection Rate") $Units = DT (ml/s, UCUM, "ml/s")
8 | > | CONTAINS | NUM | EV (122617, DCM, "Peak Ejection Time") | 1 | U |  | UNITS = EV (s, UCUM, "s")
9 | >> | HAS CONCEPT MOD | CODE | EV (122611, DCM, "Reference Point") | 1 | M |  | EV (416190007, SCT, "End-Diastolic")
10 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122618, DCM, "Peak Filling Rate") $Units = DT (ml/s, UCUM, "ml/s")
11 | > | CONTAINS | NUM | EV (122619, DCM, "Peak Filling Time") | 1 | U |  | UNITS = DT (s, UCUM, "s")
12 | >> | HAS CONCEPT MOD | CODE | EV (122611, DCM, "Reference Point") | 1 | M |  | DT (109070, DCM, "End-Systolic")

### TID 3923 BSA-Normalized Ventricular Measurements

Ventricular measurement results normalized based on the Body Surface Area

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3923. BSA-Normalized Ventricular Measurements

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (122609, DCM, "Normalized values of ventricular measurements") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (121425, DCM, "Index") | 1 | M |  | DT (8277-6, LN, "Body Surface Area")
3 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (8277-6, LN, "Body Surface Area") $Unit = DT (m2, UCUM, "m2")
4 | >> | INFERRED FROM | CODE | EV (8278-4, LN, "Body Surface Area Formula") | 1 | U |  | BCID 3663 “Body Surface Area Equations”
5 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3835 “Cardiac Volume Measurements” $ModType = EV (121425, DCM, "Index") $ModValue = DT (8277-6, LN, "Body Surface Area") $Units = DT (ml/m2, UCUM, "ml/m2")
6 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (54993008, SCT, "Cardiac Index") $Units = DT (ml/min/m2, UCUM, "(ml/min) /m2")
7 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-2 | U |  | $Measurement = EV (122447, DCM, "Wall Mass") $ModType = EV (121425, DCM, "Index") $ModValue = DT (8277-6, LN, "Body Surface Area") $Units = DT (g/m2, UCUM, "g/m2")
8 | >> | HAS CONCEPT MOD | CODE | DT (122670, DCM, "Papillary Muscle Included/Excluded") | 1 | U |  | DCID 3821 “Papillary Muscle Included/Excluded”
9 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122618, DCM, "Peak Filling Rate") $ModType = EV (121425, DCM, "Index") $ModValue = DT (8277-6, LN, "Body Surface Area") $Units = DT (ml/s/m2, UCUM, "(ml/s) /m2")
10 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (70822001, SCT, "Peak Cardiac Ejection Fraction") $ModType = EV (121425, DCM, "Index") $ModValue = DT (8277-6, LN, "Body Surface Area") $Units = DT (%/m2, UCUM, "%/m2")

### TID 3924 Heart Rate-Normalized Ventricular Measurements

Ventricular measurement results normalized based on the Heart Rate

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3924. Heart Rate-Normalized Ventricular Measurements

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (122609, DCM, "Normalized values of ventricular measurements") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (121425, DCM, "Index") | 1 | M |  | DT (8867-4, LN, "Heart Rate")
3 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3835 “Cardiac Volume Measurements” $ModType = EV (121425, DCM, "Index") $ModValue = DT (8867-4, LN, "Heart Rate") $Units = DT (ml/{H.B.}/min, UCUM, "ml/BPM")
4 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (82799009, SCT, "Cardiac Output") $ModType = EV (121425, DCM, "Index") $ModValue = DT (8867-4, LN, "Heart Rate") $Units = DT (ml/min/{H.B.}/min, UCUM, "(ml/min) /BPM")
5 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122618, DCM, "Peak Filling Rate") $ModType = EV (121425, DCM, "Index") $ModValue = DT (8867-4, LN, "Heart Rate") $Units = DT (ml/s/{H.B.}/min, UCUM, "(ml/s) /BPM")
6 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (70822001, SCT, "Peak Cardiac Ejection Fraction") $ModType = EV (121425, DCM, "Index") $ModValue = DT (8867-4, LN, "Heart Rate") $Units = DT (%/{H.B.}/min, UCUM, "%/BPM")

### TID 3925 Ventricular Thickening Analysis

Data of a ventricular wall thickening analysis

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3925. Thickening Analysis

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (59776-5, LN, "Findings") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (111004, DCM, "Analysis Performed") | 1 | M |  | EV (122607, DCM, "Thickening Analysis")
3 | > | CONTAINS | CONTAINER | EV (59776-5, LN, "Findings") | 1-n | M |  |
4 | >> | CONTAINS | CODE | EV (363698007, SCT, "Finding Site") | 1-n | MC | XOR row 5 | DCID 3717 “Left Ventricle Myocardial Wall 17 Segments”
5 | >> | CONTAINS | TEXT | EV (363698007, SCT, "Finding Site") | 1 | MC | XOR row 4 |
6 | >> | CONTAINS | INCLUDE | DTID 3909 “Best Illustration of Findings” | 1-n | U |  |
7 | >> | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (122445, DCM, "Wall Thickness") $ModType = EV (272518008, SCT, "Cardiac Cycle Point") $ModValue = DT (416190007, SCT, "End-Diastolic") $Units = DT (mm, UCUM, "mm")
8 | >> | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = EV (122445, DCM, "Wall Thickness") $ModType = EV (272518008, SCT, "Cardiac Cycle Point") $ModValue = DT (109070, DCM, "End-Systolic") $Units = DT (mm, UCUM, "mm")
9 | >> | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | U |  | $Measurement = EV (122624, DCM, "Wall Thickness Ratio end-systolic to end-diastolic") $Units = DT (%, UCUM, "%")
10 | >> | CONTAINS | CODE | EV (60797005, SCT, "Cardiac Wall Motion") | 1 | U |  | DCID 3703 “Wall Motion”
11 | >> | CONTAINS | CODE | EV (116676008, SCT, "Associated Morphology") | 1 | U |  | DCID 3704 “Myocardium Wall Morphology Findings”

### TID 3926 Myocardial Perfusion Analysis

Myocardial perfusion analysis results.

Perfusion measurements may be performed either for one or more ventricular segments (row 4) or for substructures inside ventricular segments (row 14)

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3926. Myocardial Perfusion Analysis

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (59776-5, LN, "Findings") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (111004, DCM, "Analysis Performed") | 1 | M |  | EV (122602, DCM, "Myocardial Perfusion Analysis")
3 | > | CONTAINS | CONTAINER | EV (59776-5, LN, "Findings") | 1-n | M |  |
4 | >> | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1-n | MC | XOR row 6 | DCID 3717 “Left Ventricle Myocardial Wall 17 Segments”
5 | >>> | HAS CONCEPT MOD | CODE | EV (106233006, SCT, "Topographical Modifier") | 1 | U |  | DCID 3843 “Myocardial Subsegment”
6 | >> | HAS CONCEPT MOD | TEXT | EV (363698007, SCT, "Finding Site") | 1 | MC | XOR row 4 |
7 | >> | HAS ACQ CONTEXT | CODE | EV (109054, DCM, "Patient State") | 1 | U |  | DCID 3101 “Cardiac Procedural State Values”
8 | >> | HAS ACQ CONTEXT | INCLUDE | DTID 3106 “Drugs/Contrast Administered” | 1-n | U |  |
9 | >> | CONTAINS | TEXT | EV (122627, DCM, "Curve Fit Method") | 1 | U |  |
10 | >> | CONTAINS | INCLUDE | DTID 3909 “Best Illustration of Findings” | 1-n | U |  |
11 | >> | CONTAINS | TEXT | EV (122628, DCM, "Baseline Result Correction") | 1 | U |  |
12 | >> | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3836 “Time-based Perfusion Measurements” $Units = EV (s, UCUM, "s")
13 | >> | CONTAINS | NUM | EV (122640, DCM, "Image Interval") | 1 | U |  | UNITS = EV (ms, UCUM, "ms")
14 | >> | CONTAINS | NUM | EV (122635, DCM, "MR Perfusion Peak") | 1 | U |  | UNITS = DT (1, UCUM, "No units")
15 | >> | CONTAINS | NUM | EV (122636, DCM, "MR Perfusion Slope") | 1 | U |  | UNITS = DT (1, UCUM, "No units")
16 | >> | CONTAINS | NUM | EV (122637, DCM, "MR Perfusion Time Integral") | 1 | U |  | UNITS = DT (1, UCUM, "No units")
17 | >> | CONTAINS | CONTAINER | EV (125007, DCM, "Measurement Group") | 1-n | U |  |
18 | >>> | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 3836 “Time-based Perfusion Measurements” $Units = EV (s, UCUM, "s")
19 | >>> | CONTAINS | NUM | EV (122635, DCM, "MR Perfusion Peak") | 1 | U |  | UNITS = DT (1, UCUM, "No units")
20 | >>> | CONTAINS | NUM | EV (122636, DCM, "MR Perfusion Slope") | 1 | U |  | UNITS = DT (1, UCUM, "No units")
21 | >>> | CONTAINS | NUM | EV (122637, DCM, "MR Perfusion Time Integral") | 1 | U |  | UNITS = DT (1, UCUM, "No units")
22 | >> | CONTAINS | CODE | EV (122664, DCM, "Late Contrast Enhancement") | 1 | U |  | DCID 230 “Yes-No”
23 | >>> | HAS ACQ CONTEXT | NUM | EV (122665, DCM, "Time after start of injection of contrast bolus") | 1 | M |  | UNITS = DT (s, UCUM, "s")
24 | >>> | HAS ACQ CONTEXT | NUM | EV (122668, DCM, "Time interval since detection of contrast bolus") | 1 | U |  | UNITS = DT (s, UCUM, "s")

Content Item Descriptions

Row 12 | Image Interval is appropriate only for equally time-spaced images

### TID 3927 Report Summary

Contains summary elements based on the findings of the report

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 3927. Report Summary

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | BCID 7001 “Diagnostic Imaging Report Headings” | 1 | M |  |
2 | > | CONTAINS | CODE | BCID 7002 “Diagnostic Imaging Report Elements” | 1-n | U |  |
3 | >> |  | INCLUDE | DTID 320 “Image or Spatial Coordinates” | 1-n | U |  |
4 | >> |  | INCLUDE | DTID 321 “Waveform or Temporal Coordinates” | 1-n | U |  |
5 | > | CONTAINS | TEXT | BCID 7002 “Diagnostic Imaging Report Elements” | 1-n | U |  |
6 | >> |  | INCLUDE | DTID 320 “Image or Spatial Coordinates” | 1-n | U |  |
7 | >> |  | INCLUDE | DTID 321 “Waveform or Temporal Coordinates” | 1-n | U |  |

### TID 3929 Cardiovascular Analysis Observation Context

Defines the observation context for cardiovascular Functional Analysis

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3929. Cardiovascular Analysis Observation Context

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | HAS OBS CONTEXT | NUM | EV (8867-4, LN, "Heart Rate") | 1 | U |  | UNITS = DT ({H.B.}/min, UCUM, "BPM")
2 |  | HAS OBS CONTEXT | CODE | EV (8884-9, LN, "Cardiac Rhythm") | 1 | U |  | DCID 3826 “Heart Rhythm”
3 |  | HAS OBS CONTEXT | NUM | EV (271649006, SCT, "Systolic Blood Pressure") | 1 | U |  | UNITS = DT (mm[Hg], UCUM, "mmHg")
4 |  | HAS OBS CONTEXT | NUM | EV (271650006, SCT, "Diastolic Blood Pressure") | 1 | U |  | UNITS = DT (mm[Hg], UCUM, "mmHg")
5 |  | HAS OBS CONTEXT | CODE | EV (364062005, SCT, "Respiration Observable") | 1 | U |  | DCID 3823 “Respiratory Status”
6 |  | HAS ACQ CONTEXT | INCLUDE | DTID 3106 “Drugs/Contrast Administered” | 1-n | U |  |

### TID 3990 Two Dimensional Measurement Graph

Generic Template representing arbitrary two-dimensional graphs.

Table TID 3990. Parameters

Parameter Name | Parameter Usage
--- | ---
$MeasurementGraph | Describes what the graph is about
$X-Concept | Concept of the X-Axis of the graph
$Y-Concept | Concept of the Y-Axis of the graph
$X-AxisUnit | Unit of the x-axis data elements
$Y-AxisUnit | Unit of the y-axis data elements

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 3990. Two Dimensional Measurement Graph

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | $MeasurementGraph | 1 | M |  |
2 | > | CONTAINS | CODE | EV (122698, DCM, "X-Concept") | 1 | M |  | $X-Concept
3 | > | CONTAINS | CODE | EV (122699, DCM, "Y-Concept") | 1 | M |  | $Y-Concept
4 | > | CONTAINS | CONTAINER |  | 1-n | MC | IF Row 7, 8, or 9 not present |
5 | >> | CONTAINS | NUM | $X-Concept | 1 | M |  | UNITS = $X-AxisUnit
6 | >> | CONTAINS | NUM | $Y-Concept | 1 | M |  | UNITS = $Y-AxisUnit
7 | > | CONTAINS | IMAGE | $MeasurementGraph | 1 | U |  |
8 | > | CONTAINS | WAVEFORM | $MeasurementGraph | 1 | U |  |
9 | > | CONTAINS | COMPOSITE | $MeasurementGraph | 1 | U |  |

Content Item Descriptions

Row 4 | No Concept Name is used for this container.
Rows 5-6 | The X-Concept values shall be monotonically increasing.
Row 7 | Secondary Capture Image containing a bitmap representation of the graph
Row 8 | Waveform containing a representation of the graph
Row 9 | Composite Object containing a rendered representation of the graph

## Mammography CAD SR IOD Templates

The Templates that comprise the Mammography CAD SR IOD are interconnected as in Figure A-8:

Figure A-8. Mammography CAD SR IOD Template Structure

In Figure A-8, '···' indicates possible recursive application of subordinate Templates.

### TID 4000 Mammography CAD Document Root

This Template forms the top of a content tree that allows a mammography CAD device to describe the results of detection and analysis of Mammographic evidence. This Template, together with its subordinate Templates, describes both the results for presentation to radiologists and partial product results for consumption by mammography CAD devices in subsequent mammography CAD reports.

This Template defines a Container that contains an Image Library, the mammography CAD results, and summaries of the detection and analysis algorithms performed. The Image Library contains the Image SOP Class and Instance UIDs, and selected attributes for each image referenced in either the algorithm summaries or mammography CAD results.

The Summary of Detections and Summary of Analyses sub-trees gather lists of algorithms attempted, grouped by success/failure status. Algorithms not attempted are not mentioned in these sub-trees. This information forms the basis for understanding why a mammography CAD report may produce no (or fewer than anticipated) results. Mammography CAD results are constructed bottom-up, starting from Single Image Findings (see TID 4006 “Mammography CAD Single Image Finding”), associated as Composite Features (see TID 4004 “Mammography CAD Composite Feature”), and from which Individual and Overall Impressions are formed.

See Figure E.1-1 “Top Levels of Mammography CAD SR Content Tree” in PS3.17 .

Type:

  Non-Extensible

Order:

  Significant

Root:

  Yes

Table TID 4000. Mammography CAD Document Root

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (111036, DCM, "Mammography CAD Report") | 1 | M |  | Root node
2 | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | M |  |
3 | > | CONTAINS | CONTAINER | EV (111028, DCM, "Image Library") | 1 | M |  |
4 | >> | CONTAINS | INCLUDE | DTID 4020 “CAD Image Library Entry” | 1-n | M |  | $ImageLaterality = DCID 6022 “Side” $ImageView = DCID 4014 “View for Mammography” $ImageViewMod = DCID 4015 “View Modifier for Mammography”
5 | > | CONTAINS | INCLUDE | DTID 4001 “Mammography CAD Overall Impression/Recommendation” | 1 | M |  |
6 | > | CONTAINS | CODE | EV (111064, DCM, "Summary of Detections") | 1 | M |  | DCID 6042 “Status of Results”
7 | >> | INFERRED FROM | INCLUDE | DTID 4015 “CAD Detections Performed” | 1 | MC | Shall be present unless the value of (111064, DCM, "Summary of Detections") is (111225, DCM, "Not Attempted") | $DetectionCode = DCID 6014 “Mammography Single Image Finding”
8 | > | CONTAINS | CODE | EV (111065, DCM, "Summary of Analyses") | 1 | M |  | DCID 6042 “Status of Results”
9 | >> | INFERRED FROM | INCLUDE | DTID 4016 “CAD Analyses Performed” | 1 | MC | Shall be present unless the value of (111065, DCM, "Summary of Analyses") is (111225, DCM, "Not Attempted") | $AnalysisCode = DCID 6043 “Types of Mammography CAD Analysis”

Content Item Descriptions

Image Library | The "Image Library" section of the Content Tree (TID 4000 “Mammography CAD Document Root”, row 3) shall include all Image SOP Instances from the Current Requested Procedure Evidence Sequence (0040,A375) attribute of the SR Document General module. If a portion of another instance of a Mammography CAD SR IOD is duplicated in the "Overall Impression/ Recommendation" section of the Content Tree, the "Image Library" shall also include all Image Library Entries referenced from the duplicated portions of the Mammography CAD SR.
Detections Performed | The "Detections Performed" and "Analyses Performed" sections of the Content Tree (TID 4000 “Mammography CAD Document Root”, rows 6 and 8) together shall reference all Image SOP Instances included in the Current Requested Procedure Evidence Sequence (0040,A375) attribute of the SR Document General module.
Analyses Performed

### TID 4001 Mammography CAD Overall Impression/Recommendation

This Template forms the top of the mammography CAD results sub-tree. The contents of this Template describe the overall impression the mammography CAD device had for the mammographic evidence presented and any recommendations that the mammography CAD device made. The details of the overall impression and recommendation are expressed in this instance of the Mammography CAD Impression/Recommendation Body (see TID 4002 “Mammography CAD Impression/Recommendation Body”). The data from which the details are inferred, are expressed in the Mammography CAD Individual Impression/Recommendations (see TID 4003 “Mammography CAD Individual Impression/Recommendation”), of which there may be several.

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4001. Mammography CAD Overall Impression/Recommendation

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (111017, DCM, "CAD Processing and Findings Summary") | 1 | M |  | DCID 6047 “CAD Processing and Findings Summary”
2 | > | HAS PROPERTIES | INCLUDE | DTID 4002 “Mammography CAD Impression/Recommendation Body” | 1 | U |  |
3 | > | INFERRED FROM | INCLUDE | DTID 4003 “Mammography CAD Individual Impression/Recommendation” | 1-n | MC | Shall be present if 1 or more (111059, DCM, "Single Image Finding") or (111015, DCM, "Composite Feature") Content Items are reported. |

Content Item Descriptions

CAD Processing and Findings Summary | This code value is used to express if and why the Overall Impression/Recommendation sub-tree is empty. The Summary of Detections and Summary of Analyses sub-trees of the Document Root node contain detail about which (if any) algorithms succeeded or failed. If the code value indicates that there were no findings, then the code value can be used to determine whether mammography CAD processing occurred successfully, without parsing the Summary of Detections and Summary of Analyses sub-trees.
Row 3 | There are no constraints regarding the 1-n multiplicity of the inclusion of TID 4003 “Mammography CAD Individual Impression/Recommendation” or its underlying structure, other than the TID 4001 “Mammography CAD Overall Impression/Recommendation” and TID 4003 “Mammography CAD Individual Impression/Recommendation” requirements. Individual Impression/Recommendation containers may be organized, for example per image, per finding or composite feature, or some combination thereof.

### TID 4002 Mammography CAD Impression/Recommendation Body

The details of an impression and recommendation are expressed in this Template. It is applied to both Mammography CAD Overall Impression/Recommendation (TID 4001 “Mammography CAD Overall Impression/Recommendation”) and Mammography CAD Individual Impression/Recommendation (TID 4003 “Mammography CAD Individual Impression/Recommendation”).

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4002. Mammography CAD Impression/Recommendation Body

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (111005, DCM, "Assessment Category") | 1-n | MC | At least one of rows 1, 3, 5, 6, 8, 9 shall be present. | DCID 6026 “Mammography Assessment”
2 | > | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | U |  | DCID 6022 “Side”
3 |  |  | CODE | EV (111023, DCM, "Differential Diagnosis/ Impression") | 1-n | MC | At least one of rows 1, 3, 5, 6, 8, 9 shall be present. | DCID 6002 “Change Since Last Mammogram or Prior Surgery”
4 | > | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | U |  | DCID 6022 “Side”
5 |  |  | TEXT | EV (111033, DCM, "Impression Description") | 1 | MC | At least one of rows 1, 3, 5, 6, 8, 9 shall be present. |
6 |  |  | CODE | EV (111053, DCM, "Recommended Follow-up") | 1-n | MC | At least one of rows 1, 3, 5, 6, 8, 9 shall be present. | DCID 6028 “Mammography Recommended Follow-up”
7 | > | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | U |  | DCID 6022 “Side”
8 |  |  | NUM | EV (111055, DCM, "Recommended Follow-up Interval") | 1 | MC | At least one of rows 1, 3, 5, 6, 8, 9 shall be present. May be present only if (111054, DCM, "Recommended Follow-up Date") is not present. | UNITS = DCID 6046 “Units of Follow-up Interval” Values = Integer ≥ 0, where 0 = immediate follow-up
9 |  |  | DATE | EV (111054, DCM, "Recommended Follow-up Date") | 1 | MC | At least one of rows 1, 3, 5, 6, 8, 9 shall be present. May be present only if (111055, DCM, "Recommended Follow-up Interval") is not present. | Shall be later than date of exam
10 |  |  | NUM | EV (111013, DCM, "Certainty of impression") | 1 | UC | May be present only if (111005, DCM, "Assessment Category"), (111023, DCM, "Differential Diagnosis/Impression") or (111033, DCM, "Impression Description") is present. | UNITS = EV (%, UCUM, "Percent") Values = 0 - 100
11 |  |  | INCLUDE | DTID 4019 “Algorithm Identification” | 1-n | M |  |
12 |  |  | NUM | DCID 6142 “Calculated Value” | 1-n | U |  |
13 | > | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | U |  | DCID 6022 “Side”
14 | > | HAS CONCEPT MOD | CODE | EV (121401, DCM, "Derivation") | 1 | M |  | DCID 6140 “Calculation Methods”
15 | > | INFERRED FROM | TEXT | EV (112034, DCM, "Calculation Description") | 1 | U |  |

Content Item Descriptions

Certainty of Impression | The certainty that the device populating the Mammography CAD SR report places on this impression, where 0 equals no certainty and 100 equals certainty.
Impression Description | Free-form text describing the overall or an individual impression

### TID 4003 Mammography CAD Individual Impression/Recommendation

This Template collects an individual impression the mammography CAD device had for a lesion, non-lesion object, or correlation of related objects. The details of the impression and recommendation are expressed in the Mammography CAD Impression/Recommendation Body (see TID 4002 “Mammography CAD Impression/Recommendation Body”). The data from which the details are inferred are expressed in the Composite Features (see TID 4004 “Mammography CAD Composite Feature”) and/or Single Image Findings (see TID 4006 “Mammography CAD Single Image Finding”) of which there may be several.

The sub-tree headed by this Template is illustrated in Figure E.1-3 “Example of Individual Impression/Recommendation Levels of Mammography CAD SR Content Tree” in PS3.17 .

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4003. Mammography CAD Individual Impression/Recommendation

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (111034, DCM, "Individual Impression/ Recommendation") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (111056, DCM, "Rendering Intent") | 1 | M |  | DCID 6034 “Intended Use of CAD Output”
3 | > | CONTAINS | INCLUDE | DTID 4002 “Mammography CAD Impression/Recommendation Body” | 1 | U |  |
4 | > | CONTAINS | INCLUDE | DTID 4004 “Mammography CAD Composite Feature” | 1-n | MC | At least one of rows 4, 5 shall be present. |
5 | > | CONTAINS | INCLUDE | DTID 4006 “Mammography CAD Single Image Finding” | 1-n | MC | At least one of rows 4, 5 shall be present. |

Content Item Descriptions

Rendering Intent | This Content Item constrains the SCP receiving the Mammography CAD SR IOD in its use of the contents of this Template and its Target Content Items. Mammography CAD devices may opt to use data marked "Not for Presentation" or "Presentation Optional" as input to subsequent mammography CAD processing steps. Refer to Section O.2 “Structured Reporting Storage SOP Class SCU and SCP Behavior” in PS3.4 .

### TID 4004 Mammography CAD Composite Feature

This Template collects a composite feature for a lesion, non-lesion object, or correlation of related objects. The details of the composition are expressed in the Mammography CAD Composite Feature Body (see TID 4005 “Mammography CAD Composite Feature Body”). The data from which the details are inferred, are expressed in the Composite Features (see TID 4004 “Mammography CAD Composite Feature”) and/or Single Image Findings (see TID 4006 “Mammography CAD Single Image Finding”), of which there may be several.

A Composite Feature shall be INFERRED FROM any combination of two or more Composite Features or Single Image Findings or mixture thereof.

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4004. Mammography CAD Composite Feature

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (111015, DCM, "Composite Feature") | 1 | M |  | DCID 6016 “Mammography Composite Feature”
2 | > | HAS CONCEPT MOD | CODE | EV (111056, DCM, "Rendering Intent") | 1 | M |  | DCID 6034 “Intended Use of CAD Output”
3 | > | HAS OBS CONTEXT | INCLUDE | DTID 4108 “Tracking Identifier” | 1 | U |  |
4 | > | HAS PROPERTIES | INCLUDE | DTID 4005 “Mammography CAD Composite Feature Body” | 1 | M |  |
5 | > | INFERRED FROM | INCLUDE | DTID 4004 “Mammography CAD Composite Feature” | 1-n | MC | At least two items shall be present: two of row 5, two of row 6, or one of each. |
6 | > | INFERRED FROM | INCLUDE | DTID 4006 “Mammography CAD Single Image Finding” | 1-n | MC | At least two items shall be present: two of row 5, two of row 6, or one of each. |
7 | > | HAS OBS CONTEXT | INCLUDE | DTID 4022 “CAD Observation Context” | 1 | MC | Shall be present only if this feature is incorporated from a different report than its parent. |

Content Item Descriptions

Rendering Intent | This Content Item constrains the SCP receiving the Mammography CAD SR IOD in its use of the contents of this Template and its Target Content Items. Mammography CAD devices may opt to use data marked "Not for Presentation" or "Presentation Optional" as input to subsequent mammography CAD processing steps. Refer to Section O.2 “Structured Reporting Storage SOP Class SCU and SCP Behavior” in PS3.4 .

### TID 4005 Mammography CAD Composite Feature Body

The details of a composite feature are expressed in this Template. It is applied to Mammography CAD Composite Feature (TID 4004 “Mammography CAD Composite Feature”).

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4005. Mammography CAD Composite Feature Body

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (111016, DCM, "Composite type") | 1 | M |  | DCID 6035 “Composite Feature Relations” The value shall be (111155, DCM, "Target content items are related contra-laterally") if the parent Content Item has code value (129789007, SCT, "Focal asymmetric breast tissue") or (129790003, SCT, "Asymmetric breast tissue").
2 |  |  | CODE | EV (111057, DCM, "Scope of Feature") | 1 | M |  | DCID 6036 “Scope of Feature”
3 |  |  | INCLUDE | DTID 4019 “Algorithm Identification” | 1 | M |  |
4 |  |  | NUM | EV (111011, DCM, "Certainty of Feature") | 1 | U |  | UNITS = EV (%, UCUM, "Percent") Value = 0 - 100
5 |  |  | NUM | EV (111047, DCM, "Probability of cancer") | 1 | UC | May be present only if value of parent is not (111102, DCM, "Non-lesion") | UNITS = EV (%, UCUM, "Percent") Value = 0 - 100
6 |  |  | CODE | EV (111042, DCM, "Pathology") | 1-n | U |  | BCID 6030 “Mammography Pathology Codes”
7 |  |  | INCLUDE | DTID 1400 “Linear Measurement” | 1-n | U |  | If the measured path is encoded, the SCOORD and its by-reference relationship to the IMAGE in TID 1400 “Linear Measurement” shall be used.
8 |  |  | INCLUDE | DTID 1401 “Area Measurement” | 1-n | U |  | If the measured path is encoded, the SCOORD and its by-reference relationship to the IMAGE in TID 1401 “Area Measurement” shall be used.
9 |  |  | INCLUDE | DTID 1402 “Volume Measurement” | 1-n | U |  | If the measured path is encoded, the SCOORD and its by-reference relationship to the IMAGE in TID 1402 “Volume Measurement” shall be used.
10 |  |  | INCLUDE | DTID 4021 “Mammography CAD Geometry” | 1-n | U |  |
11 |  |  | NUM | DCID 6037 “Mammography Quantitative Temporal Difference Type” | 1-n | UC | May be present only if the value of (111016, DCM, "Composite type") is (111153, DCM, "Target content items are related temporally") | UNITS = DCID 7460 “Units of Linear Measurement” UNITS = DCID 7461 “Units of Area Measurement” UNITS = DCID 7462 “Units of Volume Measurement” UNITS = DT (1, UCUM, "no units")
12 | > | R-INFERRED FROM | NUM |  | 2 | U |  | The referenced numeric values shall have the same Concept Name. Their UNITS shall be the same as row 11
13 |  |  | CODE | EV (111049, DCM, "Qualitative Difference") | 1-n | UC | May be present only if the value of (111016, DCM, "Composite type") is (111153, DCM, "Target content items are related temporally") | DCID 6038 “Mammography Qualitative Temporal Difference Type”
14 | > | HAS PROPERTIES | TEXT | EV (111021, DCM, "Description of Change") | 1 | U |  |
15 | > | R-INFERRED FROM | CODE |  | 2 | M |  | The referenced code values shall have the same Concept Name and be from the same context group.
16 |  |  | CODE | EV (111048, DCM, "Quadrant location") | 1 | U |  | DCID 6020 “Quadrant Location”
17 |  |  | CODE | EV (111014, DCM, "Clockface or region") | 1 | U |  | DCID 6018 “Clockface Location or Region”
18 |  |  | CODE | EV (111020, DCM, "Depth") | 1 | U |  | DCID 6024 “Depth”
19 |  |  | CODE | EV (111035, DCM, "Lesion Density") | 1 | UC | May be present only if value of parent is (129788004, SCT, "Mammographic breast mass") or (129793001, SCT, "Mammography breast density") | DCID 6008 “Density Modifier”
20 |  |  | CODE | EV (107644003, SCT, "Shape") | 1 | UC | May be present only if value of parent is (129788004, SCT, "Mammographic breast mass") or (129793001, SCT, "Mammography breast density") | DCID 6004 “Mammography Characteristics of Shape”
21 |  |  | CODE | EV (111037, DCM, "Margins") | 1-n | UC | May be present only if value of parent is (129788004, SCT, "Mammographic breast mass") or (129793001, SCT, "Mammography breast density") | DCID 6006 “Mammography Characteristics of Margin”
22 |  |  | CODE | EV (111009, DCM, "Calcification Type") | 1-n | UC | May be present only if value of parent is (129769006, SCT, "Calcification Cluster") or (129770007, SCT, "Individual Calcification") | DCID 6010 “Mammography Calcification Types”
23 |  |  | CODE | EV (111008, DCM, "Calcification Distribution") | 1 | UC | May be present only if value of parent is (129769006, SCT, "Calcification Cluster") | DCID 6012 “Calcification Distribution Modifier”
24 |  |  | NUM | EV (111038, DCM, "Number of calcifications") | 1 | UC | May be present only if value of parent is (129769006, SCT, "Calcification Cluster") | UNITS = EV (1, UCUM, "no units") Value = Integer 1 - n
25 |  |  | NUM | DCID 6142 “Calculated Value” | 1-n | U |  |
26 | > | HAS CONCEPT MOD | CODE | EV (121401, DCM, "Derivation") | 1 | M |  | DCID 6140 “Calculation Methods”
27 | > | INFERRED FROM | TEXT | EV (112034, DCM, "Calculation Description") | 1 | U |  |

Content Item Descriptions

Certainty of Feature | The likelihood that the feature analyzed, and classified by the CODE specified in the Composite Feature parent Template, is in fact that type of feature.
Volume Measurement | If dimensions for a volume are to be stated in terms of length, width, and depth, then one shall use 3 instances of TID 1400 “Linear Measurement”.
Row 11 | Values ≤ 0 are allowed. The two referenced numeric values are Target Content Items of the first generation Composite Feature or Single Image Finding children of this composite feature. Given the equation, A - B, the value representing A shall be referenced first.
Qualitative Difference | The two referenced code values are Target Content Items of the first generation Composite Feature or Single Image Finding children of this composite feature.

### TID 4006 Mammography CAD Single Image Finding

This Template describes a single image finding for a lesion or other object. The details of the finding are expressed in this Template and/or more specific Templates. The details from which a single image Calcification Cluster is inferred may be expressed in a number of Single Image Findings (see TID 4006 “Mammography CAD Single Image Finding”) of type Individual Calcification.

A Single Image Finding of type Breast Composition may be INFERRED FROM by-reference to a Single Image Finding of type Breast Geometry.

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4006. Mammography CAD Single Image Finding

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (111059, DCM, "Single Image Finding") | 1 | M |  | DCID 6014 “Mammography Single Image Finding”
2 | > | HAS CONCEPT MOD | CODE | EV (111056, DCM, "Rendering Intent") | 1 | M |  | DCID 6034 “Intended Use of CAD Output”
3 | >> | HAS PROPERTIES | NUM | EV (111071, DCM, "CAD Operating Point") | 1 | UC | IFF value of row 2 is (111151, DCM, "Presentation Optional") and row 9 of TID 4017 “CAD Detection Performed” is present | UNITS = DT ({1:n}, UCUM, "range: 1:n"), where n is the maximum specified in Row 9 of TID 4017 “CAD Detection Performed”. Value is restricted to being an integer
4 | > | HAS OBS CONTEXT | INCLUDE | DTID 4108 “Tracking Identifier” | 1 | U |  |
5 | > | HAS PROPERTIES | INCLUDE | DTID 4019 “Algorithm Identification” | 1 | M |  |
6 | > | HAS PROPERTIES | NUM | EV (111012, DCM, "Certainty of Finding") | 1 | U |  | UNITS = EV (%, UCUM, "Percent") Value = 0 - 100
7 | > | HAS PROPERTIES | NUM | EV (111047, DCM, "Probability of cancer") | 1 | UC | May be present unless value of parent is (129715009, SCT, "Breast composition"), (111100, DCM, "Breast geometry"), (24142002, SCT, "Nipple"), (111099, DCM, "Selected region"), (111101, DCM, "Image quality") or (111102, DCM, "Non-lesion") | UNITS = EV (%, UCUM, "Percent") Value = 0 - 100
8 | > | HAS PROPERTIES | INCLUDE | DTID 4021 “Mammography CAD Geometry” | 1 | MC | Shall be present unless value of parent is (129715009, SCT, "Breast composition"), (111100, DCM, "Breast geometry") or (111101, DCM, "Image quality") |
9 | > | HAS PROPERTIES | INCLUDE | DTID 4007 “Mammography CAD Breast Composition” | 1 | MC | Shall be present only if value of parent is (129715009, SCT, "Breast composition") |
10 | > | R-INFERRED FROM | CODE |  | 1-n | UC | May be present only if value of parent is (129715009, SCT, "Breast composition") | Shall reference a (111059, DCM, "Single Image Finding") of value: EV (111100, DCM, "Breast geometry")
11 | > | HAS PROPERTIES | INCLUDE | DTID 4008 “Mammography CAD Breast Geometry” | 1 | MC | Shall be present only if value of parent is (111100, DCM, "Breast geometry") |
12 | > | HAS PROPERTIES | INCLUDE | DTID 4009 “Mammography CAD Individual Calcification” | 1 | UC | May be present only if value of parent is (129770007, SCT, "Individual Calcification") |
13 | > | HAS PROPERTIES | INCLUDE | DTID 4010 “Mammography CAD Calcification Cluster” | 1 | UC | May be present only if value of parent is (129769006, SCT, "Calcification Cluster") |
14 | > | HAS PROPERTIES | INCLUDE | DTID 4011 “Mammography CAD Density” | 1 | UC | May be present only if value of parent is (129793001, SCT, "Mammography breast density") |
15 | > | HAS PROPERTIES | CODE | EV (111297, DCM, "Nipple Characteristic") | 1 | UC | May be present only if value of parent is (24142002, SCT, "Nipple") | DCID 6039 “Nipple Characteristic”
16 | > | HAS PROPERTIES | INCLUDE | DTID 4012 “Mammography CAD Non-lesion” | 1 | MC | Shall be present only if value of parent is (111102, DCM, "Non-lesion") |
17 | > | HAS PROPERTIES | INCLUDE | DTID 4013 “Mammography CAD Selected Region” | 1 | MC | Shall be present only if value of parent is (111099, DCM, "Selected Region") |
18 | > | R-INFERRED FROM | IMAGE |  | 1 | MC | IF value of parent is (111101, DCM, "Image quality") and IFF row 19 is not present | Shall reference an IMAGE Content Item in the (111028, DCM, "Image Library")
19 | > | HAS PROPERTIES | SCOORD | EV (111030, DCM, "Image Region") | 1-n | MC | IF value of parent is (111101, DCM, "Image quality") and IFF row 18 is not present |
20 | >> | R-SELECTED FROM | IMAGE |  | 1 | M |  | All the (111030, DCM, "Image Region") Content Items in a single invocation of this Template shall reference the same IMAGE Content Item in the (111028, DCM, "Image Library")
21 | > | HAS PROPERTIES | INCLUDE | DTID 4014 “CAD Image Quality” | 1-n | MC | Shall be present only if value of parent is (111101, DCM, "Image quality") | $QualityFinding = DCID 6041 “Mammography Image Quality Finding” $QualityStandard = DCID 6045 “Mammography Types of Quality Control Standard”
22 | > | HAS PROPERTIES | NUM | DCID 6142 “Calculated Value” | 1-n | U |  |
23 | >> | HAS CONCEPT MOD | CODE | EV (121401, DCM, "Derivation") | 1 | M |  | DCID 6140 “Calculation Methods”
24 | >> | INFERRED FROM | TEXT | EV (112034, DCM, "Calculation Description") | 1 | U |  |
25 | > | INFERRED FROM | INCLUDE | DTID 4006 “Mammography CAD Single Image Finding” | 1-n | UC | May be present only if value of parent is (129769006, SCT, "Calcification Cluster") | EV (129770007, SCT, "Individual Calcification")
26 | > | HAS OBS CONTEXT | INCLUDE | DTID 4022 “CAD Observation Context” | 1 | MC | Shall be present only if this finding is incorporated from a different report than its parent. |

Content Item Descriptions

Rendering Intent | This Content Item constrains the SCP receiving the Mammography CAD SR IOD in its use of the contents of this Template and its Target Content Items. Mammography CAD devices may opt to use data marked "Not for Presentation" or "Presentation Optional" as input to subsequent mammography CAD processing steps. Refer to Section O.2 “Structured Reporting Storage SOP Class SCU and SCP Behavior” in PS3.4 .
CAD Operating Point | Additional information to use when Rendering Intent is "Presentation Optional". A CAD Operating Point of zero is not sent, and is encoded as a Rendering Intent of "Presentation Required". See Section O.2 “Structured Reporting Storage SOP Class SCU and SCP Behavior” in PS3.4 and Section E.4 “CAD Operating Point” in PS3.17 .
Single Image Finding | A Single Image Finding (whose parent is a Single Image Finding of type Calcification Cluster) allows one level of nesting for the definition of individual calcifications within the cluster. To use this Template recursively, this Single Image Finding code value shall be "Individual Calcification".
Certainty of Finding | The likelihood that the finding detected, and classified by the CODE specified in the Single Image Finding parent Template, is in fact that type of finding.

### TID 4007 Mammography CAD Breast Composition

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4007. Mammography CAD Breast Composition

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (129715009, SCT, "Breast composition") | 1 | MC | At least one of row 1 or 2 shall be present | DCID 6000 “Overall Breast Composition”
2 |  |  | NUM | EV (111046, DCM, "Percent Fibroglandular Tissue") | 1 | MC | At least one of row 1 or 2 shall be present | UNITS = EV (%, UCUM, "Percent") Value = 0 - 100

Content Item Descriptions

Percent Fibroglandular Tissue | Percent of breast area that is mammographically dense, excluding pectoralis muscle.

### TID 4008 Mammography CAD Breast Geometry

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4008. Mammography CAD Breast Geometry

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | SCOORD | EV (111007, DCM, "Breast Outline Including Pectoral Muscle Tissue") | 1 | M |  | GRAPHIC TYPE = {POLYLINE}
2 | > | R-SELECTED FROM | IMAGE |  | 1 | M |  | Shall reference an IMAGE Content Item in the (111028, DCM, "Image Library")
3 |  |  | SCOORD | EV (111045, DCM, "Pectoral Muscle Outline") | 1 | U |  | GRAPHIC TYPE = {POLYLINE}
4 | > | R-SELECTED FROM | IMAGE |  | 1 | M |  | Shall reference the same node as row 2

Content Item Descriptions

Figure A-8a. Example of Breast Outline Including Pectoral Muscle Tissue | Figure A-8b. Example of Pectoral Muscle Outline

### TID 4009 Mammography CAD Individual Calcification

This Template provides the detail specific to an individual calcification.

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4009. Mammography CAD Individual Calcification

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (111009, DCM, "Calcification Type") | 1-n | MC | At least one of rows 1, 2, 3 shall be present | DCID 6010 “Mammography Calcification Types”
2 |  |  | INCLUDE | DTID 1400 “Linear Measurement” | 1-n | MC | At least one of rows 1, 2, 3 shall be present | If the measured path is encoded, the SCOORD and its by-reference relationship to the IMAGE in TID 1400 “Linear Measurement” shall be used.
3 |  |  | INCLUDE | DTID 1401 “Area Measurement” | 1-n | MC | At least one of rows 1, 2, 3 shall be present | If the measured path is encoded, the SCOORD and its by-reference relationship to the IMAGE in TID 1401 “Area Measurement” shall be used.
4 |  |  | INCLUDE | DTID 1402 “Volume Measurement” | 1-n | U |  | If the measured path is encoded, the SCOORD and its by-reference relationship to the IMAGE in TID 1402 “Volume Measurement” shall be used.

### TID 4010 Mammography CAD Calcification Cluster

This Template provides the detail specific to a calcification cluster.

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4010. Mammography CAD Calcification Cluster

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (111009, DCM, "Calcification Type") | 1-n | MC | At least one of rows 1, 2, 3, 4, 5 shall be present | DCID 6010 “Mammography Calcification Types”
2 |  |  | CODE | EV (111008, DCM, "Calcification Distribution") | 1 | MC | At least one of rows 1, 2, 3, 4, 5 shall be present | DCID 6012 “Calcification Distribution Modifier”
3 |  |  | NUM | EV (111038, DCM, "Number of calcifications") | 1 | MC | At least one of rows 1, 2, 3, 4, 5 shall be present | UNITS = EV (1, UCUM, "no units") Value = Integer > = 1
4 |  |  | INCLUDE | DTID 1400 “Linear Measurement” | 1-n | MC | At least one of rows 1, 2, 3, 4, 5 shall be present | If the measured path is encoded, the SCOORD and its by-reference relationship to the IMAGE in TID 1400 “Linear Measurement” shall be used.
5 |  |  | INCLUDE | DTID 1401 “Area Measurement” | 1-n | MC | At least one of rows 1, 2, 3, 4, 5 shall be present | If the measured path is encoded, the SCOORD and its by-reference relationship to the IMAGE in TID 1401 “Area Measurement” shall be used.
6 |  |  | INCLUDE | DTID 1402 “Volume Measurement” | 1-n | U |  | If the measured path is encoded, the SCOORD and its by-reference relationship to the IMAGE in TID 1402 “Volume Measurement” shall be used.

### TID 4011 Mammography CAD Density

This Template provides the detail specific to a density.

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4011. Mammography CAD Density

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (111035, DCM, "Lesion Density") | 1 | MC | At least one of rows 1, 2, 3, 4, 5 shall be present | DCID 6008 “Density Modifier”
2 |  |  | CODE | EV (107644003, SCT, "Shape") | 1 | MC | At least one of rows 1, 2, 3, 4, 5 shall be present | DCID 6004 “Mammography Characteristics of Shape”
3 |  |  | CODE | EV (111037, DCM, "Margins") | 1-n | MC | At least one of rows 1, 2, 3, 4, 5 shall be present | DCID 6006 “Mammography Characteristics of Margin”
4 |  |  | INCLUDE | DTID 1400 “Linear Measurement” | 1-n | MC | At least one of rows 1, 2, 3, 4, 5 shall be present | If the measured path is encoded, the SCOORD and its by-reference relationship to the IMAGE in TID 1400 “Linear Measurement” shall be used.
5 |  |  | INCLUDE | DTID 1401 “Area Measurement” | 1-n | MC | At least one of rows 1, 2, 3, 4, 5 shall be present | If the measured path is encoded, the SCOORD and its by-reference relationship to the IMAGE in TID 1401 “Area Measurement” shall be used.
6 |  |  | INCLUDE | DTID 1402 “Volume Measurement” | 1-n | U |  | If the measured path is encoded, the SCOORD and its by-reference relationship to the IMAGE in TID 1402 “Volume Measurement” shall be used.

### TID 4012 Mammography CAD Non-lesion

This Template provides the detail specific to a finding other than a lesion (see CID 6040 “Non-lesion Object Type”).

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4012. Mammography CAD Non-lesion

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (111039, DCM, "Object type") | 1 | M |  | DCID 6040 “Non-lesion Object Type”
2 |  |  | INCLUDE | DTID 1400 “Linear Measurement” | 1-n | U |  | If the measured path is encoded, the SCOORD and its by-reference relationship to the IMAGE in TID 1400 “Linear Measurement” shall be used.
3 |  |  | INCLUDE | DTID 1401 “Area Measurement” | 1-n | U |  | If the measured path is encoded, the SCOORD and its by-reference relationship to the IMAGE in TID 1401 “Area Measurement” shall be used.
4 |  |  | INCLUDE | DTID 1402 “Volume Measurement” | 1-n | U |  | If the measured path is encoded, the SCOORD and its by-reference relationship to the IMAGE in TID 1402 “Volume Measurement” shall be used.

### TID 4013 Mammography CAD Selected Region

This Template provides the detail specific to a selected region. A selected region is any mammography CAD derived arbitrary region of the image, whether within the breast outline or not. This can be use to delineate regions such as the intramammary fold.

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4013. Mammography CAD Selected Region

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | TEXT | EV (111058, DCM, "Selected Region Description") | 1 | M |  |
2 |  |  | INCLUDE | DTID 1400 “Linear Measurement” | 1-n | U |  | If the measured path is encoded, the SCOORD and its by-reference relationship to the IMAGE in TID 1400 “Linear Measurement” shall be used.
3 |  |  | INCLUDE | DTID 1401 “Area Measurement” | 1-n | U |  | If the measured path is encoded, the SCOORD and its by-reference relationship to the IMAGE in TID 1401 “Area Measurement” shall be used.
4 |  |  | INCLUDE | DTID 1402 “Volume Measurement” | 1-n | U |  | If the measured path is encoded, the SCOORD and its by-reference relationship to the IMAGE in TID 1402 “Volume Measurement” shall be used.

### TID 4014 CAD Image Quality

This Template provides the detail specific to image quality. It allows the encoding of descriptors of image quality (e.g., CID 6041 “Mammography Image Quality Finding”) for a given image or region of an image. For instance, images with partial motion blur can be identified with the region noted.

Table TID 4014. Parameters

Parameter Name | Parameter Usage
--- | ---
$QualityFinding | Coded term or Context Group for Quality Finding
$QualityStandard | Coded term or Context Group for Quality Control Standard

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4014. CAD Image Quality

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (111052, DCM, "Quality Finding") | 1 | M |  | $QualityFinding
2 | > | HAS PROPERTIES | CODE | EV (111050, DCM, "Quality Assessment") | 1 | U |  | DCID 6044 “Types of Image Quality Assessment”
3 | > | HAS PROPERTIES | CODE | EV (111051, DCM, "Quality Control Standard") | 1 | UC | Shall be present if row 2 is present. | $QualityStandard
4 | > | HAS PROPERTIES | NUM | EV (111029, DCM, "Image Quality Rating") | 1 | U |  | UNITS = EV (%, UCUM, "Percent") Value = 0 - 100

Content Item Descriptions

Image Quality Rating | A numeric value in the range 0 to 100, inclusive, where 0 is worst quality and 100 is best quality.

### TID 4015 CAD Detections Performed

This Template gathers two lists of detection algorithms attempted, grouped by success/failure status. Algorithms not attempted are not mentioned in this sub-tree of the Document Root (e.g., TID 4000 “Mammography CAD Document Root”). This information forms the basis for understanding why a CAD report may produce no (or fewer than anticipated) detection results.

The sub-tree formed by this Template is illustrated in Figure E.1-2 “Summary of Detections and Analyses Levels of Mammography CAD SR Content Tree” in PS3.17 .

Table TID 4015. Parameters

Parameter Name | Parameter Usage
--- | ---
$DetectionCode | Coded term or Context Group for Detection Performed

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4015. CAD Detections Performed

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (111063, DCM, "Successful Detections") | 1 | MC | Shall be present only if value of parent is (111222, DCM, "Succeeded") or (111223, DCM, "Partially Succeeded") |
2 | > | CONTAINS | INCLUDE | DTID 4017 “CAD Detection Performed” | 1-n | M |  | $DetectionCode = $DetectionCode
3 |  |  | CONTAINER | EV (111025, DCM, "Failed Detections") | 1 | MC | Shall be present only if value of parent is (111224, DCM, "Failed") or (111223, DCM, "Partially Succeeded") |
4 | > | CONTAINS | INCLUDE | DTID 4017 “CAD Detection Performed” | 1-n | M |  | $DetectionCode = $DetectionCode

### TID 4016 CAD Analyses Performed

This Template gathers two lists of analysis algorithms attempted, grouped by success/failure status. Algorithms not attempted are not mentioned in this sub-tree of the Document Root (e.g., TID 4000 “Mammography CAD Document Root”). This information forms the basis for understanding why a CAD report may produce no (or fewer than anticipated) analysis results.

The sub-tree formed by this Template is illustrated in Figure E.1-2 “Summary of Detections and Analyses Levels of Mammography CAD SR Content Tree” in PS3.17 .

Table TID 4016. Parameters

Parameter Name | Parameter Usage
--- | ---
$AnalysisCode | Coded term or Context Group for Analysis Performed

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4016. CAD Analyses Performed

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (111062, DCM, "Successful Analyses") | 1 | MC | Shall be present only if value of parent is (111222, DCM, "Succeeded") or (111223, DCM, "Partially Succeeded") |
2 | > | CONTAINS | INCLUDE | DTID 4018 “CAD Analysis Performed” | 1-n | M |  | $AnalysisCode = $AnalysisCode
3 |  |  | CONTAINER | EV (111024, DCM, "Failed Analyses") | 1 | MC | Shall be present only if value of parent is (111224, DCM, "Failed") or (111223, DCM, "Partially Succeeded") |
4 | > | CONTAINS | INCLUDE | DTID 4018 “CAD Analysis Performed” | 1-n | M |  | $AnalysisCode = $AnalysisCode

### TID 4017 CAD Detection Performed

This Template fully identifies a detection algorithm and the images and/or image regions on which it operated (see TID 4015 “CAD Detections Performed”).

Table TID 4017. Parameters

Parameter Name | Parameter Usage
--- | ---
$DetectionCode | Coded term or Context Group for Detection Performed

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4017. CAD Detection Performed

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (111022, DCM, "Detection Performed") | 1 | M |  | $DetectionCode
2 | > | HAS PROPERTIES | INCLUDE | DTID 4019 “Algorithm Identification” | 1 | M |  |
3 | > | HAS PROPERTIES | IMAGE |  | 1-n | MC | At least one of row 3, 4, 5 or 6 shall be present |
4 | > | R-HAS PROPERTIES | IMAGE |  | 1-n | MC | At least one of row 3, 4, 5 or 6 shall be present | Shall reference IMAGE Content Item(s) in the (111028, DCM, "Image Library")
5 | > | HAS PROPERTIES | UIDREF | EV (112002, DCM, "Series Instance UID") | 1-n | MC | At least one of row 3, 4, 5 or 6 shall be present |
6 | > | HAS PROPERTIES | SCOORD | EV (111030, DCM, "Image Region") | 1-n | MC | At least one of row 3, 4, 5 or 6 shall be present |
7 | >> | SELECTED FROM | IMAGE |  | 1 | MC | XOR row 8 |
8 | >> | R-SELECTED FROM | IMAGE |  | 1 | MC | XOR row 7 | Shall reference an IMAGE Content Item in the (111028, DCM, "Image Library")
9 | > |  | INCLUDE | DTID 4023 “CAD Operating Points” | 1 | U |  |

Content Item Descriptions

Algorithm Identification | If more than one detection algorithm has the same "Detection Performed" code value (e.g., CID 6014 “Mammography Single Image Finding”) then the "CAD Algorithm Identification" shall unambiguously distinguish between algorithms.
Rows 5, 6 | Mammography CAD SR: When this Template is invoked for the Mammography CAD SR, the Image Library is mandatory, thus only row 4 and/or row 6 shall be present. Chest CAD SR: When this Template is invoked for the Chest CAD SR, the Image Library is optional, thus any combination of rows 3, 4, 5 and 6 may be present. Colon CAD SR: When this Template is invoked for the Colon CAD SR, the Image Library does not exist, thus rows 3, 5, and/or 6 may be present and row 4 shall not be present.
Rows 5, 6 | Mammography CAD SR: When this Template is invoked for the Mammography CAD SR, the Image Library is mandatory, thus only row 8 shall be present. Chest CAD SR: When this Template is invoked for the Chest CAD SR, the Image Library is optional, thus row 7 or 8 may be present. Colon CAD SR: When this Template is invoked for the Colon CAD SR, the Image Library does not exist, thus only row 7 may be present.

### TID 4018 CAD Analysis Performed

This Template fully identifies an analysis algorithm and the images and/or image regions on which it operated (see TID 4016 “CAD Analyses Performed”).

Table TID 4018. Parameters

Parameter Name | Parameter Usage
--- | ---
$AnalysisCode | Coded term or Context Group for Analysis Performed

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4018. CAD Analysis Performed

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (111004, DCM, "Analysis Performed") | 1 | M |  | $AnalysisCode
2 | > | HAS PROPERTIES | INCLUDE | DTID 4019 “Algorithm Identification” | 1 | M |  |
3 | > | HAS PROPERTIES | IMAGE |  | 1-n | MC | At least one of row 3, 4, 5 or 6 shall be present |
4 | > | R-HAS PROPERTIES | IMAGE |  | 1-n | MC | At least one of row 3, 4, 5 or 6 shall be present | Shall reference IMAGE Content Item(s) in the (111028, DCM, "Image Library")
5 | > | HAS PROPERTIES | UIDREF | EV (112002, DCM, "Series Instance UID") | 1-n | MC | At least one of row 3, 4, 5 or 6 shall be present |
6 | > | HAS PROPERTIES | SCOORD | EV (111030, DCM, "Image Region") | 1-n | MC | At least one of row 3, 4, 5 or 6 shall be present |
7 | >> | SELECTED FROM | IMAGE |  | 1 | MC | XOR Row 8 |
8 | >> | R-SELECTED FROM | IMAGE |  | 1 | MC | XOR Row 7 | Shall reference an IMAGE Content Item in the (111028, DCM, "Image Library")
9 | > |  | INCLUDE | DTID 4023 “CAD Operating Points” | 1 | U |  |

Content Item Descriptions

Algorithm Identification | If more than one analysis algorithm has the same "Analysis Performed" code value (e.g., CID 6043 “Types of Mammography CAD Analysis”) then the "CAD Algorithm Identification" shall unambiguously distinguish between algorithms.
Rows 5, 6 | Mammography CAD SR: When this Template is invoked for the Mammography CAD SR, the Image Library is mandatory, and a total of at least two instances of row 4 or row 6 shall be present. Chest CAD SR: When this Template is invoked for the Chest CAD SR, the Image Library is optional, thus any combination of rows 3, 4, 5 and 6 may be present. Colon CAD SR: When this Template is invoked for the Colon CAD SR, the Image Library does not exist, thus rows 3, 5 and/or 6 may be present and row 4 shall not be present.
Rows 5, 6 | Mammography CAD SR: When this Template is invoked for the Mammography CAD SR, the Image Library is mandatory, thus only row 8 shall be present. Chest CAD SR: When this Template is invoked for the Chest CAD SR, the Image Library is optional, thus row 7 or 8 may be present. Colon CAD SR: When this Template is invoked for the Colon CAD SR, the Image Library does not exist, thus only row 7 may be present.

### TID 4019 Algorithm Identification

This Template details the algorithm unambiguously. Re-state the software identification from the General Equipment Module of the SR IOD if all algorithms are unambiguously defined by that module.

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4019. Algorithm Identification

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | TEXT | EV (111001, DCM, "Algorithm Name") | 1 | M |  |
1b |  |  | CODE | EV (111001, DCM, "Algorithm Name") | 1 | U |  |
2 |  |  | TEXT | EV (111003, DCM, "Algorithm Version") | 1 | M |  |
3 |  |  | TEXT | EV (111002, DCM, "Algorithm Parameters") | 1-n | U |  |
4 |  |  | CODE | EV (111000, DCM, "Algorithm Family") | 1 | U |  |

Content Item Descriptions

Row 1 | May be the same as the Manufacturer's Model Name (0008,1090) in General Equipment Module, if the Algorithm is not distinguishable from the body of software that makes up the Equipment.
Row 2 | May be the same as Software Versions (0018,1020) in General Equipment Module, if the latter is a single Value, or its multiple Values are combined into a single TEXT Content Item Value.

### TID 4020 CAD 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 spatial analysis without having to retrieve the entire set of referenced images. If values for the attributes are not present in the Image SOP Instance, then as many of the attributes as possible should be derived.

Table TID 4020. Parameters

Parameter Name | Parameter Usage
--- | ---
$ImageLaterality | Coded term or Context Group for Image Laterality
$ImageView | Coded term or Context Group for Image View
$ImageViewMod | Coded term or Context Group for Image View Modifier

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 4020. CAD 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 | CODE | EV (111027, DCM, "Image Laterality") | 1 | MC | Shall be present if (0020,0062) is in the Image Instance | $ImageLaterality
3 | > | HAS ACQ CONTEXT | CODE | EV (111031, DCM, "Image View") | 1 | MC | Shall be present if (0054,0220) is in the Image Instance | $ImageView
4 | >> | HAS CONCEPT MOD | CODE | EV (111032, DCM, "Image View Modifier") | 1-n | MC | Shall be present if (0054,0222) is in the Image Instance | $ImageViewMod
5 | > | HAS ACQ CONTEXT | TEXT | EV (111044, DCM, "Patient Orientation Row") | 1 | MC | Shall be present if (0020,0020) is in the Image Instance |
6 | > | HAS ACQ CONTEXT | TEXT | EV (111043, DCM, "Patient Orientation Column") | 1 | MC | Shall be present if (0020,0020) is in the Image Instance |
7 | > | HAS ACQ CONTEXT | DATE | EV (111060, DCM, "Study Date") | 1 | MC | Shall be present if (0008,0020) is in the Image Instance |
8 | > | HAS ACQ CONTEXT | TIME | EV (111061, DCM, "Study Time") | 1 | MC | Shall be present if (0008,0030) is in the Image Instance |
9 | > | HAS ACQ CONTEXT | DATE | EV (111018, DCM, "Content Date") | 1 | MC | Shall be present if (0008,0023) is in the Image Instance |
10 | > | HAS ACQ CONTEXT | TIME | EV (111019, DCM, "Content Time") | 1 | MC | Shall be present if (0008,0033) is in the Image Instance |
11 | > | HAS ACQ CONTEXT | NUM | EV (111026, DCM, "Horizontal Pixel Spacing") | 1 | MC | Shall be present if (0018,1164) or (0028,0030) is in the Image Instance | UNITS = EV (um, UCUM, "micrometer") UNITS = EV (mm, UCUM, "millimeter")
12 | > | HAS ACQ CONTEXT | NUM | EV (111066, DCM, "Vertical Pixel Spacing") | 1 | MC | Shall be present if (0018,1164) or (0028,0030) is in the Image Instance | UNITS = EV (um, UCUM, "micrometer") UNITS = EV (mm, UCUM, "millimeter")
13 | > | HAS ACQ CONTEXT | NUM | EV (112011, DCM, "Positioner Primary Angle") | 1 | UC | May be present if (0018,1510) is in the Image Instance | UNITS = EV (deg, UCUM, "deg")
14 | > | HAS ACQ CONTEXT | NUM | EV (112012, DCM, "Positioner Secondary Angle") | 1 | UC | May be present if (0018,1511) is in the Image Instance | UNITS = EV (deg, UCUM, "deg")
15 | > | HAS ACQ CONTEXT | NUM | EV (112226, DCM, "Spacing between slices") | 1 | UC | May be computed from the Image Position (Patient) (0020,0032) projected onto the normal to the Image Orientation (Patient) (0020,0037) if present; may or may not be the same as the Spacing Between Slices (0018,0088) if present. | UNITS = EV (mm, UCUM, "millimeter")
16 | > | HAS ACQ CONTEXT | NUM | EV (112225, DCM, "Slice Thickness") | 1 | UC | May be present if Slice Thickness (0018,0050) is in the Image Instance. | UNITS = EV (mm, UCUM, "millimeter")
17 | > | HAS ACQ CONTEXT | UIDREF | EV (112227, DCM, "Frame of Reference UID") | 1 | UC | May be present if Frame of Reference UID (0020,0052) is in the Image Instance. |
18 | > | HAS ACQ CONTEXT | NUM | EV (110901, DCM, "Image Position (Patient) X") | 1 | UC | May be present if Image Position (Patient) (0020,0032) is in the Image Instance, and is the first value of Image Position (Patient) (0020,0032) for the referenced image or frame. | UNITS = EV (mm, UCUM, "millimeter")
19 | > | HAS ACQ CONTEXT | NUM | EV (110902, DCM, "Image Position (Patient) Y") | 1 | MC | Shall be present if Row 18 is present, and is the second value of Image Position (Patient) (0020,0032) in the Image Instance for the referenced image or frame. | UNITS = EV (mm, UCUM, "millimeter")
20 | > | HAS ACQ CONTEXT | NUM | EV (110903, DCM, "Image Position (Patient) Z") | 1 | MC | Shall be present if Row 18 is present, and is the second value of Image Position (Patient) (0020,0032) in the Image Instance for the referenced image or frame. | UNITS = EV (mm, UCUM, "millimeter")
21 | > | HAS ACQ CONTEXT | NUM | EV (110904, DCM, "Image Orientation (Patient) Row X") | 1 | UC | May be present if Image Position (Patient) (0020,0037) is in the Image Instance, and is the first value of Image Orientation (Patient) (0020,0037) for the referenced image or frame. | UNITS = EV ({-1:1}, UCUM, "{-1:1}")
22 | > | HAS ACQ CONTEXT | NUM | EV (110905, DCM, "Image Orientation (Patient) Row Y") | 1 | MC | Shall be present if Row 21 is present, and is the second value of Image Orientation (Patient) (0020,0037) in the Image Instance for the referenced image or frame. | UNITS = EV ({-1:1}, UCUM, "{-1:1}")
23 | > | HAS ACQ CONTEXT | NUM | EV (110906, DCM, "Image Orientation (Patient) Row Z") | 1 | MC | Shall be present if Row 21 is present, and is the third value of Image Orientation (Patient) (0020,0037) in the Image Instance for the referenced image or frame. | UNITS = EV ({-1:1}, UCUM, "{-1:1}")
24 | > | HAS ACQ CONTEXT | NUM | EV (110907, DCM, "Image Orientation (Patient) Column X") | 1 | MC | Shall be present if Row 21 is present, and is the fourth value of Image Orientation (Patient) (0020,0037) in the Image Instance for the referenced image or frame. | UNITS = EV ({-1:1}, UCUM, "{-1:1}")
25 | > | HAS ACQ CONTEXT | NUM | EV (110908, DCM, "Image Orientation (Patient) Column Y") | 1 | MC | Shall be present if Row 21 is present, and is the fifth value of Image Orientation (Patient) (0020,0037) in the Image Instance for the referenced image or frame. | UNITS = EV ({-1:1}, UCUM, "{-1:1}")
26 | > | HAS ACQ CONTEXT | NUM | EV (110909, DCM, "Image Orientation (Patient) Column Z") | 1 | MC | Shall be present if Row 21 is present, and is the sixth value of Image Orientation (Patient) (0020,0037) in the Image Instance for the referenced image or frame. | UNITS = EV ({-1:1}, UCUM, "{-1:1}")
27 | > | HAS ACQ CONTEXT | NUM | EV (110910, DCM, "Pixel Data Rows") | 1 | UC | May be present if Rows (0028,0010) is in the Image Instance. | UNITS = EV ({pixels}, UCUM, "pixels")
28 | > | HAS ACQ CONTEXT | NUM | EV (110911, DCM, "Pixel Data Columns") | 1 | MC | Shall be present if Row 27 is present, and is the value of Columns (0028,0011) in the Image Instance. | UNITS = EV ({pixels}, UCUM, "pixels")

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 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 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 in PS3.3 .

### TID 4021 Mammography CAD Geometry

All geometry Template invocations require specification of the location of the center of the object. Outline is optional.

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4021. Mammography CAD Geometry

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | SCOORD | EV (111010, DCM, "Center") | 1 | M |  | GRAPHIC TYPE = {POINT}
2 | > | R-SELECTED FROM | IMAGE |  | 1 | M |  | Shall reference an IMAGE Content Item in the (111028, DCM, "Image Library")
3 |  |  | SCOORD | EV (111041, DCM, "Outline") | 1 | U |  |
4 | > | R-SELECTED FROM | IMAGE |  | 1 | M |  | Shall reference the same Content Item as row 2
5 |  |  | SCOORD | DCID 6166 “CAD Geometry Secondary Graphical Representation” | 1-n | U |  |
6 | > | R-SELECTED FROM | IMAGE |  | 1 | M |  | Shall reference the same Content Item as row 2

### TID 4022 CAD Observation Context

This Template is invoked when a Content Item, which may be the "root" of a sub-tree, is paraphrased from a prior SR document.

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4022. CAD Observation Context

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | COMPOSITE | EV (111040, DCM, "Original Source") | 1 | MC | Shall be present if the original source is a DICOM object. |
2 | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | M |  |
3 |  |  | INCLUDE | DTID 1001 “Observation Context” | 1 | M |  |

### TID 4023 CAD Operating Points

This Template describes CAD operating points. The description is deliberately left flexible and optional to allow implementation at differing levels of complexity.

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4023. CAD Operating Points

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | HAS PROPERTIES | NUM | EV (111072, DCM, "Maximum CAD Operating Point") | 1 | M |  | UNITS = DT ([arb'U], UCUM, "arbitrary unit") Value is restricted to being an integer
2 |  | HAS PROPERTIES | NUM | EV (111092, DCM, "Recommended CAD Operating Point") | 1 | U |  | UNITS = DT ({0:n}, UCUM, "range: 0:n"), where n is the value specified in row 1 Value is restricted to being an integer
3 |  | HAS PROPERTIES | CONTAINER | EV (111093, DCM, "CAD Operating Point Table") | 1 | U |  |
4 | > | CONTAINS | CODE | EV (122698, DCM, "X-Concept") | 1 | M |  | DCID 6048 “CAD Operating Point Axis Label”
5 | > | CONTAINS | CODE | EV (122699, DCM, "Y-Concept") | 1 | M |  | DCID 6048 “CAD Operating Point Axis Label”
6 | > | CONTAINS | NUM | EV (111071, DCM, "CAD Operating Point") | 1-n | M | Number of instances of this row shall equal value of row 1, plus 1. | UNITS = DT ({0:n}, UCUM, "range: 0:n"), where n is the value of Row 1. Value is restricted to being an integer that is unique within the invocation of this Template.
7 | >> | HAS PROPERTIES | TEXT | EV (111081, DCM, "CAD Operating Point Description") | 1 | U |  |
8 | >> | HAS PROPERTIES | NUM | The value of Row 4 | 1 | U |  |
9 | >> | HAS PROPERTIES | NUM | The value of Row 5 | 1 | U |  |

Content Item Descriptions

Maximum CAD Operating Point | The maximum possible value of CAD Operating Point for this type of Detection Performed. No CAD Operating Point value recorded in the CAD Processing and Findings Summary sub-tree of the report for this type of Detection Performed shall exceed this value. The report may or may not contain Rendering Intent = "Presentation Optional" detections that are assigned the maximum value.
Recommended CAD Operating Point | A number indicating which of the CAD operating points is recommended by the creator of a CAD SR instance as the first operating point to be used when rendering the CAD SR instance contents. Subsequent changes to the displayed operating point are implementation dependent.

## Chest CAD SR IOD Templates

The Templates that comprise the Chest CAD SR IOD are interconnected as in Figure A-9.

Figure A-9. Chest CAD SR IOD Template Structure

In Figure A-9, '···' indicates possible recursive application of subordinate Templates.

### TID 4100 Chest CAD Document Root

This Template forms the top of a content tree that allows a chest CAD device to describe the results of detection and analysis of chest evidence. This Template, together with its subordinate Templates, describes both the results for presentation to radiologists and partial product results for consumption by chest CAD devices in subsequent chest CAD reports.

This Template defines a Container that contains an Image Library, the CAD results, and summaries of the detection and analysis algorithms performed. The Image Library contains the Image SOP Class and Instance UIDs, and selected attributes for each image referenced in either the algorithm summaries or chest CAD results.

The atomic CAD results of Single Image Findings and Composite Features are described in the Chest CAD Findings Summary sub-tree.

The Summary of Detections and Summary of Analyses sub-trees gather lists of algorithms attempted, grouped by success/failure status. Algorithms not attempted are not mentioned in these sub-trees. This information forms the basis for understanding why a chest CAD report may produce no (or fewer than anticipated) results. Chest CAD results are constructed bottom-up, starting from Single Image Findings (see TID 4104 “Chest CAD Single Image Finding”), associated as Composite Features (see TID 4102 “Chest CAD Composite Feature”).

See Figure F.1-1 “Top Levels of Chest CAD SR Content Tree” in PS3.17 .

Type:

  Non-Extensible

Order:

  Significant

Root:

  Yes

Table TID 4100. Chest CAD Document Root

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (112000, DCM, "Chest CAD Report") | 1 | M |  | Root node
2 | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | M |  |
3 | > | CONTAINS | CONTAINER | EV (111028, DCM, "Image Library") | 1 | U |  |
4 | >> | CONTAINS | INCLUDE | DTID 4020 “CAD Image Library Entry” | 1-n | M |  | $ImageLaterality = DCID 244 “Laterality” $ImageView = DCID 4010 “DX View” $ImageViewMod = DCID 4011 “DX View Modifier”
5 | > | CONTAINS | INCLUDE | DTID 4101 “Chest CAD Findings Summary” | 1 | M |  |
6 | > | CONTAINS | CODE | EV (111064, DCM, "Summary of Detections") | 1 | M |  | DCID 6042 “Status of Results”
7 | >> | INFERRED FROM | INCLUDE | DTID 4015 “CAD Detections Performed” | 1 | MC | Shall be present unless the value of row 6 is (111225, DCM, "Not Attempted") | $DetectionCode = DCID 6101 “Chest Finding or Feature”, DCID 6102 “Chest Finding or Feature Modifier”
8 | > | CONTAINS | CODE | EV (111065, DCM, "Summary of Analyses") | 1 | M |  | DCID 6042 “Status of Results”
9 | >> | INFERRED FROM | INCLUDE | DTID 4016 “CAD Analyses Performed” | 1 | MC | Shall be present unless the value of row 8 is (111225, DCM, "Not Attempted") | $AnalysisCode = DCID 6137 “Types of CAD Analysis”

Content Item Descriptions

Row 3 | The "Image Library" section of the Content Tree (TID 4100 “Chest CAD Document Root”, row 3) may include all Image SOP Instances from the Current Requested Procedure Evidence Sequence (0040,A375) attribute of the SR Document General module. If a portion of another instance of a Chest CAD SR IOD is duplicated in the "Chest CAD Findings Summary" section of the Content Tree, the "Image Library" may also include all Image Library Entries referenced from the duplicated portions of the Chest CAD SR. The Image Library is intended to be used in cases where the acquisition context Content Items differ from image to image, such as different views and/or laterality in projection X-Ray.
Rows 7, 9 | The "Detections Performed" and "Analyses Performed" sections of the Content Tree (TID 4100 “Chest CAD Document Root”, rows 7 and 9) together shall reference all Image SOP Instances included in the Current Requested Procedure Evidence Sequence (0040,A375) attribute of the SR Document General module.

### TID 4101 Chest CAD Findings Summary

The contents of this Template describe the findings and aggregate features that the chest CAD device detected for the chest evidence presented. This Template forms the chest CAD results sub-tree of the Chest CAD Document Root (TID 4100 “Chest CAD Document Root”). The data from which the details are inferred are expressed in the Composite Features (see TID 4102 “Chest CAD Composite Feature”) and/or Single Image Findings (see TID 4104 “Chest CAD Single Image Finding”), of which there may be several.

The sub-tree headed by this Template is illustrated in Figure F.1-2 “Example of CAD Processing and Findings Summary Sub-Tree of Chest CAD SR Content Tree” in PS3.17 .

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4101. Chest CAD Findings Summary

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (111017, DCM, "CAD Processing and Findings Summary") | 1 | M |  | DCID 6047 “CAD Processing and Findings Summary”
2 | > | INFERRED FROM | INCLUDE | DTID 4102 “Chest CAD Composite Feature” | 1-n | U |  |
3 | > | INFERRED FROM | INCLUDE | DTID 4104 “Chest CAD Single Image Finding” | 1-n | U |  |
4 | > | HAS PROPERTIES | INCLUDE | DTID 4106 “Response Evaluation” | 1-n | U |  |

Content Item Descriptions

Row 1 | This code value is used to express if and why the Chest CAD Findings Summary sub-tree is empty. The Summary of Detections and Summary of Analyses sub-trees of the Document Root node contain detail about which (if any) algorithms succeeded or failed. If the code value indicates that there were no findings, then the code value can be used to determine whether chest CAD processing occurred successfully, without parsing the Summary of Detections and Summary of Analyses sub-trees.

### TID 4102 Chest CAD Composite Feature

This Template collects a composite feature for a lesion, anatomy, non-lesion object, or correlation of related objects (see TID 4101 “Chest CAD Findings Summary”). The details of the composition are expressed in the Chest CAD Composite Feature Body (see TID 4103 “Chest CAD Composite Feature Body”). The data from which the details are inferred, are expressed in the Composite Features (see TID 4102 “Chest CAD Composite Feature”) and/or Single Image Findings (see TID 4104 “Chest CAD Single Image Finding”), of which there may be several.

A Composite Feature shall be INFERRED FROM any combination of two or more Composite Features or Single Image Findings or mixture thereof.

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4102. Chest CAD Composite Feature

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (111015, DCM, "Composite Feature") | 1 | M |  | DCID 6101 “Chest Finding or Feature”
2 | > | HAS CONCEPT MOD | CODE | EV (112023, DCM, "Composite Feature Modifier") | 1 | U |  | DCID 6102 “Chest Finding or Feature Modifier”
3 | > | HAS CONCEPT MOD | TEXT | EV (112050, DCM, "Anatomic Identifier") | 1 | U |  |
4 | > | HAS CONCEPT MOD | CODE | EV (112003, DCM, "Associated Chest Component") | 1 | MC | Shall be present IFF value of row 1 is (112005, DCM, "Radiographic anatomy") | DCID 6100 “Chest Component Categories”
5 | > | HAS CONCEPT MOD | CODE | EV (112037, DCM, "Non-lesion Modifier") | 1 | UC | May be present IFF value of row 1 is (111102, DCM, "Non-lesion") | DCID 6139 “Non-lesion Modifiers”
6 | > | HAS CONCEPT MOD | CODE | EV (112038, DCM, "Osseous Modifier") | 1 | UC | May be present IFF value of row 2 is from DCID 6114 “Osseous Anatomy Finding or Feature” | DCID 6115 “Osseous Anatomy Modifiers”
7 | > | HAS CONCEPT MOD | CODE | EV (111056, DCM, "Rendering Intent") | 1 | M |  | DCID 6034 “Intended Use of CAD Output”
8 | > | HAS OBS CONTEXT | INCLUDE | DTID 4108 “Tracking Identifier” | 1 | U |  |
9 | > | HAS OBS CONTEXT | CODE | EV (112016, DCM, "Baseline Category") | 1 | U |  | DCID 6145 “Baseline Category”
10 | > | HAS OBS CONTEXT | INCLUDE | DTID 4022 “CAD Observation Context” | 1 | MC | Shall be present IFF this feature is duplicated from a different report than its parent. |
11 | > | HAS OBS CONTEXT | INCLUDE | DTID 4019 “Algorithm Identification” | 1 | M |  |
12 | > | HAS PROPERTIES | INCLUDE | DTID 4103 “Chest CAD Composite Feature Body” | 1 | M |  |
13 | > | INFERRED FROM | INCLUDE | DTID 4102 “Chest CAD Composite Feature” | 1-n | MC | At least two items shall be present: two of row 13, two of row 14, or one of each. |
14 | > | INFERRED FROM | INCLUDE | DTID 4104 “Chest CAD Single Image Finding” | 1-n | MC | At least two items shall be present: two of row 13, two of row 14, or one of each. |

Content Item Descriptions

Row 3 | An identifier of an anatomic feature when a multiplicity of features of that type may be present, such as "Rib 1", "Rib 2" or thoracic vertebrae "T1" or "T2".
Row 7 | This Content Item constrains the SCP receiving the Chest CAD SR IOD in its use of the contents of this Template and its Target Content Items. Chest CAD devices may opt to use data marked "Not for Presentation" or "Presentation Optional" as input to subsequent chest CAD processing steps. Refer to Section O.2 “Structured Reporting Storage SOP Class SCU and SCP Behavior” in PS3.4 .

### TID 4103 Chest CAD Composite Feature Body

The details of a composite feature are expressed in this Template. It is applied to Chest CAD Composite Feature (TID 4102 “Chest CAD Composite Feature”).

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4103. Chest CAD Composite Feature Body

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (111016, DCM, "Composite type") | 1 | M |  | DCID 6035 “Composite Feature Relations”
2 |  |  | CODE | EV (111057, DCM, "Scope of Feature") | 1 | M |  | DCID 6036 “Scope of Feature”
3 |  |  | NUM | EV (111011, DCM, "Certainty of feature") | 1 | U |  | UNITS = EV (%, UCUM, "Percent") Value = 0 - 100
4 |  |  | INCLUDE | DTID 4107 “Chest CAD Geometry” | 1 | U |  |
5 |  |  | INCLUDE | DTID 1400 “Linear Measurement” | 1-n | U |  |
6 |  |  | INCLUDE | DTID 1401 “Area Measurement” | 1-n | U |  |
7 |  |  | INCLUDE | DTID 1402 “Volume Measurement” | 1-n | U |  |
8 |  |  | INCLUDE | DTID 4105 “Chest CAD Descriptors” | 1 | U |  |
9 |  |  | NUM | DCID 6133 “Chest Quantitative Temporal Difference Type” | 1-n | UC | May be present IFF the value of row 1 is (111153, DCM, "Target content items are related temporally") |
10 | > | R-INFERRED FROM | NUM |  | 2 | U |  | The referenced numeric values shall have the same Concept Name. Their UNITS shall be the same as row 9
11 |  |  | CODE | EV (111049, DCM, "Qualitative Difference") | 1-n | UC | May be present only if the value of row 1 is (111153, DCM, "Target content items are related temporally") | DCID 6134 “Chest Qualitative Temporal Difference Type”
12 | > | HAS PROPERTIES | TEXT | EV (111021, DCM, "Description of Change") | 1 | U |  |
13 | > | R-INFERRED FROM | CODE |  | 2 | M |  | The referenced Content Items shall have the same Concept Name and their code values shall be from the same context group.

Content Item Descriptions

Row 3 | The certainty of the CAD device that the feature analyzed and classified by the CODE, as specified in the Composite Feature parent Template, is in fact that type of feature.
Rows 5, 7 | If dimensions for a volume are to be stated in terms of length, width, and depth, then one shall use 3 instances of TID 1400 “Linear Measurement”.
Row 9 | Values ≤ 0 are allowed. The two referenced numeric values are Target Content Items of the first generation Composite Feature or Single Image Finding children of this composite feature. Given the equation, A - B, the value representing A shall be referenced first.
Row 11 | The two referenced code values are Target Content Items of the first generation Composite Feature or Single Image Finding children of this composite feature.

### TID 4104 Chest CAD Single Image Finding

This Template describes a single image finding for a lesion or other object. The details of the finding are expressed in this Template and/or more specific Templates.

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4104. Chest CAD Single Image Finding

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (111059, DCM, "Single Image Finding") | 1 | M |  | DCID 6101 “Chest Finding or Feature”
2 | > | HAS CONCEPT MOD | CODE | EV (112024, DCM, "Single Image Finding Modifier") | 1 | U |  | DCID 6102 “Chest Finding or Feature Modifier”
3 | > | HAS CONCEPT MOD | TEXT | EV (112050, DCM, "Anatomic Identifier") | 1 | U |  |
4 | > | HAS CONCEPT MOD | CODE | EV (112003, DCM, "Associated Chest Component") | 1 | MC | Shall be present IFF value of row 1 is (112005, DCM, "Radiographic anatomy") | DCID 6100 “Chest Component Categories”
5 | > | HAS CONCEPT MOD | CODE | EV (112037, DCM, "Non-lesion Modifier") | 1 | UC | May be present IFF value of row 1 is (111102, DCM, "Non-lesion") | DCID 6139 “Non-lesion Modifiers”
6 | > | HAS CONCEPT MOD | CODE | EV (111056, DCM, "Rendering Intent") | 1 | M |  | DCID 6034 “Intended Use of CAD Output”
7 | >> | HAS PROPERTIES | NUM | EV (111071, DCM, "CAD Operating Point") | 1 | UC | IFF value of row 6 is (111151, DCM, "Presentation Optional") and row 1 of TID 4023 “CAD Operating Points” is present for the finding identified in row 1 | UNITS = DT ({1:n}, UCUM, "range: 1:n"), where n is the maximum specified in Row 1 of TID 4023 “CAD Operating Points” for the finding identified in row 1. Value is restricted to being an integer
8 | > | HAS OBS CONTEXT | INCLUDE | DTID 4108 “Tracking Identifier” | 1 | U |  |
9 | > | HAS OBS CONTEXT | CODE | EV (112016, DCM, "Baseline Category") | 1 | U |  | DCID 6145 “Baseline Category”
10 | > | HAS OBS CONTEXT | INCLUDE | DTID 4022 “CAD Observation Context” | 1 | MC | Shall be present IFF this finding is duplicated from a different report than its parent. |
11 | > | HAS OBS CONTEXT | INCLUDE | DTID 4019 “Algorithm Identification” | 1 | M |  |
12 | > | HAS PROPERTIES | NUM | EV (111012, DCM, "Certainty of Finding") | 1 | U |  | UNITS = EV (%, UCUM, "Percent") Value = 0 - 100
13 | > | HAS PROPERTIES | TEXT | EV (111058, DCM, "Selected Region Description") | 1 | MC | Shall be present IFF value of row 1 is (111099, DCM, "Selected region") |
14 | > | HAS PROPERTIES | INCLUDE | DTID 4107 “Chest CAD Geometry” | 1 | MC | Shall be present unless value of row 1 is (111101, DCM, "Image quality") |
15 | > | HAS PROPERTIES | INCLUDE | DTID 1400 “Linear Measurement” | 1-n | U |  |
16 | > | HAS PROPERTIES | INCLUDE | DTID 1401 “Area Measurement” | 1-n | U |  |
17 | > | HAS PROPERTIES | INCLUDE | DTID 1402 “Volume Measurement” | 1-n | U |  |
18 | > | HAS PROPERTIES | INCLUDE | DTID 4105 “Chest CAD Descriptors” | 1 | U |  |
19 | > | INFERRED FROM | IMAGE |  | 1 | MC | Shall be present IFF value of row 1 is (111101, DCM, "Image quality") and rows 20 and 21 are not present |
20 | > | R-INFERRED FROM | IMAGE |  | 1 | MC | Shall be present IFF value of row 1 is (111101, DCM, "Image quality") and rows 19 and 21 are not present | Shall reference an IMAGE Content Item in the (111028, DCM, "Image Library")
21 | > | INFERRED FROM | SCOORD | EV (111030, DCM, "Image Region") | 1-n | MC | Shall be present IFF value of row 1 is (111101, DCM, "Image quality") and rows 19 and 20 are not present |
22 | >> | SELECTED FROM | IMAGE |  | 1 | MC | XOR row 23 | All the row 21 Content Items in a single invocation of this Template shall reference the same IMAGE
23 | >> | R-SELECTED FROM | IMAGE |  | 1 | MC | XOR row 22 | All the row 21 Content Items in a single invocation of this Template shall reference the same IMAGE Content Item in the (111028, DCM, "Image Library")
24 | > | HAS PROPERTIES | INCLUDE | DTID 4014 “CAD Image Quality” | 1 | MC | Shall be present IFF value of row 1 is (111101, DCM, "Image quality") | $QualityFinding = DCID 6135 “Image Quality Finding” $QualityStandard = DCID 6136 “Chest Types of Quality Control Standard”

Content Item Descriptions

Row 3 | An identifier of an anatomic feature when a multiplicity of features of that type may be present, such as "Rib 1", "Rib 2" or thoracic vertebrae "T1" or "T2".
Row 6 | This Content Item constrains the SCP receiving the Chest CAD SR IOD in its use of the contents of this Template and its Target Content Items. Chest CAD devices may opt to use data marked "Not for Presentation" or "Presentation Optional" as input to subsequent chest CAD processing steps. Refer to Section O.2 “Structured Reporting Storage SOP Class SCU and SCP Behavior” in PS3.4 .
Row 7 | Additional information to use when Rendering Intent is "Presentation Optional". A CAD Operating Point of zero is not sent, and is encoded as a Rendering Intent of "Presentation Required". See Section O.2 “Structured Reporting Storage SOP Class SCU and SCP Behavior” in PS3.4 and Section E.4 “CAD Operating Point” in PS3.17 .
Row 12 | The certainty of the CAD device that the finding detected and classified by the Single Image Finding CODE specified is in fact that type of finding.

### TID 4105 Chest CAD Descriptors

This Template provides qualitative detail for a Single Image Finding or Composite Feature. It is applied to Chest CAD Composite Feature (TID 4102 “Chest CAD Composite Feature”) and Chest CAD Single Image Finding (TID 4104 “Chest CAD Single Image Finding”).

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4105. Chest CAD Descriptors

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (112025, DCM, "Size Descriptor") | 1 | U |  | DCID 6118 “Size Descriptor”
2 |  |  | CODE | EV (112026, DCM, "Width Descriptor") | 1 | U |  | DCID 6107 “Width Descriptor”
3 |  |  | CODE | EV (112015, DCM, "Border shape") | 1 | U |  | DCID 6119 “Chest Border Shape”
4 |  |  | CODE | EV (112007, DCM, "Border definition") | 1 | U |  | DCID 6120 “Chest Border Definition”
5 |  |  | CODE | EV (112014, DCM, "Orientation Descriptor") | 1 | U |  | DCID 6121 “Chest Orientation Descriptor”
6 |  |  | CODE | EV (112009, DCM, "Type of Content") | 1-n | U |  | DCID 6122 “Chest Content Descriptor”
7 |  |  | CODE | EV (112027, DCM, "Opacity Descriptor") | 1 | U |  | DCID 6123 “Chest Opacity Descriptor”
8 |  |  | CODE | EV (112013, DCM, "Location in Chest") | 1 | U |  | DCID 6124 “Location in Chest”
9 |  |  | CODE | EV (272741003, SCT, "Laterality") | 1 | U |  | DCID 244 “Laterality”
10 |  |  | CODE | EV (112006, DCM, "Distribution Descriptor") | 1-n | U |  | DCID 6128 “Chest Distribution Descriptor”
11 |  |  | CODE | EV (112028, DCM, "Abnormal Distribution of Anatomic Structure") | 1 | U |  | DCID 6108 “Chest Anatomic Structure Abnormal Distribution”
12 |  |  | CODE | EV (112008, DCM, "Site involvement") | 1-n | U |  | DCID 6129 “Chest Site Involvement”
13 |  |  | CODE | EV (246112005, SCT, "Severity") | 1 | U |  | DCID 6130 “Severity Descriptor”
14 |  |  | CODE | EV (112010, DCM, "Texture Descriptor") | 1 | U |  | DCID 6131 “Chest Texture Descriptor”
15 |  |  | CODE | EV (112030, DCM, "Calcification Descriptor") | 1 | U |  | DCID 6132 “Chest Calcification Descriptor”
16 |  |  | NUM | DCID 6142 “Calculated Value” | 1-n | U |  |
17 | > | HAS CONCEPT MOD | CODE | EV (121401, DCM, "Derivation") | 1 | M |  | DCID 6140 “Calculation Methods”
18 | > | INFERRED FROM | NUM | EV (112032, DCM, "Threshold Attenuation Coefficient") | 1 | U |  | UNITS = EV ([hnsf'U], UCUM, "Hounsfield unit")
19 | > | INFERRED FROM | TEXT | EV (112034, DCM, "Calculation Description") | 1 | U |  |
20 |  |  | NUM | DCID 6141 “Attenuation Coefficient Measurements” | 1-n | U |  | UNITS = EV ([hnsf'U], UCUM, "Hounsfield unit")

### TID 4106 Response Evaluation

This Template provides a means to report response evaluation to cancer treatment, based on a method such as RECIST or WHO.

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4106. Response Evaluation

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (112020, DCM, "Response Evaluation") | 1 | M |  |
2 | > | HAS OBS CONTEXT | CODE | EV (112021, DCM, "Response Evaluation Method") | 1 | M |  | DT (112022, DCM, "RECIST") or DT (112029, DCM, "WHO")
3 | > | CONTAINS | CODE | EV (112048, DCM, "Current Response") | 1 | U |  | DCID 6143 “Lesion Response”
4 | > | CONTAINS | CODE | EV (112049, DCM, "Best Overall Response") | 1 | U |  | DCID 6143 “Lesion Response”
5 | > | CONTAINS | NUM | EV (112051, DCM, "Measurement of Response") | 1 | U |  | UNITS not specified

### TID 4107 Chest CAD Geometry

All geometry Template invocations require specification of either the location of the center of the object, the outline, or both. Geometry is a property of single image findings (see TID 4104 “Chest CAD Single Image Finding”) and composite features (see TID 4103 “Chest CAD Composite Feature Body”).

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4107. Chest CAD Geometry

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | SCOORD | EV (111010, DCM, "Center") | 1 | MC | At least one of rows 1, 4 shall be present. | GRAPHIC TYPE = {POINT}
2 | > | SELECTED FROM | IMAGE |  | 1 | MC | XOR row 3 |
3 | > | R-SELECTED FROM | IMAGE |  | 1 | MC | XOR row 2 | Shall reference an IMAGE Content Item in the (111028, DCM, "Image Library")
4 |  |  | SCOORD | EV (111041, DCM, "Outline") | 1 | MC | At least one of rows 1, 4 shall be present. |
5 | > | SELECTED FROM | IMAGE |  | 1 | MC | XOR row 6 | Shall reference the same Content Item as row 2
6 | > | R-SELECTED FROM | IMAGE |  | 1 | MC | XOR row 5 | Shall reference the same Content Item as row 3

### TID 4108 Tracking Identifier

This Template provides a means to identify an object for longitudinal tracking, potentially across multiple Structured Reports, over time.

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4108. Tracking Identifier

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | TEXT | EV (112039, DCM, "Tracking Identifier") | 1 | MC | At least one of row 1 or 2 shall be present. | A string of characters with case being non-significant. Leading and trailing spaces and control characters are forbidden.
2 |  |  | UIDREF | EV (112040, DCM, "Tracking Unique Identifier") | 1 | MC | At least one of row 1 or 2 shall be present. |

Content Item Descriptions

Row 1 | A human readable identifier for longitudinal tracking, e.g., "Watchlist Nodule 1".
Row 2 | This is distinct from the Observation UID (0040,A171) that may be present in the Data Set for each Content Item, which identifies only a specific observation, not an object tracked over time, and each tracked object may have many observations.

## Colon CAD SR IOD Templates

The Templates that comprise the Colon CAD SR IOD are interconnected as in Figure A-9b. In Figure A-9b, '···' indicates possible recursive application of subordinate Templates.

Figure A-9b. Colon CAD SR IOD Template Structure

### TID 4120 Colon CAD Document Root

This Template forms the top of a content tree that allows a colon CAD device to describe the results of detection and analysis of colon evidence. This Template, together with its subordinate Templates, describes both the results for presentation to radiologists and partial product results for consumption by colon CAD devices in subsequent colon CAD reports.

This Template defines a Container that contains the CAD results and summaries of the detection and analysis algorithms performed.

The atomic CAD results of Single Image Findings and Composite Features are described in the Colon CAD Findings Summary sub-tree.

The Summary of Detections and Summary of Analyses sub-trees gather lists of algorithms attempted, grouped by success/failure status. Algorithms not attempted are not mentioned in these sub-trees. This information forms the basis for understanding why a colon CAD report may produce no (or fewer than anticipated) results. Colon CAD results are constructed bottom-up, starting from Single Image Findings (see TID 4127 “Colon CAD Single Image Finding”), associated as Composite Features (see TID 4125 “Colon CAD Composite Feature”).

See Figure SS.1-1 “Top Levels of Colon CAD SR Content Tree” in PS3.17 .

Type:

  Non-Extensible

Order:

  Significant

Root:

  Yes

Table TID 4120. Colon CAD Document Root

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (112220, DCM, "Colon CAD Report") | 1 | M |  | Root node
2 | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | M |  |
3 | > | CONTAINS | INCLUDE | DTID 4122 “CAD Common Image Properties Entry” | 1-n | M |  |
4 | > | CONTAINS | INCLUDE | DTID 4121 “Colon CAD Findings Summary” | 1 | M |  |
5 | > | CONTAINS | CODE | EV (111064, DCM, "Summary of Detections") | 1 | M |  | DCID 6042 “Status of Results”
6 | >> | INFERRED FROM | INCLUDE | DTID 4015 “CAD Detections Performed” | 1 | MC | Shall be present unless the value of row 5 is (111225, DCM, "Not Attempted") | $DetectionCode = DCID 6201 “Colon Finding or Feature”
7 | > | CONTAINS | CODE | EV (111065, DCM, "Summary of Analyses") | 1 | M |  | DCID 6042 “Status of Results”
8 | >> | INFERRED FROM | INCLUDE | DTID 4016 “CAD Analyses Performed” | 1 | MC | Shall be present unless the value of row 7 is (111225, DCM, "Not Attempted") | $AnalysisCode = DCID 6137 “Types of CAD Analysis”

Content Item Descriptions

Detections Performed | The "Detections Performed" and "Analyses Performed" sections of the Content Tree (TID 4120 “Colon CAD Document Root”, rows 6 and 8) together shall reference all Image SOP Instances included in the Current Requested Procedure Evidence Sequence (0040,A375) attribute of the SR Document General module.
Analyses Performed

### TID 4121 Colon CAD Findings Summary

The contents of this Template describe the findings and aggregate features that the colon CAD device detected for the colon evidence presented. This Template forms the colon CAD results sub-tree of the Colon CAD Document Root (TID 4120 “Colon CAD Document Root”). The data from which the details are inferred are expressed in the Composite Features (see TID 4125 “Colon CAD Composite Feature”) and/or Single Image Findings (see TID 4127 “Colon CAD Single Image Finding”), of which there may be several.

The sub-tree headed by this Template is illustrated in Figure F.1-2 “Example of CAD Processing and Findings Summary Sub-Tree of Chest CAD SR Content Tree” in PS3.17 .

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4121. Colon CAD Findings Summary

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (111017, DCM, "CAD Processing and Findings Summary") | 1 | M |  | DCID 6047 “CAD Processing and Findings Summary”
2 | > | HAS PROPERTIES | CODE | EV (112222, DCM, "Colon Overall Assessment") | 1 | U |  | DCID 6200 “Colon Overall Assessment”
3 | > | INFERRED FROM | INCLUDE | DTID 4125 “Colon CAD Composite Feature” | 1-n | U |  |
4 | > | INFERRED FROM | INCLUDE | DTID 4127 “Colon CAD Single Image Finding” | 1-n | U |  |

Content Item Descriptions

CAD Processing and Findings Summary | This code value is used to express if and why the Colon CAD Findings Summary sub-tree is empty. The Summary of Detections and Summary of Analyses sub-trees of the Document Root node contain detail about which (if any) algorithms succeeded or failed. If the code value indicates that there were no findings, then the code value can be used to determine whether colon CAD processing occurred successfully, without parsing the Summary of Detections and Summary of Analyses sub-trees.

### TID 4122 CAD Common Image Properties Entry

Each instance of the CAD Common Image Properties Entry Template contains selected attributes for a set of parallel contiguous equally spaced slices (with identical properties) from which CAD findings are derived.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 4122. CAD Common Image Properties Entry

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (112224, DCM, "Image Set Properties") | 1 | M |  |
2 | > | CONTAINS | UIDREF | EV (112227, DCM, "Frame of Reference UID") | 1 | M |  |
3 | > | CONTAINS | UIDREF | EV (110180, DCM, "Study Instance UID") | 1 | M |  |
4 | > | CONTAINS | DATE | EV (111060, DCM, "Study Date") | 1 | M |  | Shall be taken from Study Date (0008,0020) in the Image Instances.
5 | > | CONTAINS | TIME | EV (111061, DCM, "Study Time") | 1 | M |  | Shall be taken from Study Time (0008,0030) in the Image Instances.
6 | > | CONTAINS | CODE | EV (121139, DCM, "Modality") | 1 | M |  | Shall be taken from Modality (0008,0060) in the Image Instances.
7 | > | CONTAINS | NUM | EV (111026, DCM, "Horizontal Pixel Spacing") | 1 | M |  | Shall be taken from value 2 of Pixel Spacing (0028,0030) in the Image Instances. UNITS = EV (mm/{pixel}, UCUM, "millimeters per pixel")
8 | > | CONTAINS | NUM | EV (111066, DCM, "Vertical Pixel Spacing") | 1 | M |  | Shall be taken from value 1 of Pixel Spacing (0028,0030) in the Image Instances. UNITS = EV (mm/{pixel}, UCUM, "millimeters per pixel")
9 | > | CONTAINS | NUM | EV (112225, DCM, "Slice Thickness") | 1 | M |  | Shall be taken from Slice Thickness (0018,0050) in the Image Instances. UNITS = EV (mm, UCUM, "millimeter")
10 | > | CONTAINS | NUM | EV (112226, DCM, "Spacing between slices") | 1 | M |  | Shall be computed from the Image Position (Patient) (0020,0032) projected onto the normal to the Image Orientation (Patient) (0020,0037); may or may not be the same as the Spacing Between Slices (0018,0088) if present. UNITS = EV (mm, UCUM, "millimeter")
11 | > | CONTAINS | CODE | EV (112228, DCM, "Recumbent Patient Position with respect to gravity") | 1 | MC | Required if Patient Position (0018,5100) is present in the image instances and has a value. | Shall be derived from Patient Position (0018,5100) in the Image Instances. DCID 6206 “Recumbent Patient Orientation for Colon”

### TID 4125 Colon CAD Composite Feature

This Template collects a composite feature for a lesion, non-lesion object, or correlation of related objects (see TID 4121 “Colon CAD Findings Summary”). The details of the composition are expressed in the Colon CAD Composite Feature Body (see TID 4126 “Colon CAD Composite Feature Body”). The data from which the details are inferred, are expressed in the Composite Features (see TID 4125 “Colon CAD Composite Feature”) and/or Single Image Findings (see TID 4127 “Colon CAD Single Image Finding”), of which there may be several.

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4125. Colon CAD Composite Feature

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (111015, DCM, "Composite Feature") | 1 | M |  | DCID 6201 “Colon Finding or Feature”
2 | > | HAS CONCEPT MOD | CODE | EV (112023, DCM, "Composite Feature Modifier") | 1 | U |  | DCID 6202 “Colon Finding or Feature Modifier”
3 | > | HAS CONCEPT MOD | CODE | EV (111056, DCM, "Rendering Intent") | 1 | M |  | DCID 6034 “Intended Use of CAD Output”
4 | >> | HAS PROPERTIES | NUM | EV (111071, DCM, "CAD Operating Point") | 1 | UC | IFF value of row 3 is (111151, DCM, "Presentation Optional") and row 1 of TID 4023 “CAD Operating Points” is present for the feature identified in row 1. | UNITS = DT ({1:n}, UCUM, "range: 1:n"), where n is the maximum specified in Row 1 of TID 4023 “CAD Operating Points” for the feature identified in row 1. Value is restricted to being an integer.
5 | > | HAS OBS CONTEXT | INCLUDE | DTID 4108 “Tracking Identifier” | 1 | U |  |
6 | > | HAS OBS CONTEXT | INCLUDE | DTID 4022 “CAD Observation Context” | 1 | MC | Shall be present IFF this feature is duplicated from a different report than its parent. |
7 | > | HAS OBS CONTEXT | INCLUDE | DTID 4019 “Algorithm Identification” | 1 | M |  |
8 | > | HAS PROPERTIES | INCLUDE | DTID 4126 “Colon CAD Composite Feature Body” | 1 | M |  |
9 | > | INFERRED FROM | INCLUDE | DTID 4125 “Colon CAD Composite Feature” | 1-n | U |  |
10 | > | INFERRED FROM | INCLUDE | DTID 4127 “Colon CAD Single Image Finding” | 1-n | U |  |

Content Item Descriptions

Rendering Intent | This Content Item constrains the SCP receiving the Colon CAD SR IOD in its use of the contents of this Template and its Target Content Items. Colon CAD devices may opt to use data marked "Not for Presentation" or "Presentation Optional" as input to subsequent colon CAD processing steps. Refer to Section O.2 “Structured Reporting Storage SOP Class SCU and SCP Behavior” in PS3.4 .

### TID 4126 Colon CAD Composite Feature Body

The details of a composite feature are expressed in this Template. It is applied to Colon CAD Composite Feature (TID 4125 “Colon CAD Composite Feature”).

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4126. Colon CAD Composite Feature Body

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (111016, DCM, "Composite type") | 1 | M |  | DCID 6035 “Composite Feature Relations”
2 |  |  | CODE | EV (111057, DCM, "Scope of Feature") | 1 | M |  | DCID 6036 “Scope of Feature”
3 |  |  | NUM | EV (111011, DCM, "Certainty of feature") | 1 | U |  | UNITS = EV (%, UCUM, "Percent") Value = 0 - 100
4 |  |  | INCLUDE | DTID 4129 “Colon CAD Geometry” | 1 | U |  |
5 |  |  | INCLUDE | DTID 4128 “Colon CAD Descriptors” | 1 | U |  |
6 |  |  | NUM | DCID 6207 “Colon Quantitative Temporal Difference Type” | 1-n | UC | May be present IFF the value of row 1 is (111153, DCM, "Target content items are related temporally") |
7 | > | R-INFERRED FROM | NUM |  | 2 | U |  | The referenced numeric values shall have the same Concept Name. Their UNITS shall be the same as row 6
8 |  |  | CODE | EV (111049, DCM, "Qualitative Difference") | 1-n | UC | May be present only if the value of row 1 is (111153, DCM, "Target content items are related temporally") | DCID 6134 “Chest Qualitative Temporal Difference Type”
9 | > | HAS PROPERTIES | TEXT | EV (111021, DCM, "Description of Change") | 1 | U |  |
10 | > | R-INFERRED FROM | CODE |  | 2 | M |  | The referenced Content Items shall have the same Concept Name and their code values shall be from the same context group.

Content Item Descriptions

Certainty of Feature | The CAD device's certainty that the feature analyzed and classified by the CODE, as specified in the Composite Feature parent Template is, in fact, that type of feature.
Row 6 | Values ≤ 0 are allowed. The two referenced numeric values are Target Content Items of the first generation Composite Feature or Single Image Finding children of this composite feature. Given the equation, A - B, the value representing A shall be referenced first.
Qualitative Difference | The two referenced code values are Target Content Items of the first generation Composite Feature or Single Image Finding children of this composite feature.

### TID 4127 Colon CAD Single Image Finding

This Template describes a single image finding for a lesion or other object. The details of the finding are expressed in this Template and/or more specific Templates.

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4127. Colon CAD Single Image Finding

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (111059, DCM, "Single Image Finding") | 1 | M |  | DCID 6201 “Colon Finding or Feature”
2 | > | HAS CONCEPT MOD | CODE | EV (112024, DCM, "Single Image Finding Modifier") | 1 | U |  | DCID 6202 “Colon Finding or Feature Modifier”
3 | > | HAS CONCEPT MOD | CODE | EV (111056, DCM, "Rendering Intent") | 1 | M |  | DCID 6034 “Intended Use of CAD Output”
4 | >> | HAS PROPERTIES | NUM | EV (111071, DCM, "CAD Operating Point") | 1 | UC | IFF value of row 3 is (111151, DCM, "Presentation Optional") and row 1 of TID 4023 “CAD Operating Points” is present for the finding identified in row 1 | UNITS = DT ({1:n}, UCUM, "range: 1:n"), where n is the maximum specified in Row 1 of TID 4023 “CAD Operating Points” for the finding identified in row 1. Value is restricted to being an integer.
5 | > | HAS OBS CONTEXT | INCLUDE | DTID 4108 “Tracking Identifier” | 1 | U |  |
6 | > | HAS OBS CONTEXT | INCLUDE | DTID 4022 “CAD Observation Context” | 1 | MC | Shall be present IFF this finding is duplicated from a different report than its parent. |
7 | > | HAS OBS CONTEXT | INCLUDE | DTID 4019 “Algorithm Identification” | 1 | M |  |
8 | > | HAS PROPERTIES | NUM | EV (111012, DCM, "Certainty of Finding") | 1 | U |  | UNITS = EV (%, UCUM, "Percent") Value = 0 - 100
9 | > | HAS PROPERTIES | TEXT | EV (111058, DCM, "Selected Region Description") | 1 | MC | Shall be present IFF value of row 1 is (111099, DCM, "Selected region") |
10 | > | HAS PROPERTIES | INCLUDE | DTID 4129 “Colon CAD Geometry” | 1 | MC | Shall be present unless value of row 1 is (111101, DCM, "Image quality") |
11 | > | HAS PROPERTIES | INCLUDE | DTID 4128 “Colon CAD Descriptors” | 1 | U |  |
12 | > | INFERRED FROM | IMAGE |  | 1 | MC | Shall be present IFF value of row 1 is (111101, DCM, "Image quality") and row 13 is not present |
13 | > | INFERRED FROM | SCOORD | EV (111030, DCM, "Image Region") | 1-n | MC | Shall be present IFF value of row 1 is (111101, DCM, "Image quality") and row 12 is not present |
14 | >> | SELECTED FROM | IMAGE |  | 1 | M |  | All the row 13 Content Items in a single invocation of this Template shall reference the same IMAGE
15 | > | HAS PROPERTIES | INCLUDE | DTID 4014 “CAD Image Quality” | 1 | MC | Shall be present IFF value of row 1 is (111101, DCM, "Image quality") | $QualityFinding = DCID 6135 “Image Quality Finding” $QualityStandard = DCID 6208 “Colon Types of Quality Control Standard”

Content Item Descriptions

Rendering Intent | This Content Item constrains the SCP receiving the Colon CAD SR IOD in its use of the contents of this Template and its Target Content Items. Colon CAD devices may opt to use data marked "Not for Presentation" or "Presentation Optional" as input to subsequent colon CAD processing steps. Refer to Section O.2 “Structured Reporting Storage SOP Class SCU and SCP Behavior” in PS3.4 .
CAD Operating Point | Additional information to use when Rendering Intent is "Presentational Optional". A CAD Operating Point of zero is not sent, and is encoded as a Rendering Intent of "Presentation Required". See Section O.2 “Structured Reporting Storage SOP Class SCU and SCP Behavior” in PS3.4 and Section E.4 “CAD Operating Point” in PS3.17 .
Certainty of Finding | The certainty of the CAD device that the finding detected and classified by the Single Image Finding CODE specified is in fact that type of finding.

### TID 4128 Colon CAD Descriptors

This Template provides qualitative detail for a Single Image Finding or Composite Feature. It is applied to Colon CAD Composite Feature (TID 4125 “Colon CAD Composite Feature”) and Colon CAD Single Image Finding (TID 4127 “Colon CAD Single Image Finding”).

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4128. Colon CAD Descriptors

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (116676008, SCT, "Associated Morphology") | 1-n | U |  | DCID 6209 “Colon Morphology Descriptor”
2 |  |  | CODE | EV (363698007, SCT, "Finding Site") | 1 | U |  | DCID 6210 “Location in Intestinal Tract”
3 |  |  | CODE | EV (111014, DCM, "Clockface or region") | 1 | U |  | DCID 6205 “Clockface Location for Colon”
4 |  | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 6212 “Calculated Value for Colon Findings” $Derivation = DCID 6140 “Calculation Methods” $DerivationParameter = EV (112032, DCM, "Threshold Attenuation Coefficient") $DerivationParameterUnits = EV ([hnsf'U], UCUM, "Hounsfield unit")
5 |  |  | INCLUDE | DTID 1400 “Linear Measurement” | 1-n | U |  |
6 |  |  | INCLUDE | DTID 1401 “Area Measurement” | 1-n | U |  |
7 |  |  | INCLUDE | DTID 1402 “Volume Measurement” | 1-n | U |  |
8 |  |  | INCLUDE | DTID 1406 “Three Dimensional Linear Measurement” | 1-n | U |  |
9 |  |  | NUM | DCID 6141 “Attenuation Coefficient Measurements” | 1-n | U |  | UNITS = EV ([hnsf'U], UCUM, "Hounsfield unit")
10 | > | HAS PROPERTIES | CODE | EV (112009, DCM, "Type of Content") | 1 | U |  | DCID 6211 “Colon CAD Material Description”

Content Item Descriptions

Row 3 | 12 o'clock position is the anterior direction of the patient regardless of the positioning with respect to gravity; clockwise is from the point of view of an observer located closer to the anus than the finding being observed.

### TID 4129 Colon CAD Geometry

All geometry Template invocations require specification of either the location of the center of the object, the outline, or both. Geometry is a property of single image findings (see TID 4127 “Colon CAD Single Image Finding”) and composite features (see TID 4125 “Colon CAD Composite Feature”).

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4129. Colon CAD Geometry

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | SCOORD | EV (111010, DCM, "Center") | 1 | MC | At least one of rows 1, 3, 4, 6 or 10 shall be present. | GRAPHIC TYPE = {POINT}
2 | > | SELECTED FROM | IMAGE |  | 1 | M |  |
3 |  |  | SCOORD3D | EV (111010, DCM, "Center") | 1 | MC | At least one of rows 1, 3, 4, 6 or 10 shall be present. | GRAPHIC TYPE = {POINT}
4 |  |  | SCOORD | EV (111041, DCM, "Outline") | 1 | MC | At least one of rows 1, 3, 4, 6 or 10 shall be present. |
5 | > | SELECTED FROM | IMAGE |  | 1 | M |  |
6 |  |  | SCOORD3D | EV (111041, DCM, "Outline") | 1 | MC | At least one of rows 1, 3, 4, 6 or 10 shall be present. |
7 |  |  | SCOORD | DCID 6166 “CAD Geometry Secondary Graphical Representation” | 1-n | U |  |
8 | > | SELECTED FROM | IMAGE |  | 1 | M |  |
9 |  |  | SCOORD3D | DCID 6166 “CAD Geometry Secondary Graphical Representation” | 1-n | U |  |
10 |  |  | IMAGE | EV (112229, DCM, "Identifying Segment") | 1 | MC | At least one of rows 1, 3, 4, 6 or 10 shall be present. | Referenced image shall be a Segmentation and the Content Item shall include Referenced Segment Number (0062,000B)

## Breast Imaging Report Templates

The Templates that comprise the Breast Imaging Report are interconnected as in Figure A-10.

Figure A-10. Breast Imaging Report Template Structure

### TID 4200 Breast Imaging Report

This Template forms the content tree that allows a Breast Imaging Report device to describe the results of a radiologist's diagnostic interpretation of Breast Imaging (e.g., X-Ray mammography or breast ultrasound) evidence. This Template, together with its subordinate Templates, describes the results for presentation to clinicians, or for consumption by Breast Imaging Report devices for subsequent Breast Imaging Reports.

This Template shall be instantiated at the Root node only.

See Figure Q.1-1 “Top Level of Breast Imaging Report Content Tree” in PS3.17 .

Type:

  Non-Extensible

Order:

  Significant

Root:

  Yes

Table TID 4200. Breast Imaging Report

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (111400, DCM, "Breast Imaging Report") | 1 | M |  | Root node
2 | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | M |  |
2a | > | HAS OBS CONTEXT | INCLUDE | DTID 1001 “Observation Context” | 1 | U |  |
2b | > | CONTAINS | INCLUDE | DTID 4209 “Breast Patient Characteristics” | 1 | U |  |
3 | > | CONTAINS | INCLUDE | DTID 4202 “Breast Imaging Report Narrative” | 1 | M |  |
4 | > | CONTAINS | INCLUDE | DTID 4208 “Breast Imaging Report Supplementary Data” | 1 | U |  |

### TID 4201 Breast Imaging Procedure Reported

A procedure that is reported in a Breast Imaging Report is expressed in this Template. The results of more than one procedure may be included in a single report instance (see TID 4208 “Breast Imaging Report Supplementary Data”).

See Figure Q.1-2 “Breast Imaging Procedure Reported Content Tree” in PS3.17 .

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4201. Breast Imaging Procedure Reported

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (121058, DCM, "Procedure reported") | 1 | M |  | BCID 6050 “Breast Procedure Reported”
2 | > | HAS CONCEPT MOD | CODE | EV (111464, DCM, "Procedure Modifier") | 1-n | U |  | DCID 6058 “Procedure Modifiers for Breast”
3 | > | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | M |  | DCID 6022 “Side”
4 | > | HAS PROPERTIES | CODE | EV (18785-6, LN, "Indications for Procedure") | 1 | U |  | DCID 6051 “Breast Procedure Reason”
5 | >> | HAS CONCEPT MOD | CODE | EV (118578006, SCT, "Relative time") | 1 | U |  | DCID 12102 “Temporal Periods Relating to Procedure or Therapy”
6 | >> | HAS CONCEPT MOD | CODE | EV (111402, DCM, "Clinical Finding") | 1-n | UC | IFF row 4 value is "Clinical Finding" | DCID 6055 “Breast Clinical Finding or Indicated Problem” Breast Clinical Finding or Indicated Problem
7 | >>> | HAS PROPERTIES | CODE | EV (272741003, SCT, "Laterality") | 1 | U |  | DCID 6022 “Side”
8 | > | HAS PROPERTIES | DATE | EV (111060, DCM, "Study Date") | 1 | U |  |

Content Item Descriptions

Row 5 "Relative time" | This Content Item indicates whether the value of "Reason for procedure" (row 4) is modified with "pre-" or "follow-up".

### TID 4202 Breast Imaging Report Narrative

This Template contains the narrative text sub-tree of the content tree of a Breast Imaging Report. The narrative summary may be subdivided into sections with section headings.

See Figure Q.1-3 “Breast Imaging Report Narrative Content Tree” in PS3.17 .

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4202. Breast Imaging Report Narrative

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (111412, DCM, "Narrative Summary") | 1 | M |  |
2 | > | CONTAINS | CONTAINER | BCID 6052 “Breast Imaging Report Section Title” | 1-n | M |  |
3 | >> | HAS OBS CONTEXT | INCLUDE | DTID 1002 “Observer Context” | 1-n | U |  |
4 | >> | CONTAINS | TEXT | BCID 6053 “Breast Imaging Report Elements” | 1 | M |  |
5 | >>> | INFERRED FROM | INCLUDE | DTID 350 “References to Supporting Evidence” | 1 | U |  |

### TID 4203 Breast Imaging Assessment

This Template provides the content of a Breast Imaging Assessment, for an overall assessment section for the entire report (see TID 4208 “Breast Imaging Report Supplementary Data”) or an assessment of a particular finding (see TID 4206 “Breast Imaging Report Finding Section”). This Template defines a code-based assessment of the interpretation results.

See Figure Q.1-5 “Breast Imaging Assessment Content Tree” in PS3.17 .

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4203. Breast Imaging Assessment

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (111005, DCM, "Assessment Category") | 1 | M |  | DCID 6026 “Mammography Assessment”
2 |  |  | CODE | EV (111053, DCM, "Recommended Follow-up") | 1-n | U |  | BCID 6028 “Mammography Recommended Follow-up”
3 | > | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | U |  | DCID 6022 “Side”
4 | > | HAS PROPERTIES | NUM | EV (111055, DCM, "Recommended Follow-up Interval") | 1 | U |  | UNITS = DCID 6046 “Units of Follow-up Interval” Values = Integer ≥ 0, where 0 = immediate follow-up
5 | > | HAS PROPERTIES | DATE | EV (111054, DCM, "Recommended Follow-up Date") | 1 | U |  |
6 | > | HAS PROPERTIES | INCLUDE | DTID 4207 “Breast Imaging Pathology Results” | 1-n | U |  |

### TID 4204 Breast Imaging Report Intervention Section

This Template defines a supplementary data section for an Intervention of the breast, for the Breast Imaging Report. It is included from TID 4208 “Breast Imaging Report Supplementary Data”.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 4204. Breast Imaging Report Intervention Section

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (111463, DCM, "Supplementary Data for Intervention") | 1 | M |  |
2 | > | CONTAINS | INCLUDE | DTID 4201 “Breast Imaging Procedure Reported” | 1 | M |  |
3 | > | CONTAINS | CODE | EV (57134006, SCT, "Instrument") | 1 | U |  |
4 | >> | HAS PROPERTIES | TEXT | EV (111465, DCM, "Needle Gauge") | 1 | UC | XOR row 5 |
5 | >> | HAS PROPERTIES | CODE | EV (111465, DCM, "Needle Gauge") | 1 | UC | XOR row 4 |
6 | >> | HAS PROPERTIES | NUM | EV (111467, DCM, "Needle Length") | 1 | U |  | UNITS = EV (cm, UCUM, "centimeter")
7 | > | CONTAINS | NUM | EV (111436, DCM, "Number of passes") | 1 | U |  | UNITS = EV ({passes}, UCUM, "passes")
8 | > | CONTAINS | NUM | EV (111437, DCM, "Number of specimens") | 1 | U |  | UNITS = EV ({specimens}, UCUM, "specimens")
9 | > | CONTAINS | CODE | EV (111431, DCM, "Instrument Approach") | 1-n | U |  | DCID 6065 “Instrument Approach”
10 | > | CONTAINS | CODE | EV (111438, DCM, "Needle in target") | 1 | U |  | DCID 230 “Yes-No”
11 | > | CONTAINS | NUM | EV (111439, DCM, "Number of needles around target") | 1 | U |  | UNITS = EV ({needles}, UCUM, "needles")
12 | > | CONTAINS | CODE | EV (182833002, SCT, "Medication given") | 1-n | U |  |
13 | > | CONTAINS | CODE | EV (111440, DCM, "Incision made") | 1 | U |  | DCID 230 “Yes-No”
14 | > | CONTAINS | CODE | EV (111123, DCM, "Marker placement") | 1 | U |  | DCID 230 “Yes-No”
15 | > | CONTAINS | CODE | EV (111442, DCM, "Confirmation of target") | 1 | U |  | DCID 6066 “Target Confirmation”
16 | > | CONTAINS | CODE | EV (116224001, SCT, "Complication of procedure") | 1-n | U |  | DCID 6062 “Interventional Procedure Complications”
17 | >> | HAS PROPERTIES | CODE | EV (111466, DCM, "Severity of Complication") | 1 | U |  | DCID 251 “Severity of Complication”
18 | > | CONTAINS | CONTAINER | EV (121027, DCM, "Specimen") | 1-n | U |  |
19 | >> | HAS OBS CONTEXT | INCLUDE | DTID 1009 “Subject Context, Specimen” | 1 | U |  |
20 | >> | CONTAINS | CODE | EV (250431005, SCT, "Color of fluid") | 1 | U |  | DCID 6067 “Fluid Color”
21 | >> | CONTAINS | CODE | EV (111456, DCM, "Action on fluid") | 1 | U |  | DT (111457, DCM, "Sent for analysis") DT (111458, DCM, "Discarded")
22 | >> | CONTAINS | CODE | EV (111455, DCM, "Occult blood test result") | 1 | U |  | DCID 250 “Positive-Negative”
23 | >> | CONTAINS | INCLUDE | DTID 4207 “Breast Imaging Pathology Results” | 1-n | U |  |
24 | > | CONTAINS | INCLUDE | DTID 350 “References to Supporting Evidence” | 1 | U |  |

### TID 4205 Breast Composition Section

This Template defines a Breast Composition section for the supplementary data sub-tree of the Breast Imaging Report. It is included from TID 4208 “Breast Imaging Report Supplementary Data”.

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4205. Breast Composition Section

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (129715009, SCT, "Breast composition") | 1 | M |  |
2 | > | CONTAINS | INCLUDE | DTID 4201 “Breast Imaging Procedure Reported” | 1-n | U |  |
3 | > | CONTAINS | CODE | EV (129715009, SCT, "Breast composition") | 1-n | MC | At least one of row 3, 5 shall be present | DCID 6000 “Overall Breast Composition”
4 | >> | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | M |  | DCID 6022 “Side”
5 | > | CONTAINS | NUM | EV (111046, DCM, "Percent Fibroglandular Tissue") | 1-n | MC | At least one of row 3, 5 shall be present | UNITS = EV (%, UCUM, "Percent")
6 | >> | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | M |  | DCID 6022 “Side”
7 | > | CONTAINS | CODE | EV (111350, DCM, "Breast background echo texture") | 1-2 | U |  | DCID 6151 “Background Echotexture”
8 | >> | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | M |  | DCID 6022 “Side”

### TID 4206 Breast Imaging Report Finding Section

This Template defines a supplementary data section for the Findings of the Breast Imaging Report. It is included from TID 4208 “Breast Imaging Report Supplementary Data”.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 4206. Breast Imaging Report Finding Section

| 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 OBS CONTEXT | INCLUDE | DTID 1002 “Observer Context” | 1-n | U |  |
3 | > | CONTAINS | INCLUDE | DTID 4201 “Breast Imaging Procedure Reported” | 1 | M |  |
4 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1-n | M |  | DCID 6054 “Breast Imaging Findings”
5 | >> | HAS CONCEPT MOD | CODE | EV (111405, DCM, "Implant type") | 1-n | UC | May be present if value of row 4 is (40388003, SCT, "Implant") | DCID 6059 “Breast Implant Types”
5b | >> | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | U |  | DCID 6022 “Side”
6 | >> | HAS PROPERTIES | INCLUDE | DTID 4203 “Breast Imaging Assessment” | 1 | U |  |
7 | >> | HAS PROPERTIES | CODE | EV (111014, DCM, "Clockface or region") | 1 | U |  | DCID 6018 “Clockface Location or Region”
8 | >> | HAS PROPERTIES | CODE | EV (111048, DCM, "Quadrant location") | 1 | U |  | DCID 6020 “Quadrant Location”
9 | >> | HAS PROPERTIES | INCLUDE | DTID 1400 “Linear Measurement” | 1-n | U |  |
10 | >> | HAS PROPERTIES | INCLUDE | DTID 1401 “Area Measurement” | 1-n | U |  |
11 | >> | HAS PROPERTIES | INCLUDE | DTID 1402 “Volume Measurement” | 1-n | U |  |
12 | >> | HAS PROPERTIES | CODE | EV (111020, DCM, "Depth") | 1 | U |  | DCID 6024 “Depth”
13 | >> | HAS PROPERTIES | CODE | EV (111035, DCM, "Lesion Density") | 1 | U |  | DCID 6008 “Density Modifier”
14 | >> | HAS PROPERTIES | CODE | EV (107644003, SCT, "Shape") | 1-n | U |  | DCID 6004 “Mammography Characteristics of Shape”
15 | >> | HAS PROPERTIES | CODE | EV (111037, DCM, "Margins") | 1-n | U |  | DCID 6006 “Mammography Characteristics of Margin”
16 | >> | HAS PROPERTIES | CODE | EV (111009, DCM, "Calcification Type") | 1-n | U |  | DCID 6010 “Mammography Calcification Types”
17 | >> | HAS PROPERTIES | CODE | EV (111008, DCM, "Calcification Distribution") | 1 | U |  | DCID 6012 “Calcification Distribution Modifier”
18 | >> | HAS PROPERTIES | NUM | EV (111038, DCM, "Number of calcifications") | 1 | U |  | UNITS = EV ({calcifications}, UCUM, "calcifications") Value = Integer 1 - n
19 | >> | HAS PROPERTIES | CODE | EV (111407, DCM, "Implant finding") | 1-n | U |  | DCID 6072 “Breast Implant Findings”
20 | >> | HAS PROPERTIES | CODE | EV (246090004, SCT, "Associated Finding") | 1-n | U |  | DCID 6056 “Associated Findings for Breast”
21 | >> | HAS PROPERTIES | NUM | EV (111406, DCM, "Number of similar findings") | 1 | U |  | UNITS = EV ({findings}, UCUM, "findings") Value = Integer 2 - n
22 | >> | HAS PROPERTIES | CODE | EV (129720009, SCT, "Change since last mammogram") | 1-n | U |  | DCID 6002 “Change Since Last Mammogram or Prior Surgery”
23 | >> | HAS PROPERTIES | CODE | EV (111354, DCM, "Orientation") | 1 | U |  | DCID 6152 “Orientation”
24 | >> | HAS PROPERTIES | CODE | EV (111357, DCM, "Lesion boundary") | 1 | U |  | DCID 6153 “Lesion Boundary”
25 | >> | HAS PROPERTIES | CODE | EV (111360, DCM, "Echo pattern") | 1 | U |  | DCID 6154 “Echo Pattern”
26 | >> | HAS PROPERTIES | CODE | EV (111366, DCM, "Posterior acoustic features") | 1 | U |  | DCID 6155 “Posterior Acoustic Features”
27 | >> | HAS PROPERTIES | CODE | EV (111371, DCM, "Identifiable effect on surrounding tissues") | 1 | U |  | DCID 6015 “Single Image Finding from BI-RADS®”
28 | >> | HAS PROPERTIES | CODE | EV (111372, DCM, "Vascularity") | 1 | U |  | DCID 6157 “Vascularity”
29 | >> | HAS PROPERTIES | CODE | EV (111380, DCM, "Correlation to Other Findings") | 1-n | U |  | DCID 6158 “Correlation to Other Findings”
30 | >> | INFERRED FROM | INCLUDE | DTID 350 “References to Supporting Evidence” | 1 | U |  |

Content Item Descriptions

Row 5b | The laterality of the finding may be different from the laterality of the procedure specified in Row 3, if the latter is undefined or bilateral. If this content item is absent, the laterality of the procedure is assumed to apply. The laterality of the finding may be bilateral.

### TID 4207 Breast Imaging Pathology Results

This Template defines the pathology results for a procedure. It may be applied to a Breast Imaging Assessment (see TID 4203 “Breast Imaging Assessment”), or a Breast Imaging Intervention (see TID 4204 “Breast Imaging Report Intervention Section”).

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 4207. Breast Imaging Pathology Results

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (111468, DCM, "Pathology Results") | 1 | M |  |
2 | > | CONTAINS | INCLUDE | DTID 4201 “Breast Imaging Procedure Reported” | 1 | U |  |
3 | > | CONTAINS | DATETIME | EV (111469, DCM, "Sampling DateTime") | 1 | M |  |
4 | > | CONTAINS | CODE | EV (122177, DCM, "Procedure Result") | 1 | M |  | DCID 6063 “Interventional Procedure Results”
5 | > | CONTAINS | CODE | EV (111042, DCM, "Pathology") | 1-n | U |  | BCID 6030 “Mammography Pathology Codes”
6 | >> | HAS PROPERTIES | CODE | EV (111388, DCM, "Malignancy Type") | 1 | U |  | DCID 6159 “Malignancy Type”
7 | >> | HAS PROPERTIES | NUM | DCID 6165 “Breast Linear Measurements” | 1-n | U |  | UNITS = EV (mm, UCUM, "millimeter")
8 | >> | HAS PROPERTIES | CODE | EV (373372005, SCT, "Histological grade finding") | 1 | U |  | BCID 6069 “Nottingham Combined Histologic Grade” BCID 6070 “Bloom-Richardson Histologic Grade”
9 | >>> | HAS CONCEPT MOD | CODE | EV (371469007, SCT, "Histologic grade") | 1 | U |  | BCID 6071 “Histologic Grading Method”
10 | >> | HAS PROPERTIES | CODE | EV (372249001, SCT, "Tumor margin status") | 1 | U |  | DT (111470, DCM, "Uninvolved"), DT (111471, DCM, "Involved")
11 | >> | HAS PROPERTIES | CODE | EV (111472, DCM, "Nipple involved") | 1 | U |  | DCID 230 “Yes-No”
12 | >> | HAS PROPERTIES | NUM | EV (111473, DCM, "Number of nodes removed") | 1 | U |  | UNITS = EV ({nodes}, UCUM, "nodes")
13 | >> | HAS PROPERTIES | NUM | EV (111474, DCM, "Number of nodes positive") | 1 | MC | Shall be present IFF value of row 12 is > 0 | UNITS = EV ({nodes}, UCUM, "nodes")
14 | >> | HAS PROPERTIES | CODE | EV (385385001, SCT, "pT category finding") | 1 | U |  | DCID 6160 “Breast Primary Tumor Assessment From AJCC”
15 | >> | HAS PROPERTIES | CODE | EV (385382003, SCT, "Node stage finding") | 1 | U |  | DCID 6161 “Clinical Regional Lymph Node Assessment for Breast”
16 | >> | HAS PROPERTIES | CODE | EV (385380006, SCT, "Metastasis stage finding") | 1 | U |  | DCID 6162 “Assessment of Metastasis for Breast”
17 | >> | HAS PROPERTIES | CODE | EV (385356007, SCT, "Tumor stage finding") | 1 | U |  | BCID 6068 “Tumor Stages From AJCC”
18 | >> | HAS PROPERTIES | CODE | EV (111475, DCM, "Estrogen receptor") | 1 | U |  | DCID 250 “Positive-Negative”
19 | >> | HAS PROPERTIES | CODE | EV (111476, DCM, "Progesterone receptor") | 1 | U |  | DCID 250 “Positive-Negative”
20 | >> | HAS PROPERTIES | NUM | EV (111477, DCM, "S Phase") | 1 | U |  | UNITS = EV (%, UCUM, "percent")
21 | >> | HAS PROPERTIES | CODE | EV (48676-1, LN, "HER2") | 1 | U |  | DCID 250 “Positive-Negative”

### TID 4208 Breast Imaging Report Supplementary Data

This Template forms a supplementary data sub-tree of the content tree of a Breast Imaging Report. Each subsection provides a specific type of supporting evidence to the narrative text sub-tree, for example, as coded and numeric data.

See Figure Q.1-4 “Breast Imaging Report Supplementary Data Content Tree” in PS3.17 .

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 4208. Breast Imaging Report Supplementary Data

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (111414, DCM, "Supplementary Data") | 1 | M |  |
2 | > | CONTAINS | INCLUDE | DTID 4201 “Breast Imaging Procedure Reported” | 1-n | M |  |
3 | > | CONTAINS | CODE | EV (111403, DCM, "Baseline screening mammogram") | 1 | U |  | DCID 230 “Yes-No”
4 | > | CONTAINS | CODE | EV (111404, DCM, "First mammogram ever") | 1 | U |  | DCID 230 “Yes-No”
5 | > | CONTAINS | INCLUDE | DTID 4205 “Breast Composition Section” | 1 | U |  |
6 | > | CONTAINS | INCLUDE | DTID 4206 “Breast Imaging Report Finding Section” | 1-n | U |  |
7 | > | CONTAINS | INCLUDE | DTID 4204 “Breast Imaging Report Intervention Section” | 1-n | U |  |
8 | > | CONTAINS | CONTAINER | EV (111413, DCM, "Overall Assessment") | 1 | U |  |
9 | >> | CONTAINS | INCLUDE | DTID 4203 “Breast Imaging Assessment” | 1 | M |  |

### TID 4209 Breast Patient Characteristics

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 4209. Breast Patient Characteristics

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (121118, DCM, "Patient Characteristics") | 1 | M |  |
5 | > | CONTAINS | CODE | EV (11323-3, LN, "Health status") | 1 | U |  | BCID 3772 “Health Status”
5 | > | CONTAINS | CODE | EV (C35461, NCIt, "Clinical course of disease") | 1 | U |  | BCID 6098 “Clinical Course of Disease”

## Prostate Imaging Report Templates

Section TID 4300 “Prostate Multiparametric MR Imaging Report” is the top-level report that includes all subordinate templates. Specific components related to prostate imaging are organized in the following subordinate templates:

- Section TID 9007 “General Relevant Patient Information” can be used to describe relevant clinical history, tests and procedures (e.g., Prostate Specific Antigen Tests and biopsy results);

- Section TID 1600 “Image Library” can be used to code individual MR series into defined types;

- Section TID 3106 “Drugs/Contrast Administered” can be used to describe details related to contrast administration during Dynamic Contrast-Enhanced MR acquisition, which is often used for prostate evaluation;

- Section TID 1701 “Imaging Study Quality” can be used to describe quality of the study and individual series in the study;

- Section TID 4302 “Prostate Imaging Findings” are intended for describing three groups of findings:

  - overall prostate findings in Section TID 4303,

  - localized findings within the prostate in Section TID 4304 “Localized Prostate Finding”,

  - and extra-prostatic findings in Section TID 4305 “Extra-prostatic Finding”.

  Each of these three templates follows a similar structure allowing for annotating the finding either volumetrically or planimetrically, and assigning attributes to those annotations.

The overall templates that comprise the Prostate Imaging Report are interconnected as in Figure A.4300-1.

Figure A.4300-1. Prostate Imaging Report Template Structure

The templates comprising Section TID 4302 “Prostate Imaging Findings” are shown in Figure A.4300-2.

Figure A.4300-2. Prostate Imaging Findings Template Structure

### TID 4300 Prostate Multiparametric MR Imaging Report

This Root Template forms the content tree that allows a Prostate Imaging Report device to describe the results of a radiologist's diagnostic interpretation of Prostate Imaging (e.g., multiparametric MRI) evidence. This Template, together with its subordinate Templates, describes the results for presentation to clinicians, or for consumption by Prostate Imaging Report devices for subsequent Prostate Imaging Reports.

The initial primary application of the template is to support reporting of Prostate Imaging Reporting and Data System version (PI-RADS) based interpretation of multiparametric MRI of the prostate, and specifically PI-RADS v2 reporting [PI-RADS]. PI-RADS guidelines were formulated based on the consensus of the analysis of published evidence and expert observations and opinions. The goal of PI-RADS is "to improve detection, localization, characterization, and risk stratification in patients with suspected cancer in treatment-naive prostate glands".

Type:

  Extensible

Order:

  Significant

Root:

  Yes

Table TID 4300. Prostate Multiparametric MR Imaging Report

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (719178004, SCT, "Multiparametric magnetic resonance imaging of prostate") | 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 OBS CONTEXT | INCLUDE | DTID 1502 “Time Point Context” | 1 | U |  |
5 | > | CONTAINS | CODE | EV (130551, DCM, "Reporting system") | 1 | M |  | DCID 6310 “Prostate Reporting Systems”
6 | > | CONTAINS | INCLUDE | DTID 1600 “Image Library” | 1 | U |  |
7 | > | CONTAINS | INCLUDE | DTID 9007 “General Relevant Patient Information” | 1 | U |  | $ProblemList = BCID 6327 “Prostate Imaging Indications”
8 | > | CONTAINS | CONTAINER | EV (130552, DCM, "Prostate MRI relevant procedure information") | 1 | U |  |
9 | >> | CONTAINS | INCLUDE | DTID 3106 “Drugs/Contrast Administered” | 1-n | U |  |
10 | >> | CONTAINS | CODE | EV (130543, DCM, "Endorectal coil used") | 1 | U |  | DCID 231 “Yes-No Only”
11 | > | CONTAINS | INCLUDE | DTID 1701 “Imaging Study Quality” | 1 | U |  | $ImageQualityControlStandard = BCID 6353 “Prostate Imaging Types of Quality Control Standard” $StudyQualityFindings = BCID 6314 “Prostate MRI Study Quality Findings” $SeriesQualityFindings = BCID 6327 “Prostate Imaging Indications”
12 | > | CONTAINS | INCLUDE | DTID 4302 “Prostate Imaging Findings” | 1 | M |  |

### TID 4301 Genitourinary Patient History

This disease-specific template collects the details of a patient's genitourinary system history, such as those relevant in the context of prostate cancer screening, including abdominal surgeries, history of androgen deprivation therapy, digital rectal examination, and relevant labs.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 4301. Genitourinary Patient History

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130548, DCM, "Genitourinary History") | 1 | M |  |
2 | > | CONTAINS | TEXT | EV (11329-0, LN, "History") | 1 | U |  |
3 | > | CONTAINS | CONTAINER | DT (11450-4, LN, "Problem List") | 1 | U |  |
4 | >> | CONTAINS | TEXT | DCID 3769 “Concern Types” | 1-n | U |  |
5 | >> | CONTAINS | INCLUDE | DTID 3829 “Problem Properties” | 1-n | U |  | $Problem = DCID 6313 “History of Prostate Disease” $Therapy = DCID 6323 “Prostate Cancer Therapy”
6 | > | CONTAINS | CONTAINER | DT (29762-2, LN, "Social History") | 1 | U |  |
7 | >> | CONTAINS | TEXT | EV (160476009, SCT, "Social History") | 1 | U |  |
8 | >> | CONTAINS | CODE | EV (365981007, SCT, "Tobacco Smoking Behavior") | 1 | U |  | DCID 3724 “Smoking History”
9 | > | CONTAINS | CONTAINER | DT (10167-5, LN, "Past Surgical History") | 1 | U |  |
10 | >> | CONTAINS | TEXT | EV (11329-0, LN, "History") | 1-n | U |  |
11 | >> | CONTAINS | INCLUDE | DTID 3830 “Procedure Properties” | 1-n | U |  | $ProcType = DCID 6319 “Abdominal Intervention Types” $Procedure = DCID 6320 “Abdominal Interventions”
12 | > | CONTAINS | CONTAINER | DT (30954-2, LN, "Relevant Diagnostic Tests and/or Laboratory Data") | 1 | U |  |
13 | >> | CONTAINS | TEXT | EV (11329-0, LN, "History") | 1-n | U |  |
14 | > | CONTAINS | CONTAINER | DT (103693007, SCT, "Diagnostic procedure") | 1-n | U |  |
15 | >> | CONTAINS | INCLUDE | DTID 1700 “Generic Blood Lab Measurements” | 1-n | U |  | $Measurement = DCID 6352 “Prostate Cancer Diagnostic Blood Lab Measurements”
16 | >> | CONTAINS | INCLUDE | DTID 3830 “Procedure Properties” | 1-n | U |  | $ProcType = DT (103693007, SCT, "Diagnostic procedure") $Procedure = DCID 6321 “Prostate Cancer Diagnostic Procedures” ProcedureResult = DCID 242 “Normal-Abnormal”
17 | > | CONTAINS | CONTAINER | DT (10160-0, LN, "History of Medication Use") | 1 | U |  |
18 | >> | CONTAINS | TEXT | DT (111516, DCM, "Medication Type") | 1-n | U |  |
19 | >>> | HAS PROPERTIES | CODE | DT (33999-4, LN, "Status") | 1 | U |  | DCID 3773 “Use Status”
20 | >> | CONTAINS | CODE | DT (111516, DCM, "Medication Type") | 1-n | U |  |
21 | >>> | HAS PROPERTIES | NUM | DT (260911001, SCT, "Dosage") | 1 | U |  |
22 | >>> | HAS PROPERTIES | CODE | DT (33999-4, LN, "Status") | 1 | U |  | DCID 3773 “Use Status”
23 | > | CONTAINS | CONTAINER | DT (10157-6, LN, "History of Family Member Diseases") | 1 | U |  |
24 | >> | CONTAINS | TEXT | EV (11329-0, LN, "History") | 1-n | U |  |
25 | >> | CONTAINS | CODE | EV (416471007, SCT, "Family history of clinical finding") | 1-n | U |  | DCID 6322 “Prostate Cancer Family History”
26 | >>> | HAS PROPERTIES | CODE | EV (408732007, SCT, "Subject relationship") | 1 | M |  | DCID 7451 “Family Member”

### TID 4302 Prostate Imaging Findings

Summary of the findings identified in the process of review of prostate imaging study. The container shall include measurement of the prostate gland and at least one localized finding.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 4302. Prostate Imaging Findings

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130553, DCM, "Prostate Imaging Findings") | 1 | M |  |
2 | > | CONTAINS | INCLUDE | DTID 4303 “Overall Prostate Finding” | 1 | M |  |
3 | > | CONTAINS | INCLUDE | DTID 4304 “Localized Prostate Finding” | 1-n | M |  |
4 | > | CONTAINS | INCLUDE | DTID 4305 “Extra-prostatic Finding” | 1-n | U |  |
5 | > | CONTAINS | CODE | EV (111005, DCM, "Assessment Category") | 1-n | MC | XOR Row 6. At least one of rows 5,6,7 shall be present. | DCID 6324 “Prostate MRI Assessment”
6 | > | CONTAINS | CODE | EV (RID50294, RADLEX, "PI-RADS Overall Assessment Category") | 1-n | MC | XOR Row 5. At least one of rows 5,6,7 shall be present. | DCID 6325 “Overall Assessment from PI-RADS®”
7 | > | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1 | M |  |

Content Item Descriptions

Rows 5 and 6 | Row 5 can be used to assign an assessment category using an assessment other than PI-RADS®. If PI-RADS® is used for the assessment, row 6 should be used.

### TID 4303 Overall Prostate Finding

Summary of the overall assessment of the prostate gland, peripheral and transitional zone in separate container instantiations. Prostate gland assessment must include size measurements.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 4303. Overall Prostate Finding

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130554, DCM, "Overall Prostate Finding") | 1 | M |  |
2 | > | HAS OBS CONTEXT | TEXT | DT (112039, DCM, "Tracking Identifier") | 1 | M |  |
3 | > | HAS OBS CONTEXT | UIDREF | EV (112040, DCM, "Tracking Unique Identifier") | 1 | M |  |
4 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1 | M |  | EV (255503000, SCT, "Entire")
5 | > | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding site") | 1 | M |  | EV (41216001, SCT, "Prostate")
6 | > | CONTAINS | INCLUDE | DTID 3909 “Best Illustration of Findings” | 1-n | U |  |
7 | > | CONTAINS | INCLUDE | DTID 1410 “Planar ROI Measurements and Qualitative Evaluations” | 1-n | MC | IF Rows 8, 9 are absent | $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” $FindingType = Value of Row 4 $TargetSite = Value of Row 5 $TrackingID = Value of Row 2 $TrackingUID = Value of Row 3 $QualType = BCID 6333 “mpMRI Assessment Types” $QualValue = BCID 6335 “mpMRI Assessment Values”
8 | > | CONTAINS | INCLUDE | DTID 1411 “Volumetric ROI Measurements and Qualitative Evaluations” | 1-n | MC | IF Rows 7, 9 are absent | $Measurement = DT (118565006, SCT, "Volume") $Units = BCID 7462 “Units of Volume Measurement” $FindingType = Value of Row 4 $TargetSite = Value of Row 5 $TrackingID = Value of Row 2 $TrackingUID = Value of Row 3 $QualType = BCID 6333 “mpMRI Assessment Types” $QualValue = BCID 6335 “mpMRI Assessment Values”
9 | > | CONTAINS | INCLUDE | DTID 1501 “Measurement and Qualitative Evaluation Group” | 1-n | MC | IF Rows 7, 8 are absent | $Measurement = BCID 218 “Quantitative Image Features” $Units = BCID 7181 “Abstract Multi-dimensional Image Model Component Units” $FindingType = Value of Row 4 $TargetSite = Value of Row 5 $TrackingID = Value of Row 2 $TrackingUID = Value of Row 3 $QualType = BCID 6333 “mpMRI Assessment Types” $QualValue = BCID 6335 “mpMRI Assessment Values” $ImagePurpose = EV (260753009, SCT, "Source")
10 | > | CONTAINS | CONTAINER | BCID 6300 “Prostate Anatomy” | 1-n | U |  |
12 | >> | CONTAINS | TEXT | BCID 6333 “mpMRI Assessment Types” | 1-n | U |  |
13 | >> | CONTAINS | CODE | BCID 6333 “mpMRI Assessment Types” | 1-n | U |  | BCID 6335 “mpMRI Assessment Values”

Content Item Descriptions

Rows 10-12 | These rows are used to describe non-localized findings within the prostate gland (i.e., those that can be described by referring to a specific anatomic part of the gland, but which are not annotated on the image).

### TID 4304 Localized Prostate Finding

A single finding within the prostate gland. A single instantiation of this container allows to include annotations of the lesion in various series, and includes the optional characterization of the lesion following PI-RADS® guidelines.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 4304. Localized Prostate Finding

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130555, DCM, "Localized Prostate Finding") | 1 | M |  |
2 | > | HAS OBS CONTEXT | TEXT | DT (112039, DCM, "Tracking Identifier") | 1 | M |  |
3 | > | HAS OBS CONTEXT | UIDREF | EV (112040, DCM, "Tracking Unique Identifier") | 1 | M |  |
4 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1 | M |  | BCID 6336 “MRI Abnormalities”
5 | > | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding site") | 1-n | M |  | BCID 6300 “Prostate Anatomy”
6 | >> | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | U |  | DCID 244 “Laterality”
7 | >> | HAS CONCEPT MOD | CODE | EV (106233006, SCT, "Topographical modifier") | 1 | U |  |
8 | > | CONTAINS | INCLUDE | DTID 3909 “Best Illustration of Findings” | 1-n | U |  |
9 | > | CONTAINS | INCLUDE | DTID 1410 “Planar ROI Measurements and Qualitative Evaluations” | 1-n | MC | IF Rows 10, 11 are absent | $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” $FindingType = Value of Row 4 $TargetSite = Value of Row 5 $TrackingID = Value of Row 2 $TrackingUID = Value of Row 3 $QualType = BCID 6333 “mpMRI Assessment Types” $QualValue = BCID 6335 “mpMRI Assessment Values”
10 | > | CONTAINS | INCLUDE | DTID 1411 “Volumetric ROI Measurements and Qualitative Evaluations” | 1-n | MC | IF Rows 9, 11 are absent | $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” $FindingType = Value of Row 4 $TargetSite = Value of Row 5 $TrackingID = Value of Row 2 $TrackingUID = Value of Row 3 $QualType = BCID 6333 “mpMRI Assessment Types” $QualValue = BCID 6335 “mpMRI Assessment Values”
11 | > | CONTAINS | INCLUDE | DTID 1501 “Measurement and Qualitative Evaluation Group” | 1-n | MC | IF Rows 9, 10 are absent | $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” $FindingType = Value of Row 4 $TargetSite = Value of Row 5 $TrackingID = Value of Row 2 $TrackingUID = Value of Row 3 $QualType = BCID 6333 “mpMRI Assessment Types” $QualValue = BCID 6335 “mpMRI Assessment Values” $ImagePurpose = EV (260753009, SCT, "Source")
12 | > | CONTAINS | CONTAINER | EV (C0034375, UMLS, "Qualitative Evaluations") | 1 | MC | IF row 6 and 10 are absent |
13 | >> | CONTAINS | CODE | DCID 6333 “mpMRI Assessment Types” | 1-n | U |  | BCID 6335 “mpMRI Assessment Values”
14 | >> | CONTAINS | TEXT | DCID 6333 “mpMRI Assessment Types” | 1-n | U |  |
15 | > | CONTAINS | CONTAINER | EV (130556, DCM, "Prostate relational measurements") | 1 | M |  |
16 | >> | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = BCID 6351 “Prostate Relational Measurements”
17 | >> | CONTAINS | INCLUDE | DTID 4306 “PI-RADS® Localized Abnormality Assessment” | 1 | U |  |

Content Item Descriptions

Row 5 | More than one site may be listed if the lesion spans multiple regions that do not have a single pre-coordinated representation.

### TID 4305 Extra-prostatic Finding

This template can be used to report abnormal lymph nodes and skeletal metastases as part of prostate MRI report. At least bi-dimensional measurement of suspicious lymph nodes is recommended. Organization of the sub-parts of the template corresponding to lymph nodes and skeletal metastases is similar, with the exception that lymph nodes section is parameterized with CID 7600 “Lymph Node Anatomic Sites” for $TargetSite.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 4305. Extra-prostatic Finding

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130559, DCM, "Extra-prostatic Finding") | 1 | M |  |
2 | > | HAS OBS CONTEXT | TEXT | DT (112039, DCM, "Tracking Identifier") | 1 | U |  |
3 | > | HAS OBS CONTEXT | UIDREF | EV (112040, DCM, "Tracking Unique Identifier") | 1 | U |  |
4 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1 | U |  | BCID 6347 “Prostate MRI Extra-prostatic Findings”
5 | > | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding site") | 1-n | U |  | BCID 7600 “Lymph Node Anatomic Sites” BCID 6348 “Prostate MRI Assessment of Extra-prostatic Anatomic Sites”
6 | >> | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | U |  | DCID 244 “Laterality”
7 | >> | HAS CONCEPT MOD | CODE | EV (106233006, SCT, "Topographical modifier") | 1 | U |  |
8 | > | CONTAINS | INCLUDE | DTID 3909 “Best Illustration of Findings” | 1-n | U |  |
9 | > | CONTAINS | INCLUDE | DTID 1410 “Planar ROI Measurements and Qualitative Evaluations” | 1-n | MC | IF Rows 10, 11 are absent | $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” $FindingType = Value of Row 4 $TargetSite = Value of Row 5 $TrackingID = Value of Row 2 $TrackingUID = Value of Row 3 $QualType = BCID 6333 “mpMRI Assessment Types” $QualValue = BCID 6335 “mpMRI Assessment Values”
10 | > | CONTAINS | INCLUDE | DTID 1411 “Volumetric ROI Measurements and Qualitative Evaluations” | 1-n | MC | IF Rows 9, 11 are absent | $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” $FindingType = Value of Row 4 $TargetSite = Value of Row 5 $TrackingID = Value of Row 2 $TrackingUID = Value of Row 3 $QualType = BCID 6333 “mpMRI Assessment Types” $QualValue = BCID 6335 “mpMRI Assessment Values”
11 | > | CONTAINS | INCLUDE | DTID 1501 “Measurement and Qualitative Evaluation Group” | 1-n | MC | IF Rows 9, 10 are absent | $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” $FindingType = Value of Row 4 $TargetSite = Value of Row 5 $TrackingID = Value of Row 2 $TrackingUID = Value of Row 3 $QualType = BCID 6333 “mpMRI Assessment Types” $QualValue = BCID 6335 “mpMRI Assessment Values” $ImagePurpose = EV (260753009, SCT, "Source")
12 | > | CONTAINS | CONTAINER | EV (C0034375, UMLS, "Qualitative Evaluations") | 1 | MC | IF row 6 and 10 are absent |
13 | >> | CONTAINS | CODE | DCID 6333 “mpMRI Assessment Types” | 1-n | U |  | BCID 6335 “mpMRI Assessment Values”
14 | >> | CONTAINS | TEXT | DCID 6333 “mpMRI Assessment Types” | 1-n | U |  |

### TID 4306 PI-RADS® Localized Abnormality Assessment

This template stores PI-RADS® assessment for all analyzed modalities, with the references to the annotations in the individual modalities. Assessment is not specific to lesions, since it can also be used to assess additional findings, including definitely benign findings.

When lesions are identified, only one lesion shall be designated as “Index lesion”.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 4306. PI-RADS® Localized Abnormality Assessment

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130559, DCM, "PI-RADS Localized Abnormality Assessment") | 1 | M |  |
2 | > | CONTAINS | CODE | EV (C110961, NCIt, "Index lesion") | 1 | U |  | BCID 231 “Yes-No Only”
3 | > | CONTAINS | CONTAINER | EV (130561, DCM, "PI-RADS T2WI Lesion Assessment") | 1 | M |  |
4 | >> | CONTAINS | CODE | EV (RID50301, RADLEX, "PI-RADS T2WI PZ Lesion Assessment Category") | 1 | MC | XOR Row 5 | DCID 6329 “PI-RADS® v2 T2WI PZ Lesion Assessment Category”
5 | >> | CONTAINS | CODE | EV (RID50307, RADLEX, "PI-RADS T2WI TZ Lesion Assessment Category") | 1 | MC | XOR Row 4 | DCID 6330 “PI-RADS® v2 T2WI TZ Lesion Assessment Category”
6 | >> | CONTAINS | CODE | DCID 6334 “mpMRI Assessment Types from PI-RADS®” | 1-n | U |  | DCID 6335 “mpMRI Assessment Values”
7 | >> | CONTAINS | TEXT | DCID 6334 “mpMRI Assessment Types from PI-RADS®” | 1-n | U |  |
8 | > | CONTAINS | CONTAINER | EV (130562, DCM, "PI-RADS DWI Lesion Assessment") | 1 | M |  |
9 | >> | CONTAINS | CODE | EV (RID50313, RADLEX, "PI-RADS DWI Lesion Assessment Category") | 1 | U |  | DCID 6331 “PI-RADS® v2 DWI Lesion Assessment Category”
10 | >> | CONTAINS | CODE | DCID 6334 “mpMRI Assessment Types from PI-RADS®” | 1-n | U |  | DCID 6335 “mpMRI Assessment Values”
11 | >> | CONTAINS | TEXT | DCID 6334 “mpMRI Assessment Types from PI-RADS®” | 1-n | U |  |
12 | > | CONTAINS | CONTAINER | EV (130563, DCM, "PI-RADS DCE Lesion Assessment") | 1 | M |  |
13 | >> | CONTAINS | CODE | EV (RID50319, RADLEX, "PI-RADS DCE Lesion Assessment Category") | 1 | M |  | DCID 6332 “PI-RADS® v2 DCE Lesion Assessment Category”
14 | >> | CONTAINS | CODE | DCID 6334 “mpMRI Assessment Types from PI-RADS®” | 1-n | U |  | DCID 6335 “mpMRI Assessment Values”
15 | >> | CONTAINS | TEXT | DCID 6334 “mpMRI Assessment Types from PI-RADS®” | 1-n | U |  |
16 | > | CONTAINS | CODE | EV (RID50295, RADLEX, "PI-RADS Lesion Assessment Category") | 1-n | U |  | BCID 6328 “PI-RADS® v2 Lesion Assessment Category”
17 | > | CONTAINS | CODE | DCID 6334 “mpMRI Assessment Types from PI-RADS®” | 1-n | U |  | BCID 6335 “mpMRI Assessment Values”
18 | > | CONTAINS | TEXT | DCID 6334 “mpMRI Assessment Types from PI-RADS®” | 1-n | U |  |

Content Item Descriptions

Rows 7, 11, 15, 18 | The intent of those content items is to allow for communication of information that cannot be coded in the preceding CODE content items, and not to replicate the CODE items.

## OB-GYN Report Templates

### TID 5000 OB-GYN Ultrasound Procedure Report

This is the Template for the root of the content tree for the OB-GYN ultrasound procedure report.

Type:

  Extensible

Order:

  Significant

Root:

  Yes

Table TID 5000. OB-GYN Ultrasound Procedure Report

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | BCID 12024 “OB-GYN Ultrasound Report Document Titles” | 1 | M |  | Root node
2 | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | U |  |
2b | > | HAS ACQ CONTEXT | CODE | EV (125203, DCM, "Acquisition Protocol") | 1-n | U |  | DCID 12025 “OB-GYN Ultrasound Beam Path”
3 | > | HAS OBS CONTEXT | INCLUDE | DTID 1001 “Observation Context” | 1 | M |  |
4 | > | CONTAINS | INCLUDE | DTID 5001 “OB-GYN Patient Characteristics” | 1 | U |  |
5 | > | CONTAINS | CONTAINER | DT (111028, DCM, "Image Library") | 1 | U |  |
6 | >> | CONTAINS | IMAGE |  | 1-n | M |  |
7 | > | CONTAINS | INCLUDE | DTID 5002 “OB-GYN Procedure Summary Section” | 1 | U |  |
8 | > | CONTAINS | INCLUDE | DTID 5004 “Fetal Biometry Ratio Section” | 1-n | U |  |
9 | > | CONTAINS | INCLUDE | DTID 5005 “Fetal Biometry Section” | 1-n | U |  |
10 | > | CONTAINS | INCLUDE | DTID 5006 “Fetal Long Bones Section” | 1-n | U |  |
11 | > | CONTAINS | INCLUDE | DTID 5007 “Fetal Cranium Section” | 1-n | U |  |
12 | > | CONTAINS | INCLUDE | DTID 5009 “Fetal Biophysical Profile Section” | 1-n | U |  |
13 | > | CONTAINS | INCLUDE | DTID 5011 “Early Gestation Section” | 1-n | U |  |
14 | > | CONTAINS | INCLUDE | DTID 5010 “Amniotic Sac Section” | 1 | U |  |
15 | > | CONTAINS | INCLUDE | DTID 5015 “Pelvis and Uterus Section” | 1 | U |  |
16 | > | CONTAINS | INCLUDE | DTID 5012 “Ovaries Section” | 1 | U |  |
17 | > | CONTAINS | INCLUDE | DTID 5013 “Follicles Section” | 1 | U |  | $Laterality = EV (7771000, SCT, "Left") $Number = EV (11879-4, LN, "Number of follicles in left ovary")
18 | > | CONTAINS | INCLUDE | DTID 5013 “Follicles Section” | 1 | U |  | $Laterality = EV (24028007, SCT, "Right") $Number = EV (11880-2, LN, "Number of follicles in right ovary")
19 | > | CONTAINS | CONTAINER | EV (59776-5, LN, "Findings") | 1-n | U |  |
20 | >> | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | EV (51852003, SCT, "Embryonic Vascular Structure")
21 | >> | CONTAINS | INCLUDE | DTID 5025 “OB-GYN Fetal Vascular Ultrasound Measurement Group” | 1 | M |  | $AnatomyGroup = DCID 12141 “Fetal Vasculature Anatomical Location”
22 | > | CONTAINS | CONTAINER | EV (59776-5, LN, "Findings") | 1-n | U |  |
23 | >> | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | EV (281496003, SCT, "Pelvic Vascular Structure")
24 | >> | CONTAINS | INCLUDE | DTID 5026 “OB-GYN Pelvic Vascular Ultrasound Measurement Group” | 1 | M |  | $AnatomyGroup = DCID 12140 “Pelvic Vasculature Anatomical Location”

Content Item Descriptions

Row 6 | No purpose of reference is specified.

### TID 5001 OB-GYN Patient Characteristics

Patient Characteristic concepts in this Template, which may replicate attributes in the Patient Study Module, are included here as possible targets of by-reference relationships from other Content Items in the SR tree.

### Note

Several of the concepts in this Template duplicate concepts in TID 1007 “Subject Context, Patient”. The difference in use is that this Template has those concepts as primary observations of the patient, while in TID 1007 “Subject Context, Patient” the concepts are used to set (or reset) the context for other observations.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5001. OB-GYN Patient Characteristics

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (121118, DCM, "Patient Characteristics") | 1 | M |  |
2 | > | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |
3 | > | CONTAINS | NUM | EV (8302-2, LN, "Patient Height") | 1 | U |  |
4 | > | CONTAINS | NUM | EV (29463-7, LN, "Patient Weight") | 1 | U |  |
5 | > | CONTAINS | NUM | EV (11996-6, LN, "Gravida") | 1 | U |  |
6 | > | CONTAINS | NUM | EV (11977-6, LN, "Para") | 1 | U |  |
7 | > | CONTAINS | NUM | EV (11612-9, LN, "Aborta") | 1 | U |  |
8 | > | CONTAINS | NUM | EV (33065-4, LN, "Ectopic Pregnancies") | 1 | U |  |

### TID 5002 OB-GYN Procedure Summary Section

Observations of the procedure of immediate clinical interest.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5002. OB-GYN Procedure Summary Section

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | DT (55112-7, LN, "Summary") | 1 | M |  |
2 | > | CONTAINS | DATE | DCID 12003 “OB-GYN Dates” | 1-n | U |  |
3 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = BCID 12018 “OB-GYN Summary”
4 | > | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1-n | U |  |
5 | >> |  | INCLUDE | DTID 320 “Image or Spatial Coordinates” | 1-n | U |  |
6 | > | CONTAINS | INCLUDE | BTID 5003 “OB-GYN Fetus Summary” | 1-n | UC | No more than 1 inclusion per fetus |

### TID 5003 OB-GYN Fetus Summary

The Fetus Summary Template is a container for summary data of a fetus.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5003. OB-GYN Procedure Fetus Summary

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | DT (125008, DCM, "Fetus Summary") | 1 | M |  |
2 | > | HAS OBS CONTEXT | INCLUDE | DTID 1008 “Subject Context, Fetus” | 1 | MC | IF this Template is invoked more than once to describe more than one fetus |
3 | > | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1-n | U |  |
4 | >> |  | INCLUDE | DTID 320 “Image or Spatial Coordinates” | 1 | U |  |
5 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 12019 “OB-GYN Fetus Summary” $Equation = DCID 12012 “OB Equations and Tables”

### TID 5004 Fetal Biometry Ratio Section

The Fetal Biometry Section Ratio Template is a container for common biometric ratios.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5004. Fetal Biometry Ratio Section

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | DT (125001, DCM, "Fetal Biometry Ratios") | 1 | M |  |
2 | > | HAS OBS CONTEXT | INCLUDE | DTID 1008 “Subject Context, Fetus” | 1 | MC | IF this Template is invoked more than once to describe more than one fetus |
3 | > | CONTAINS | NUM | DCID 12004 “Fetal Biometry Ratios” | 1-n | M |  |
4 | >> | R-INFERRED FROM | NUM |  | 2 | U |  |
5 | >> | HAS PROPERTIES | INCLUDE | DTID 312 “Normal Range Properties” | 1 | U |  |

Content Item Descriptions

Row 3 | Numeric ratio related to fetal growth
Row 4 | Reference to the numerator and denominator of the ratio.

### TID 5005 Fetal Biometry Section

The Fetal Biometry Section Template is a container for common biometric groups.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5005. Fetal Biometry Section

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | DT (125002, DCM, "Fetal Biometry") | 1 | M |  |
2 | > | HAS OBS CONTEXT | INCLUDE | DTID 1008 “Subject Context, Fetus” | 1 | MC | IF this Template is invoked more than once to describe more than one fetus |
3 | > | CONTAINS | INCLUDE | DTID 5008 “Fetal Biometry Group” | 1-n | M |  | $BiometryType = MemberOf {DCID 12005 “Fetal Biometry Measurements” $TargetSite = DCID 12020 “Fetal Biometry Anatomic Sites”

Content Item Descriptions

Row 3 | The group of measurements. Only one group per biometry type.

### TID 5006 Fetal Long Bones Section

The Long Bones Template is a container for biometric data of long bones.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5006. Fetal Long Bones Section

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | DT (125003, DCM, "Fetal Long Bones") | 1 | M |  |
2 | > | HAS OBS CONTEXT | INCLUDE | DTID 1008 “Subject Context, Fetus” | 1 | MC | IF this Template is invoked more than once to describe more than one fetus |
3 | > | CONTAINS | INCLUDE | DTID 5008 “Fetal Biometry Group” | 1-n | M |  | $BiometryType = MemberOf {DCID 12006 “Fetal Long Bones Biometry Measurements” $TargetSite = DCID 12021 “Fetal Long Bone Anatomic Sites”

Content Item Descriptions

Row 3 | The group of measurements. Only one group per biometry type.

### TID 5007 Fetal Cranium Section

The Fetal Cranium Template is a container for groups of biometric data of the fetal cranium.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5007. Fetal Cranium Section

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | DT (125004, DCM, "Fetal Cranium") | 1 | M |  |
2 | > | HAS OBS CONTEXT | INCLUDE | DTID 1008 “Subject Context, Fetus” | 1 | MC | IF this Template is invoked more than once to describe more than one fetus |
3 | > | CONTAINS | INCLUDE | DTID 5008 “Fetal Biometry Group” | 1-n | M |  | $BiometryType = MemberOf {DCID 12007 “Fetal Cranium” $TargetSite = DCID 12022 “Fetal Cranium Anatomic Sites”

Content Item Descriptions

Row 3 | The group of measurements. Only one group per biometry type.

### TID 5008 Fetal Biometry Group

The Biometry Group Template is container for a biometric value and its associated growth metrics.

Table TID 5008. Parameters

Parameter Name | Parameter Usage
--- | ---
$BiometryType | The concept name of the biometry measurement
$TargetSite | Value for Anatomic Location of the biometry measurement

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5008. Fetal Biometry Group

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | DT (125005, DCM, "Biometry Group") | 1 | M |  |
2 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | MC | At least one of row 2 and 3 shall be present | $Measurement = $BiometryType $TargetSite = $TargetSite $Derivation = DCID 3627 “Measurement Type”
3 | > | CONTAINS | NUM | EV (18185-9, LN, "Gestational Age") | 1 | MC | At least one of row 2 and 3 shall be present | UNITS = EV (d, UCUM, "days")
4 | >> | INFERRED FROM | CODE | DCID 228 “Equation or Table” | 1 | U |  | DCID 12013 “Gestational Age Equations and Tables”
5 | >> | R-INFERRED FROM | NUM |  | 1-n | U |  |
6 | >> | HAS PROPERTIES | NUM | DCID 226 “Population Statistical Descriptors” | 1-n | U |  |
7 | > | CONTAINS | NUM | DCID 12017 “Growth Distribution Rank” | 1 | U |  |
8 | >> | INFERRED FROM | CODE | DCID 228 “Equation or Table” | 1 | U |  | DCID 12015 “Fetal Growth Equations and Tables”

Content Item Descriptions

Row 1 | Container to segregate biometry data by measurement type
Row 2 | The discrete measurements of the biometry type including derived measurements such as mean. One of the measurements may be flagged as selected for derived measurements. The anatomic location may be precoordinated in the measurement type, but may also be explicitly conveyed in the $TargetSite parameter, which then also allows laterality to be encoded within TID 300 “Measurement”.
Row 3 | The estimated gestational age derived from an equation or table based on the explicitly referenced R-INFERRED FROM Content Item, selected measurement or mean, in that order of preference.
Row 4 | The reference that defines the equation or table of GA derivation
Row 6 | The uncertainty/confidence limits of the gestational age
Row 7 | Expresses the rank of the selected or mean measurement of row 2 relative to the distribution specified in row 8.
Row 8 | This row specifies the CODE reference used to compute the percentile or Z-score.

### TID 5009 Fetal Biophysical Profile Section

This Template encodes scoring observations for fetal well-being evaluation as described by Manning, Antepartum Fetal Evaluation: Development of a Fetal Biophysical Profile Score, Am. J Obsetet Gynecol, 1980;136:787.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5009. Fetal Biophysical Profile Section

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | DT (125006, DCM, "Biophysical Profile") | 1 | M |  |
2 | > | HAS OBS CONTEXT | INCLUDE | DTID 1008 “Subject Context, Fetus” | 1 | MC | IF this Template is invoked more than once to describe more than one fetus |
3 | > | CONTAINS | NUM | EV (11631-9, LN, "Gross Body Movement") | 1 | MC | At least one of row 3-7 shall be present | UNITS = DT ({0:2}, UCUM, "range 0:2")
4 | > | CONTAINS | NUM | EV (11632-7, LN, "Fetal Breathing") | 1 | MC | At least one of row 3-7 shall be present | UNITS = DT ({0:2}, UCUM, "range 0:2")
5 | > | CONTAINS | NUM | EV (11635-0, LN, "Fetal Tone") | 1 | MC | At least one of row 3-7 shall be present | UNITS = DT ({0:2}, UCUM, "range 0:2")
6 | > | CONTAINS | NUM | EV (11633-5, LN, "Fetal Heart Reactivity") | 1 | MC | At least one of row 3-7 shall be present | UNITS = DT ({0:2}, UCUM, "range 0:2")
7 | > | CONTAINS | NUM | EV (11630-1, LN, "Amniotic Fluid Volume") | 1 | MC | At least one of row 3-7 shall be present | UNITS = DT ({0:2}, UCUM, "range 0:2")
8 | > | CONTAINS | NUM | DT (11634-3, LN, "Biophysical Profile Sum Score") | 1 | U |  |

Content Item Descriptions

Row 3-7 | The numeric profile score of range 0-2
Row 8 | The sum of rows 3-7. The range is from 0 to the maximum possible score according the items scored in rows 3-7.

### TID 5010 Amniotic Sac Section

This Template specifies a container for amniotic sac quadrant diameters and a derived index.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5010. Amniotic Sac Section

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | DT (59776-5, LN, "Findings") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | DT (70847004, SCT, "Amniotic Sac")
3 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = DT (11627-7, LN, "Amniotic Fluid Index")
4 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 4 | U |  | $Measurement = DCID 12008 “OB-GYN Amniotic Sac”

Content Item Descriptions

Row 3 | The sum of the 4 quadrant diameters
Row 4 | The four amniotic sac quadrant diameters

### TID 5011 Early Gestation Section

The Early Gestation Section Template is a container for common, first trimester biometric groups.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5011. Early Gestation Section

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | DT (125009, DCM, "Early Gestation") | 1 | M |  |
2 | > | HAS OBS CONTEXT | INCLUDE | DTID 1008 “Subject Context, Fetus” | 1 | MC | IF this Template is invoked more than once to describe more than one fetus |
3 | > | CONTAINS | INCLUDE | DTID 5008 “Fetal Biometry Group” | 1-n | M |  | $BiometryType = Member of {DCID 12009 “Early Gestation Biometry Measurements”}

### TID 5012 Ovaries Section

This Template contains metrics of ovary size.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5012. Ovaries Section

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | DT (59776-5, LN, "Findings") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | DT (15497006, SCT, "Ovary")
3 | > | CONTAINS | INCLUDE | DTID 5016 “LWH Volume Group” | 1 | U |  | $GroupName = EV (15497006, SCT, "Ovary") $Width = EV (11829-9, LN, "Left Ovary Width") $Length = EV (11840-6, LN, "Left Ovary Length") $Height = EV (11857-0, LN, "Left Ovary Height") $Volume = EV (12164-0, LN, "Left Ovary Volume")
4 | > | CONTAINS | INCLUDE | DTID 5016 “LWH Volume Group” | 1 | U |  | $GroupName = EV (15497006, SCT, "Ovary") $Width = EV (11830-7, LN, "Right Ovary Width") $Length = EV (11841-4, LN, "Right Ovary Length") $Height = EV (11858-8, LN, "Right Ovary Height") $Volume = EV (12165-7, LN, "Right Ovary Volume")

### TID 5013 Follicles Section

This Template contains follicle metrics for left or right ovarian follicles.

Table TID 5013. Parameters

Parameter Name | Parameter Usage
--- | ---
$Laterality | Ovary laterality
$Number | The number of follicles

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5013. Follicles Section

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | DT (59776-5, LN, "Findings") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | DT (24162005, SCT, "Ovarian Follicle")
3 | > | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | M |  | $Laterality
4 | > | CONTAINS | NUM | $Number | 1 | U |  |
5 | > | CONTAINS | INCLUDE | DTID 5014 “Follicle Measurement Group” | 1-n | U |  |
6 | > | CONTAINS | INCLUDE | DTID 5016 “LWH Volume Group” | 1-n | U |  | $GroupName = EV (24162005, SCT, "Ovarian Follicle") $Width = EV (103355008, SCT, "Width") $Length = EV (410668003, SCT, "Length") $Height = EV (121207, DCM, "Height") $Volume = EV (121221, DCM, "Volume of ellipsoid") $Method = DCID 7230 “Automation of Measurement” $Method = DCID 12025 “OB-GYN Ultrasound Beam Path”

### TID 5014 Follicle Measurement Group

This Template contains metrics for one ovarian follicle.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5014. Follicle Measurement Group

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (125007, DCM, "Measurement Group") | 1 | M |  |
2 | > | HAS OBS CONTEXT | TEXT | EV (125010, DCM, "Identifier") | 1 | U |  |
3 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” $Units = EV (ml, UCUM, "ml") $Method = DCID 7230 “Automation of Measurement” $Method = DCID 12025 “OB-GYN Ultrasound Beam Path” | 1 | U |  | $Measurement = EV (118565006, SCT, "Volume")
4 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = EV (11793-7, LN, "Follicle Diameter") $Units = EV (cm, "UCUM, "cm") $Method = DCID 7230 “Automation of Measurement” $Method = DCID 12025 “OB-GYN Ultrasound Beam Path” $Derivation = DCID 3627 “Measurement Type”

Content Item Descriptions

Row 1b | Shall be unique among all groups of same laterality.

### TID 5015 Pelvis and Uterus Section

This Template contains general measurements in the pelvis and uterus.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5015. Pelvis and Uterus Section

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | DT (125011, DCM, "Pelvis and Uterus") | 1 | M |  |
2 | > | CONTAINS | INCLUDE | DTID 5016 “LWH Volume Group” | 1 | U |  | $GroupName = EV (35039007, SCT, "Uterus") $Width = EV (11865-3, LN, "Uterus Width") $Length = EV (11842-2, LN, "Uterus Length") $Height = EV (11859-6, LN, "Uterus Height") $Volume = EV (33192-6, LN, "Uterus Volume")
2b | > | CONTAINS | INCLUDE | DTID 5016 “LWH Volume Group” | 1-n | U |  | $GroupName = EV (95315005, SCT, "Uterine fibroid") $Width = EV (103355008, SCT, "Width") $Length = EV (410668003, SCT, "Length") $Height = EV (121207, DCM, "Height") $Volume = EV (121221, DCM, "Volume of ellipsoid")
3 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 12011 “Ultrasound Pelvis and Uterus” $TargetSite = DCID 12023 “Pelvis and Uterus Anatomic Sites” $Derivation = DCID 3627 “Measurement Type”

### TID 5016 LWH Volume Group

This Template is a container for a group of measurements that assess the size of an anatomical structure using a volume derived from perpendicular diameters.

Table TID 5016. Parameters

Parameter Name | Parameter Usage
--- | ---
$GroupName | The name of the volume group that is an anatomical structure
$Volume | Concept name of volume measurement
$Length | Concept name of length measurement
$Width | Concept name of width measurement
$Height | Concept name of height measurement
$DistanceUnits | Units of linear (height, weight, length) distance measurement
$VolumeUnits | Units of volume measurement
$FunctionalCondition | Functional condition present during measurement
$Method | Value for Measurement Method
$FindingType | Type of the finding

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5016. LWH Volume Group

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | $GroupName | 1 | M |  |
1b | > | HAS OBS CONTEXT | TEXT | EV (125010, DCM, "Identifier") | 1 | U |  |
1c | > | HAS CONCEPT MOD | CODE | EV (370129005, SCT, "Measurement Method") | 1-n | U |  | $Method
2 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1 | MC | At least one of row 2, 3, 4, 5 shall be present | $Measurement = $Volume $TargetSite = $GroupName $Units = $VolumeUnits
3 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | MC | At least one of row 2, 3, 4, 5 shall be present | $Measurement = $Length $TargetSite = $GroupName $Derivation = DCID 3627 “Measurement Type” $Units = $DistanceUnits
4 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | MC | At least one of row 2, 3, 4, 5 shall be present | $Measurement = $Width $TargetSite = $GroupName $Derivation = DCID 3627 “Measurement Type” $Units = $DistanceUnits
5 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | MC | At least one of row 2, 3, 4, 5 shall be present | $Measurement = $Height $TargetSite = $GroupName $Derivation = DCID 3627 “Measurement Type” $Units = $DistanceUnits
6 | > | CONTAINS | CODE | EV (130324, DCM, "Functional condition present during acquisition") | 1 | U |  | $FunctionalCondition
7 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1 | U |  | $FindingType

Content Item Descriptions

Row 1b | Shall be unique among all groups of same type of finding, site and laterality. E.g., "1", "2", etc. within all left ovarian follicle size measurements.

### TID 5025 OB-GYN Fetal Vascular Ultrasound Measurement Group

This Template is an anatomy specific container of OB-GYN fetal vascular measurements.

Table TID 5025. Parameters

Parameter Name | Parameter Usage
--- | ---
$AnatomyGroup | The concept name of the vascular anatomy

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5025. OB-GYN Fetal Vascular Ultrasound Measurement Group

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | $AnatomyGroup | 1 | M |  |
2 | > | HAS OBS CONTEXT | INCLUDE | DTID 1008 “Subject Context, Fetus” | 1 | MC | IF this Template is invoked more than once to describe more than one fetus |
3 | > | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | MC | IFF anatomy has laterality | DCID 244 “Laterality”
4 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | M |  | $MeasType = DCID 12119 “Vascular Ultrasound Property” $Derivation = DCID 3627 “Measurement Type”

Content Item Descriptions

Anatomy Group | Specifies the anatomical context of the observations in the group.

### TID 5026 OB-GYN Pelvic Vascular Ultrasound Measurement Group

This Template is an anatomy specific container of OB-GYN pelvic vascular measurements.

Table TID 5026. Parameters

Parameter Name | Parameter Usage
--- | ---
$AnatomyGroup | The concept name of the vascular anatomy

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5026. OB-GYN Pelvic Vascular Ultrasound Measurement Group

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | $AnatomyGroup | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | MC | IFF anatomy has laterality | DCID 244 “Laterality”
3 | > | HAS CONCEPT MOD | TEXT | EV (112050, DCM, "Anatomic Identifier") | 1 | U |  |
4 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | M |  | $MeasType = DCID 12119 “Vascular Ultrasound Property” $Derivation = DCID 3627 “Measurement Type”
5 | >> | HAS CONCEPT MOD | CODE | EV (125105, DCM, "Measurement Orientation") | 1 | U |  | DCID 12118 “Measurement Orientation”
6 | >> | HAS PROPERTIES | NUM | EV (125106, DCM, "Doppler Angle") | 1 | U |  | UNIT = EV (deg, UCUM, "deg")
7 | >> | HAS PROPERTIES | NUM | EV (125107, DCM, "Sample Volume Depth") | 1 | U |  | UNIT = EV (cm, UCUM, "cm")

Content Item Descriptions

Row 1 | Specifies the anatomical context of the observations in the group.
Row 3 | Differentiates between multiple structures such as the two umbilical arteries.

## Vascular Ultrasound Report Templates

### TID 5100 Vascular Ultrasound Report

This is the Template for the root the content tree for the vascular ultrasound procedure report.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5100. Vascular Ultrasound Report

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | BCID 12100 “Vascular Ultrasound Report Document Titles” | 1 | M |  |
2 | > | HAS OBS CONTEXT | CODE | EV (307152002, SCT, "Temporal periods Relating to Procedure") | 1 | U |  | DCID 12102 “Temporal Periods Relating to Procedure or Therapy”
3 | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | U |  |
4 | > | HAS OBS CONTEXT | INCLUDE | DTID 1001 “Observation Context” | 1 | M |  |
5 | > | CONTAINS | INCLUDE | DTID 5101 “Vascular Patient Characteristics” | 1 | U |  |
6 | > | CONTAINS | CONTAINER | EV (111028, DCM, "Image Library") | 1 | U |  |
7 | >> | CONTAINS | IMAGE |  | 1-n | M |  |
8 | > | CONTAINS | INCLUDE | DTID 5102 “Vascular Procedure Summary Section” | 1 | U |  |
9 | > | CONTAINS | INCLUDE | DTID 5103 “Vascular Ultrasound Section” | 1 | U |  | $SectionScope = DT (281231009, SCT, "Blood Vessel of Head") $SectionLaterality = EV (7771000, SCT, "Left") $Anatomy = DCID 12105 “Intracranial Cerebral Vessels”
10 | > | CONTAINS | INCLUDE | DTID 5103 “Vascular Ultrasound Section” | 1 | U |  | $SectionScope = DT (281231009, SCT, "Blood Vessel of Head") $SectionLaterality = EV (24028007, SCT, "Right") $Anatomy = DCID 12105 “Intracranial Cerebral Vessels”
11 | > | CONTAINS | INCLUDE | DTID 5103 “Vascular Ultrasound Section” | 1 | U |  | $SectionScope = DT (281231009, SCT, "Blood Vessel of Head") $SectionLaterality = EV (66459002, SCT, "Unilateral") $Anatomy = DCID 12106 “Intracranial Cerebral Vessels (Unilateral)”
12 | > | CONTAINS | INCLUDE | DTID 5103 “Vascular Ultrasound Section” | 1 | U |  | $SectionScope = DT (119568004, SCT, "Artery of neck") $SectionLaterality = EV (7771000, SCT, "Left") $Anatomy = DCID 12104 “Extracranial Arteries” $AnatomyRatio = DCID 12123 “Carotid Ratios”
13 | > | CONTAINS | INCLUDE | DTID 5103 “Vascular Ultrasound Section” | 1 | U |  | $SectionScope = DT (119568004, SCT, "Artery of neck") $SectionLaterality = EV (24028007, SCT, "Right") $Anatomy = DCID 12104 “Extracranial Arteries” $AnatomyRatio = DCID 12123 “Carotid Ratios”
14 | > | CONTAINS | INCLUDE | DTID 5103 “Vascular Ultrasound Section” | 1 | U |  | $SectionScope = DT (70791007, SCT, "Artery of Lower Extremity") $SectionLaterality = EV (7771000, SCT, "Left") $Anatomy = DCID 12109 “Lower Extremity Arteries”
15 | > | CONTAINS | INCLUDE | DTID 5103 “Vascular Ultrasound Section” | 1 | U |  | $SectionScope = DT (70791007, SCT, "Artery of Lower Extremity") $SectionLaterality = EV (24028007, SCT, "Right") $Anatomy = DCID 12109 “Lower Extremity Arteries”
16 | > | CONTAINS | INCLUDE | DTID 5103 “Vascular Ultrasound Section” | 1 | U |  | $SectionScope = DT (122774002, SCT, "Vein of Lower Extremity") $SectionLaterality = EV (7771000, SCT, "Left") $Anatomy = DCID 12110 “Lower Extremity Veins”
17 | > | CONTAINS | INCLUDE | DTID 5103 “Vascular Ultrasound Section” | 1 | U |  | $SectionScope = DT (122774002, SCT, "Vein of Lower Extremity") $SectionLaterality = EV (24028007, SCT, "Right") $Anatomy = DCID 12110 “Lower Extremity Veins”
18 | > | CONTAINS | INCLUDE | DTID 5103 “Vascular Ultrasound Section” | 1 | U |  | $SectionScope = DT (75531005, SCT, "Artery Of Upper Extremity") $SectionLaterality = EV (7771000, SCT, "Left") $Anatomy = DCID 12107 “Upper Extremity Arteries”
19 | > | CONTAINS | INCLUDE | DTID 5103 “Vascular Ultrasound Section” | 1 | U |  | $SectionScope = DT (75531005, SCT, "Artery Of Upper Extremity") $SectionLaterality = EV (24028007, SCT, "Right") $Anatomy = DCID 12107 “Upper Extremity Arteries”
20 | > | CONTAINS | INCLUDE | DTID 5103 “Vascular Ultrasound Section” | 1 | U |  | $SectionScope = DT (122775001, SCT, "Vein Of Upper Extremity") $SectionLaterality = EV (7771000, SCT, "Left") $Anatomy = DCID 12108 “Upper Extremity Veins”
21 | > | CONTAINS | INCLUDE | DTID 5103 “Vascular Ultrasound Section” | 1 | U |  | $SectionScope = DT (122775001, SCT, "Vein Of Upper Extremity") $SectionLaterality = EV (24028007, SCT, "Right") $Anatomy = DCID 12108 “Upper Extremity Veins”
22 | > | CONTAINS | INCLUDE | DTID 5103 “Vascular Ultrasound Section” | 1 | U |  | $SectionScope = DT (303402001, SCT, "Vascular Structure Of Kidney") $SectionLaterality = EV (7771000, SCT, "Left") $Anatomy = DCID 12115 “Renal Vessels” $AnatomyRatio = DCID 12124 “Renal Ratios”
23 | > | CONTAINS | INCLUDE | DTID 5103 “Vascular Ultrasound Section” | 1 | U |  | $SectionScope = DT (303402001, SCT, "Vascular Structure Of Kidney") $SectionLaterality = EV (24028007, SCT, "Right") $Anatomy = DCID 12115 “Renal Vessels” $AnatomyRatio = DCID 12124 “Renal Ratios”
24 | > | CONTAINS | INCLUDE | DTID 5103 “Vascular Ultrasound Section” | 1 | U |  | $SectionScope = DT (118634008, SCT, "Artery of Abdomen") $SectionLaterality = EV (7771000, SCT, "Left") $Anatomy = DCID 12111 “Abdominopelvic Arteries (Paired)”
25 | > | CONTAINS | INCLUDE | DTID 5103 “Vascular Ultrasound Section” | 1 | U |  | $SectionScope = DT (118634008, SCT, "Artery of Abdomen") $SectionLaterality = EV (24028007, SCT, "Right") $Anatomy = DCID 12111 “Abdominopelvic Arteries (Paired)”
26 | > | CONTAINS | INCLUDE | DTID 5103 “Vascular Ultrasound Section” | 1 | U |  | $SectionScope = DT (118634008, SCT, "Artery of Abdomen") $SectionLaterality = EV (66459002, SCT, "Unilateral") $Anatomy = DCID 12112 “Abdominopelvic Arteries (Unpaired)”
27 | > | CONTAINS | INCLUDE | DTID 5103 “Vascular Ultrasound Section” | 1 | U |  | $SectionScope = DT (84421000, SCT, "Vein of Abdomen") $SectionLaterality = EV (7771000, SCT, "Left") $Anatomy = DCID 12113 “Abdominopelvic Veins (Paired)”
28 | > | CONTAINS | INCLUDE | DTID 5103 “Vascular Ultrasound Section” | 1 | U |  | $SectionScope = DT (84421000, SCT, "Vein of Abdomen") $SectionLaterality = EV (24028007, SCT, "Right") $Anatomy = DCID 12113 “Abdominopelvic Veins (Paired)”
29 | > | CONTAINS | INCLUDE | DTID 5103 “Vascular Ultrasound Section” | 1 | U |  | $SectionScope = DT (84421000, SCT, "Vein of Abdomen") $SectionLaterality = EV (66459002, SCT, "Unilateral") $Anatomy = DCID 12114 “Abdominopelvic Veins (Unpaired)”
29b | > | CONTAINS | INCLUDE | DTID TID 5103 “Vascular Ultrasound Section” | 1 | U |  | $SectionScope = DT (846654004, SCT, "Abdominal and pelvic vessels") $Anatomy = DCID 12125 “Abdominopelvic Vessels”
30 | > | CONTAINS | INCLUDE | DTID 5105 “Ultrasound Graft Section” | 1 | U |  |

Content Item Descriptions

Row 1 | Previously, an Enumerated Value of (125100, DCM, "Vascular Ultrasound Procedure Report") was specified for the Concept Name. This code has been retired in favor of codes from external schemes, as well as permitting alternative codes to be used for more specific reports, e.g., for a Carotid Artery report. See PS3.16 2020a.
Row 7 | No purpose of reference is specified.

### TID 5101 Vascular Patient Characteristics

Patient Characteristic concepts in this Template, which may replicate attributes in the Patient Study Module, are included here as possible targets of by-reference relationships from other Content Items in the SR tree.

### Note

Several of the concepts in this Template duplicate concepts in TID 1007 “Subject Context, Patient”. The difference in use is that this Template has those concepts as primary observations of the patient, while in TID 1007 “Subject Context, Patient” the concepts are used to set (or reset) the context for other observations.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5101. Vascular Patient Characteristics

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (121118, DCM, "Patient Characteristics") | 1 | M |  |
2 | > | CONTAINS | NUM | EV (121033, DCM, "Subject Age") | 1 | U |  | UNITS = DCID 7456 “Units of Measure for Age”
3 | > | CONTAINS | CODE | EV (121032, DCM, "Subject Sex") | 1 | U |  | DCID 7455 “Sex”
4 | > | CONTAINS | NUM | EV (8867-4, LN, "Heart Rate") | 1 | U |  |
5 | > | CONTAINS | NUM | EV (271649006, SCT, "Systolic Blood Pressure") | 1 | U |  |
6 | > | CONTAINS | NUM | EV (271650006, SCT, "Diastolic Blood Pressure") | 1 | U |  |

### TID 5102 Vascular Procedure Summary Section

Comments and observations of the procedure of immediate clinical interest.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5102. Vascular Procedure Summary Section

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | DT (55112-7, LN, "Summary") | 1 | M |  |
2 | > | CONTAINS | TEXT | DCID 12101 “Vascular Summary” | 1-n | M |  |

### TID 5103 Vascular Ultrasound Section

Sections of a vascular ultrasound report are section containers of an anatomic region consisting of measurement group containers that contain the measurements.

Table TID 5103. Parameters

Parameter Name | Parameter Usage
--- | ---
$SectionScope | The concept name of the section heading modifier
$SectionLaterality | The laterality (if any) of the anatomy in this section heading
$Anatomy | The concept name of the vascular anatomy
$AnatomyRatio | The concept name of anatomy-coordinated ratio concepts

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5103. Vascular Ultrasound Section

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | DT (59776-5, LN, "Findings") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | $SectionScope
3 | > | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | M |  | $SectionLaterality
4 | > | CONTAINS | INCLUDE | DTID 5104 “Vascular Ultrasound Measurement Group” | 1-n | M |  | $AnatomyGroup = $Anatomy
5 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = $AnatomyRatio

### TID 5104 Vascular Ultrasound Measurement Group

This Template is an anatomy specific container of measurements.

Table TID 5104. Parameters

Parameter Name | Parameter Usage
--- | ---
$AnatomyGroup | The concept name of the vascular anatomy

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5104. Vascular Ultrasound Measurement Group

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | $AnatomyGroup | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (106233006, SCT, "Topographical Modifier") | 1 | U |  | DCID 12116 “Vessel Segment Modifiers”
3 | > | HAS CONCEPT MOD | CODE | EV (125101, DCM, "Vessel Branch") | 1-n | U |  | DCID 12117 “Vessel Branch Modifiers”
4 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | M |  | $Measurement = DCID 12119 “Vascular Ultrasound Property” $Derivation = DCID 3627 “Measurement Type”
5 | >> | HAS CONCEPT MOD | CODE | EV (272518008, SCT, "Cardiac Cycle Point") | 1 | U |  | DCID 12233 “Cardiac Phase”
6 | >> | HAS CONCEPT MOD | CODE | EV (309602000, SCT, "Temporal period related to eating") | 1 | U |  | DT (24863003, SCT, "Post-prandial")
7 | >> | HAS CONCEPT MOD | CODE | EV (125105, DCM, "Measurement Orientation") | 1 | U |  | DCID 12118 “Measurement Orientation”
8 | >> | HAS PROPERTIES | NUM | EV (125106, DCM, "Doppler Angle") | 1 | U |  | UNIT = EV (deg, UCUM, "degrees")
9 | >> | HAS PROPERTIES | NUM | EV (125107, DCM, "Sample Volume Depth") | 1 | U |  | UNIT = EV (cm, UCUM, "cm")

Content Item Descriptions

Row 1 | Specifies the anatomic context of the observations in the group.
Row 2 | Details the anatomical location, e.g., proximal, middle, or distal
Row 3 | The particular vessel branch, such as the inferior, medial or lateral
Row 5 | Cardiac phase (systolic, diastolic), especially for aorta measurements
Row 6 | Eating phase, especially for mesenteric and celiac measurements

### TID 5105 Ultrasound Graft Section

This Template is a container of measurements on a vascular graft.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5105. Ultrasound Graft Section

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | DT (59776-5, LN, "Findings") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | DT (312288001, SCT, "Vascular Graft")
3 | > | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | U |  | DCID 244 “Laterality”
4 | > | HAS CONCEPT MOD | CODE | DT (128949003, SCT, "Proximal anastomosis") | 1 | M |  | BCID 12103 “Vascular Ultrasound Anatomic Location”
5 | > | HAS CONCEPT MOD | CODE | DT (128948006, SCT, "Distal Anastomosis") | 1 | M |  | BCID 12103 “Vascular Ultrasound Anatomic Location”
6 | > | HAS CONCEPT MOD | CODE | DT (125102, DCM, "Graft Type") | 1 | U |  |
7 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | M |  | $Measurement = DCID 12119 “Vascular Ultrasound Property”

Content Item Descriptions

Proximal anastomosis | The proximal location of the graft
Distal anastomosis | The distal location of the graft
Graft type | The type of graft, e.g., "in situ", "prosthetic", "autogenous"

## Echocardiography Procedure Report Templates

### TID 5200 Echocardiography Procedure Report

This Template forms the top of a content tree that allows an ultrasound device to describe the results of an adult echocardiography imaging procedure. It is instantiated at the root node. It can also be included in other Templates that need to incorporate echocardiography findings into another report as quoted evidence.

Type:

  Extensible

Order:

  Significant

Root:

  Yes

Table TID 5200. Echocardiography Procedure Report

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (125200, DCM, "Adult Echocardiography Procedure Report") | 1 | M |  | Root node
2 | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | U |  |
3 | > | HAS OBS CONTEXT | INCLUDE | DTID 1001 “Observation Context” | 1 | M |  |
4 | > | CONTAINS | CONTAINER | DT (55111-9, LN, "Current Procedure Descriptions") | 1 | U |  |
5 | >> | CONTAINS | CODE | DT (125203, DCM, "Acquisition Protocol") | 1-n | M |  | BCID 12001 “Ultrasound Protocol Types”
6 | > | CONTAINS | INCLUDE | DTID 5201 “Echocardiography Patient Characteristics” | 1 | U |  |
7 | > | CONTAINS | CONTAINER | EV (111028, DCM, "Image Library") | 1 | U |  |
8 | >> | CONTAINS | IMAGE |  | 1-n | M |  |
9 | > | CONTAINS | INCLUDE | DTID 5202 “Echo Section” | 1 | U |  | $SectionSubject = EV (87878005, SCT, "Left Ventricle") $MeasType = DCID 12200 “Echocardiography Left Ventricle”
10 | > | CONTAINS | INCLUDE | DTID 5202 “Echo Section” | 1 | U |  | $SectionSubject = EV (53085002, SCT, "Right Ventricle") $MeasType = DCID 12204 “Echocardiography Right Ventricle”
11 | > | CONTAINS | INCLUDE | DTID 5202 “Echo Section” | 1 | U |  | $SectionSubject = EV (82471001, SCT, "Left Atrium") $MeasType = DCID 12205 “Echocardiography Left Atrium”
12 | > | CONTAINS | INCLUDE | DTID 5202 “Echo Section” | 1 | U |  | $SectionSubject = EV (73829009, SCT, "Right Atrium") $MeasType = DCID 12206 “Echocardiography Right Atrium”
13 | > | CONTAINS | INCLUDE | DTID 5202 “Echo Section” | 1 | U |  | $SectionSubject = EV (34202007, SCT, "Aortic Valve") $MeasType = DCID 12211 “Echocardiography Aortic Valve”
14 | > | CONTAINS | INCLUDE | DTID 5202 “Echo Section” | 1 | U |  | $SectionSubject = EV (91134007, SCT, "Mitral Valve") $MeasType = DCID 12207 “Echocardiography Mitral Valve”
15 | > | CONTAINS | INCLUDE | DTID 5202 “Echo Section” | 1 | U |  | $SectionSubject = EV (39057004, SCT, "Pulmonic Valve") $MeasType = DCID 12209 “Echocardiography Pulmonic Valve”
16 | > | CONTAINS | INCLUDE | DTID 5202 “Echo Section” | 1 | U |  | $SectionSubject = EV (46030003, SCT, "Tricuspid Valve") $MeasType = DCID 12208 “Echocardiography Tricuspid Valve”
17 | > | CONTAINS | INCLUDE | DTID 5202 “Echo Section” | 1 | U |  | $SectionSubject = EV (15825003, SCT, "Aorta") $MeasType = DCID 12212 “Echocardiography Aorta”
18 | > | CONTAINS | INCLUDE | DTID 5202 “Echo Section” | 1 | U |  | $SectionSubject = EV (81040000, SCT, "Pulmonary artery") $MeasType = DCID 12210 “Echocardiography Pulmonary Artery”
19 | > | CONTAINS | INCLUDE | DTID 5202 “Echo Section” | 1 | U |  | $SectionSubject = EV (35532006, SCT, "Vena Cava") $MeasType = DCID 12215 “Echocardiography Vena Cavae”
20 | > | CONTAINS | INCLUDE | DTID 5202 “Echo Section” | 1 | U |  | $SectionSubject = EV (122972007, SCT, "Pulmonary Venous Structure") $MeasType = DCID 12214 “Echocardiography Pulmonary Veins”
21 | > | CONTAINS | INCLUDE | DTID 5202 “Echo Section” | 1 | U |  | $SectionSubject = EV (25489000, SCT, "Pericardial cavity") $MeasType = DCID 12250 “Cardiac Ultrasound Common Linear Measurements”
22 | > | CONTAINS | INCLUDE | DTID 5202 “Echo Section” | 1 | U |  | $SectionSubject = EV (241213007, SCT, "Cardiac Shunt Study") $MeasType = DCID 12217 “Echocardiography Cardiac Shunt”
23 | > | CONTAINS | INCLUDE | DTID 5202 “Echo Section” | 1 | U |  | $SectionSubject = EV (9904008, SCT, "Congenital Anomaly of Cardiovascular System") $MeasType = DCID 12218 “Echocardiography Congenital”
24 | > | CONTAINS | INCLUDE | DTID 5204 “Wall Motion Analysis” | 1-n | U |  | $Procedure = DT (35757004, SCT, "Echocardiography for Determining Ventricular Contraction")

Content Item Descriptions

Row 8 | No purpose of reference is specified.
Row 24 | The wall motion findings of stress stage. There may be multiple Template instances to report wall motion findings of multiple stages.

### TID 5201 Echocardiography Patient Characteristics

Patient Characteristic concepts in this Template, which may replicate attributes in the Patient Study Module, are included here as possible targets of by-reference relationships from other Content Items in the SR tree.

### Note

Several of the concepts in this Template duplicate concepts in TID 1007 “Subject Context, Patient”. The difference in use is that this Template has those concepts as primary observations of the patient, while in TID 1007 “Subject Context, Patient” the concepts are used to set (or reset) the context for other observations.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5201. Echocardiography Patient Characteristics

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (121118, DCM, "Patient Characteristics") | 1 | M |  |
2 | > | CONTAINS | NUM | EV (121033, DCM, "Subject Age") | 1 | U |  | UNITS = DCID 7456 “Units of Measure for Age”
3 | > | CONTAINS | CODE | EV (121032, DCM, "Subject Sex") | 1 | U |  | DCID 7455 “Sex”
4 | > | CONTAINS | NUM | EV (8867-4, LN, "Heart Rate") | 1 | U |  |
5 | > | CONTAINS | NUM | EV (271649006, SCT, "Systolic Blood Pressure") | 1 | U |  |
6 | > | CONTAINS | NUM | EV (271650006, SCT, "Diastolic Blood Pressure") | 1 | U |  |
7 | > | CONTAINS | NUM | EV (8277-6, LN, "Body Surface Area") | 1 | M |  |
8 | >> | INFERRED FROM | CODE | EV (8278-4, LN, "Body Surface Area Formula") | 1 | U |  | BCID 3663 “Body Surface Area Equations”

### TID 5202 Echo Section

This is a generic section heading Template for any of the anatomical headings. Measurements within a section heading appear as groups (by image mode, acquisition protocol, and/or protocol stage).

Table TID 5202. Parameters

Parameter Name | Parameter Usage
--- | ---
$SectionSubject | The subject modifier of the section heading container
$MeasType | The concept name of the measurement

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5202. Echo Section

| 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 |  | $SectionSubject
3 | > | CONTAINS | CONTAINER | DT (125007, DCM, "Measurement Group") | 1-n | M |  |
4 | >> | HAS CONCEPT MOD | CODE | EV (399264008, SCT, "Image Mode") | 1 | U |  | BCID 12224 “Ultrasound Image Modes”
5 | >> | HAS CONCEPT MOD | CODE | DT (125203, DCM, "Acquisition Protocol") | 1 | U |  |
6 | >> | HAS CONCEPT MOD | TEXT | DT (125203, DCM, "Acquisition Protocol") | 1 | U |  |
7 | >> | HAS ACQ CONTEXT | CODE | EV (18139-6, LN, "Stage") | 1 | U |  | BCID 12002 “Ultrasound Protocol Stage Types”
8 | >> | CONTAINS | INCLUDE | DTID 5203 “Echo Measurement” | 1-n | M |  | $Measurement = $MeasType $Method = CID 12227 “Echocardiography Measurement Method”

Content Item Descriptions

Rows 4, 5 | Type of measurement group. May be grouped by image mode, or acquisition protocol, or some other user or manufacturer designated classification
Row 7 | For measurements acquired in a staged protocol, all measurements in a measurement group are acquired at the identified stage.

### TID 5203 Echo Measurement

Table TID 5203. Parameters

Parameter Name | Parameter Usage
--- | ---
$Measurement | Coded term or Context Group for Concept Name of measurement
$Method | Value for Measurement Method

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5203. Echo Measurement

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = $Measurement $Method = $Method $TargetSite = BCID 12236 “Echo Anatomic Sites” $TargetSiteMod = BCID 12237 “Echocardiography Anatomic Site Modifiers”
2 | > | HAS CONCEPT MOD | CODE | EV (260674002, SCT, "Flow Direction") | 1 | U |  | BCID 12221 “Flow Direction”
3 | > | HAS CONCEPT MOD | CODE | EV (272517003, SCT, "Respiratory Cycle Point") | 1 | U |  | DCID 12234 “Respiration State”
4 | > | HAS CONCEPT MOD | CODE | EV (272518008, SCT, "Cardiac Cycle Point") | 1 | U |  | DCID 12233 “Cardiac Phase”
5 | > | HAS ACQ CONTEXT | CODE | EV (399264008, SCT, "Image Mode") | 1 | U |  | DCID 12224 “Ultrasound Image Modes”
6 | > | HAS ACQ CONTEXT | CODE | EV (111031, DCM, "Image View") | 1 | U |  | BCID 12226 “Echocardiography Image View”
7 | > | HAS ACQ CONTEXT | CODE | EV (18139-6, LN, "Stage") | 1 | U |  | BCID 12002 “Ultrasound Protocol Stage Types”

Content Item Descriptions

Row 1 | TID 300 specifies an "Equivalent Meaning of Concept Name" that allows the creating application to specify the preferred composed concept name representing the measurement and the associated post-coordination Concept Modifiers (e.g., the ASE terminology described in Section N.3 “Illustrative Mapping to ASE Concepts” in PS3.17 ).

### TID 5204 Wall Motion Analysis

The Wall Motion Analysis Template is used to document wall motion scoring for any imaging modality.

Table TID 5204. Parameters

Parameter Name | Parameter Usage
--- | ---
$Procedure | The imaging procedure used for wall motion analysis.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5204. Wall Motion Analysis

| 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 (121058, DCM, "Procedure reported") | 1 | M |  | $Procedure
3 | > | HAS ACQ CONTEXT | CODE | EV (18139-6, LN, "Stage") | 1 | U |  | BCID 3207 “Stress Test Procedure Phases”
4 | > | CONTAINS | IMAGE | EV (125201, DCM, "Illustration of Finding") | 1 | U |  |
5 | > | CONTAINS | TEXT | EV (18118-0, LN, "LV Wall Motion Segmental Findings") | 1 | U |  |
6 | > | CONTAINS | NUM | DT (125202, DCM, "LV Wall Motion Score Index") | 1 | U |  |
7 | >> | HAS CONCEPT MOD | CODE | EV (273249006, SCT, "Assessment Scale") | 1 | M |  | BCID 12238 “Wall Motion Scoring Schemes”
8 | > | CONTAINS | CONTAINER | EV (59776-5, LN, "Findings") | 1 | U |  |
9 | >> | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | DT (272657006, SCT, "Myocardial Wall")
10 | >> | CONTAINS | CODE | EV (18179-2, LN, "Wall Segment") | 1-n | M |  | BCID 3717 “Left Ventricle Myocardial Wall 17 Segments”
11 | >>> | HAS PROPERTIES | CODE | EV (60797005, SCT, "Cardiac Wall Motion") | 1 | MC | IF row 12 is absent | DCID 3703 “Wall Motion”
12 | >>> | HAS PROPERTIES | CODE | EV (116676008, SCT, "Associated Morphology") | 1 | MC | IF row 11 is absent | DCID 3704 “Myocardium Wall Morphology Findings”
13 | >>> | HAS PROPERTIES | NUM | DT (246262008, SCT, "Score") | 1 | U |  |
14 | >>> | HAS PROPERTIES | NUM | EV (122624, DCM, "Wall Thickness Ratio end-systolic to end-diastolic") | 1 | U |  | UNITS = DT (%, UCUM, "%")

Content Item Descriptions

Row 3 | The stage of the protocol at which these findings were scored. This row may be absent if this is a generic, non-staged scoring.
Row 4 | Image that graphically depicts the segments and their scores.
Row 5 | Text narration accompanying this stage.
Row 6 | The composite score computed from the average of the scored segments
Row 7 | The type of scoring scheme used to score this exam.
Row 8 | A container of all of the individual segment findings for this stage. The container shall be present if the observer makes an assessment, including the assessment of Not Visualized. It shall not be present if no evaluation was made.
Rows 11, 12 | Scar/thinning (in Row 12) may accompany akinesis and dyskinesis (in Row 11).
Row 13 | A numeric designation for the score. Score ranges vary, typically 0-4 or 0-5. Numeric scores may depend on wall motion findings as well as morphology findings. See Table 5204-1 for conventional numeric assignment schemes. The UCUM annotation code enables specifying the numeric range, ({L:N}, UCUM, "scale L:N"), where L and N are the lower and upper ends of the range.

A description of the scoring schemes described in Table 5204-1 is available in Recommendations for Quantitation of the Left Ventricle by Two-Dimensional Echocardiography, Journal of the American Society of Echocardiography, Vol 2, No 5 358-367, Oct 1989.

Table 5204-1. Numeric Score Assignment for Segmental Findings

Conventional Numeric Assignment | Wall Motion Finding or Morphology Finding
--- | ---
4 Point | 5 Point | 5 Point with Graded Hypokinesis
-1 | (60797005, SCT, "Cardiac Wall Motion") = (373123005, SCT, "Hyperkinesis") | (60797005, SCT, "Cardiac Wall Motion") = (373123005, SCT, "Hyperkinesis") | (60797005, SCT, "Cardiac Wall Motion") = (373123005, SCT, "Hyperkinesis")
0 | (60797005, SCT, "Cardiac Wall Motion") = (122288, DCM, "Not Visualized") | (60797005, SCT, "Cardiac Wall Motion") = (122288, DCM, "Not Visualized") | (60797005, SCT, "Cardiac Wall Motion") = (122288, DCM, "Not Visualized")
1 | (60797005, SCT, "Cardiac Wall Motion") = (373122000, SCT, "Normal Wall Motion") | (60797005, SCT, "Cardiac Wall Motion") = (373122000, SCT, "Normal Wall Motion") | (60797005, SCT, "Cardiac Wall Motion") = (373122000, SCT, "Normal Wall Motion")
1.5 |  |  | (60797005, SCT, "Cardiac Wall Motion") = (371868005, SCT, "Mild Hypokinesis")
2 | (60797005, SCT, "Cardiac Wall Motion") = (37706002, SCT, "Hypokinesis") | (60797005, SCT, "Cardiac Wall Motion") = (37706002, SCT, "Hypokinesis") | (60797005, SCT, "Cardiac Wall Motion") = (371869002, SCT, "Moderate Hypokinesis")
2.5 |  |  | (60797005, SCT, "Cardiac Wall Motion") = (371870001, SCT, "Severe Hypokinesis")
3 | (60797005, SCT, "Cardiac Wall Motion") = (195675009, SCT, "Akinesis") | (60797005, SCT, "Cardiac Wall Motion") = (195675009, SCT, "Akinesis") | (60797005, SCT, "Cardiac Wall Motion") = (195675009, SCT, "Akinesis")
4 | (60797005, SCT, "Cardiac Wall Motion") = (25437005, SCT, "Dyskinesis") | (60797005, SCT, "Cardiac Wall Motion") = (25437005, SCT, "Dyskinesis") | (60797005, SCT, "Cardiac Wall Motion") = (25437005, SCT, "Dyskinesis")
5 |  | (116676008, SCT, "Associated Morphology") = (90539001, SCT, "Ventricular Aneurysm") | (116676008, SCT, "Associated Morphology") = (90539001, SCT, "Ventricular Aneurysm")

### TID 5220 Pediatric, Fetal and Congenital Cardiac Ultrasound Reports

This Template forms the top of a content tree that allows an ultrasound application to describe the results of a Cardiac Ultrasound imaging procedure. It is instantiated at the root node.

Type:

  Extensible

Order:

  Significant

Root:

  Yes

Table TID 5220. Pediatric, Fetal and Congenital Cardiac Ultrasound Reports

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | DCID 12245 “Cardiac Ultrasound Report 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 | > | CONTAINS | CONTAINER | EV (18785-6, LN, "Indications for Procedure") | 1 | U |  |
5 | >> | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1-n | U |  | DCID 12246 “Cardiac Ultrasound Indication for Study”
6 | >> | CONTAINS | TEXT | EV (121071, DCM, "Finding") | 1 | U |  |
7 | > | CONTAINS | INCLUDE | DTID 3802 “Cardiovascular Patient History” | 1 | U |  |
8 | > | CONTAINS | INCLUDE | DTID 3602 “Cardiovascular Patient Characteristics” | 1 | U |  |
9 | > | CONTAINS | INCLUDE | DTID 5225 “Cardiac Ultrasound Fetal Characteristics” | 1-n | U |  | No more than one inclusion per fetus
10 | > | CONTAINS | INCLUDE | DTID 5226 “Cardiac Ultrasound Summary Section” | 1 | U |  |
11 | > | CONTAINS | INCLUDE | DTID 5227 “Cardiac Ultrasound Fetal Summary Section” | 1-n | U |  | No more than one inclusion per fetus
12 | > | CONTAINS | CONTAINER | EV (111028, DCM, "Image Library") | 1 | U |  |
13 | >> | CONTAINS | IMAGE |  | 1-n | M |  |
14 | > | CONTAINS | INCLUDE | DTID 5221 “Cardiac Ultrasound Pediatric Echo Measurement Section” | 1 | U |  |
15 | > | CONTAINS | INCLUDE | DTID 5228 “Cardiac Ultrasound Fetal Measurement Section” | 1-n | UC | For Fetal Report only. | No more than one inclusion per fetus

Content Item Descriptions

Row 3 | For Fetal Report, this row establishes the subject context of the mother.
Row 7 | For Fetal Report, this row will be the patient history of the mother.
Row 8 | For Fetal Report, this row will be the Patient Characteristics for the mother.
Row 10 | For Fetal Report, this row will be the Summary Section for the mother.
Row 13 | No purpose of reference is specified.

### TID 5221 Cardiac Ultrasound Pediatric Echo Measurement Section

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5221. Cardiac Ultrasound Pediatric Echo Measurement Section

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | INCLUDE | DTID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” | 1-n | U |  | $SectionSubject = DCID 12282 “Cardiac Ultrasound Venous Return Systemic Finding Sites” $MeasType = DCID 12264 “Cardiac Ultrasound Venous Return Systemic Measurements”
2 |  |  | INCLUDE | DTID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” | 1-n | U |  | $SectionSubject = DCID 12283 “Cardiac Ultrasound Venous Return Pulmonary Finding Sites” $MeasType = DCID 12263 “Cardiac Ultrasound Venous Return Pulmonary Measurements”
3 |  |  | INCLUDE | DTID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” | 1-n | U |  | $SectionSubject = DCID 12284 “Cardiac Ultrasound Atria and Atrial Septum Finding Sites” $MeasType = DCID 12265 “Cardiac Ultrasound Atria and Atrial Septum Measurements”
4 |  |  | INCLUDE | DTID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” | 1-n | U |  | $SectionSubject = DCID 12285 “Cardiac Ultrasound Atrioventricular Valves Finding Sites” $MeasType = DCID 12268 “Cardiac Ultrasound Atrioventricular Valves Measurements”
5 |  |  | INCLUDE | DTID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” | 1-n | U |  | $SectionSubject = DCID 12286 “Cardiac Ultrasound Interventricular Septum Finding Sites” $MeasType = DCID 12269 “Cardiac Ultrasound Interventricular Septum Measurements”
6 |  |  | INCLUDE | DTID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” | 1-n | U |  | $SectionSubject = DCID 12287 “Cardiac Ultrasound Ventricles Finding Sites” $MeasType = DCID 12259 “Cardiac Ultrasound Ventricles Measurements”
8 |  |  | INCLUDE | DTID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” | 1-n | U |  | $SectionSubject = DCID 12288 “Cardiac Ultrasound Outflow Tracts Finding Sites” $MeasType = DCID 12271 “Cardiac Ultrasound Outflow Tracts Measurements”
9 |  |  | INCLUDE | DTID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” | 1-n | U |  | $SectionSubject = DCID 12289 “Cardiac Ultrasound Semilunar Valves, Annulus and Sinuses Finding Sites” $MeasType = DCID 12272 “Cardiac Ultrasound Semilunar Valves, Annulate and Sinuses Measurements”
10 |  |  | INCLUDE | DTID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” | 1-n | U |  | $SectionSubject = DCID 12290 “Cardiac Ultrasound Pulmonary Arteries Finding Sites” $MeasType = DCID 12260 “Cardiac Ultrasound Pulmonary Artery”
11 |  |  | INCLUDE | DTID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” | 1-n | U |  | $SectionSubject = DCID 12291 “Cardiac Ultrasound Aorta Finding Sites” $MeasType = DCID 12274 “Cardiac Ultrasound Aorta Measurements”
12 |  |  | INCLUDE | DTID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” | 1-n | U |  | $SectionSubject = DCID 12292 “Cardiac Ultrasound Coronary Arteries Finding Sites” $MeasType = DCID 12275 “Cardiac Ultrasound Coronary Arteries Measurements”
13 |  |  | INCLUDE | DTID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” | 1-n | U |  | $SectionSubject = DCID 12293 “Cardiac Ultrasound Aortopulmonary Connections Finding Sites” $MeasType = DCID 12276 “Cardiac Ultrasound Aorto Pulmonary Connections Measurements”
14 |  |  | INCLUDE | DTID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” | 1-n | U |  | $SectionSubject = DCID 12294 “Cardiac Ultrasound Pericardium and Pleura Finding Sites” $MeasType = DCID 12277 “Cardiac Ultrasound Pericardium and Pleura Measurements”

### TID 5222 Pediatric, Fetal and Congenital Cardiac Ultrasound Section

This is a generic section heading Template for any of the anatomical headings. Measurements within a section heading appear as groups (by image mode or acquisition protocol).

Table TID 5222. Parameters

Parameter Name | Parameter Usage
--- | ---
$SectionSubject | The subject modifier of the section heading container
$MeasType | The concept name of the measurement

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5222. Pediatric, Fetal and Congenital Cardiac Ultrasound Section

| 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 |  | $SectionSubject
3 | >> | HAS CONCEPT MOD | CODE | EV (275035006, SCT, "Heart valve replacement - prosthesis") | 1 | U |  | DCID 230 “Yes-No”
4 | > | CONTAINS | CONTAINER | DT (125007, DCM, "Measurement Group") | 1-n | M |  |
5 | >> | HAS CONCEPT MOD | CODE | EV (399264008, SCT, "Image Mode") | 1 | U |  | BCID 12224 “Ultrasound Image Modes”
6 | >> | HAS CONCEPT MOD | TEXT | DT (125203, DCM, "Acquisition Protocol") | 1 | U |  |
7 | >> | CONTAINS | INCLUDE | DTID 5223 “Pediatric, Fetal and Congenital Cardiac Ultrasound Measurement” | 1-n | M |  | $Measurement = $MeasType $Method = CID 12227 “Echocardiography Measurement Method”

### TID 5223 Pediatric, Fetal and Congenital Cardiac Ultrasound Measurement

This Template provides for the post-coordination of a measurement with a variety of concept modifiers and acquisition context observations. When invoked from TID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section”, the measurement concept is implicitly post-coordinated with the concept modifiers of the Measurement Group (TID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” Rows 5 and 6), and with the Finding Site of the report section (TID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” Row 2). The finding site may be further specified within this Template by the Target Site and Target Site Modifiers (CID 12280 “Cardiac Ultrasound Target Sites” and CID 12281 “Cardiac Ultrasound Target Site Modifiers”).

The implicit finding site inherited from TID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” can be made explicit by using the same finding site concept in the Target Site (the measurement concept modifier), rather than a term from CID 12280 “Cardiac Ultrasound Target Sites”. This explicit post-coordination allows the use of one of the modifiers of CID 12281 “Cardiac Ultrasound Target Site Modifiers” to that finding site, as the Target Site Modifier requires an explicit Target Site in the measurement structure (TID 300 “Measurement” Rows 5 and 7). In fact, any child concept of the finding site in the SNOMED hierarchy may be used as the measurement Target Site.

The finding or target site may be identified by a concept from the SNOMED "clinical finding" or "morphological anomaly" hierarchies (e.g., D4-31220 "Atrial Septal Defect", or M-36700 "Effusion"), rather than the "anatomical structure" hierarchy. In this case, the meaning is inferred as "the anatomic location of the clinical finding or morphological anomaly, within the constraints of other implicit or explicit post-coordinated finding site concepts."

### Note

Thus when TID 5221 “Cardiac Ultrasound Pediatric Echo Measurement Section” Row 14 invokes TID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” with the section finding site concept (76848001, SCT, "Pericardium"), and TID 5223 “Pediatric, Fetal and Congenital Cardiac Ultrasound Measurement” Row 1 applies the target site (41699000, SCT, "Effusion"), the effective finding site is "pericardial effusion".

Table TID 5223. Parameters

Parameter Name | Parameter Usage
--- | ---
$Measurement | Coded term or Context Group for Concept Name of measurement
$Method | Value for Measurement Method

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5223. Pediatric, Fetal and Congenital Cardiac Ultrasound Measurement

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | INCLUDE | DTID 300 “Measurement” | 1 | M |  | $Measurement = $Measurement $Method = $Method $TargetSite = BCID 12280 “Cardiac Ultrasound Target Sites” $TargetSiteMod = BCID 12281 “Cardiac Ultrasound Target Site Modifiers” $Derivation = DCID 3838 “Diameter Derivation”
2 | > | HAS CONCEPT MOD | CODE | EV (121425, DCM, "Index") | 1 | U |  | DCID 3455 “Index Methods”
3 | > | HAS CONCEPT MOD | CODE | EV (260674002, SCT, "Flow Direction") | 1 | U |  | BCID 12221 “Flow Direction”
4 | > | HAS CONCEPT MOD | CODE | EV (272517003, SCT, "Respiratory Cycle Point") | 1 | U |  | DCID 12234 “Respiration State”
5 | > | HAS CONCEPT MOD | CODE | EV (272518008, SCT, "Cardiac Cycle Point") | 1 | U |  | DCID 12233 “Cardiac Phase”
6 | > | HAS ACQ CONTEXT | CODE | EV (399264008, SCT, "Image Mode") | 1 | U |  | DCID 12224 “Ultrasound Image Modes”
7 | > | HAS ACQ CONTEXT | CODE | EV (111031, DCM, "Image View") | 1 | U |  | BCID 12226 “Echocardiography Image View”

Content Item Descriptions

Row 1 | For an index type of measurement, the concept name of this row 1 will still be the original measurement concept name; it is row 2 that gives the indication that row 1 is actually an index type of measurement. When this happens, the measurement value of row 1 should be a value after being indexed and the measurement unit of row 1 should be an index type of unit. For example, to insert a "Stroke Volume Index" measurement to this SR object, the concept name of row 1 will be "Stroke Volume", its numerical value will be the calculation result of "Stroke Volume /BSA" and its units are "ml/cm2".
Row 2 | When this row is available, the row 1 is an index calculation of the object.

### TID 5225 Cardiac Ultrasound Fetal Characteristics

Contains a list of Fetus Specific characteristics.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5225. Cardiac Ultrasound Fetal Characteristics

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (125015, DCM, "Fetus Characteristics") | 1 | M |  |
2 | > | HAS OBS CONTEXT | INCLUDE | DTID 1008 “Subject Context, Fetus” | 1 | MC | IF this Template is invoked more than once to describe more than one fetus. |
3 | > | CONTAINS | NUM | EV (18185-9, LN, "Gestational Age") | 1 | U |  | UNITS = DCID 7456 “Units of Measure for Age”
4 | > | CONTAINS | DATE | EV (11778-8, LN, "EDD") | 1 | U |  |
5 | > | CONTAINS | NUM | EV (8867-4, LN, "Heart Rate") | 1 | U |  |

### TID 5226 Cardiac Ultrasound Summary Section

Comments and observations of the procedure of immediate clinical interest.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5226. Cardiac Ultrasound Summary Section

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (55112-7, LN, "Summary") | 1 | M |  |
2 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1-n | MC | IF row 3 does not exist | BCID 12248 “Cardiac Ultrasound Summary Codes”
3 | > | CONTAINS | TEXT | EV (121071, DCM, "Finding") | 1-n | MC | IF row 2 does not exist |
4 | > | CONTAINS | CODE | EV (387713003, SCT, "Surgical Procedure") | 1-n | U |  | BCID 12247 “Pediatric, Fetal and Congenital Cardiac Surgical Interventions”

### TID 5227 Cardiac Ultrasound Fetal Summary Section

Comments and observations of the procedure of immediate clinical interest.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5227. Cardiac Ultrasound Fetal Summary Section

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | DT (125008, DCM, "Fetus Summary") | 1 | M |  |
2 | > | HAS OBS CONTEXT | INCLUDE | DTID 1008 “Subject Context, Fetus” | 1 | MC | IF this Template is invoked more than once to describe more than one fetus |
3 | > | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1-n | MC | IF row 4 does not exist | BCID 12249 “Cardiac Ultrasound Fetal Summary Codes”
4 | > | CONTAINS | TEXT | EV (121071, DCM, "Finding") | 1-n | MC | IF row 3 does not exist |
5 | > | CONTAINS | CODE | EV (387713003, SCT, "Surgical Procedure") | 1-n | U |  | BCID 12247 “Pediatric, Fetal and Congenital Cardiac Surgical Interventions”

### TID 5228 Cardiac Ultrasound Fetal Measurement Section

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5228. Cardiac Ultrasound Fetal Measurement Section

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (125016, DCM, "Fetal Measurements") | 1 | M |  |
2 | > | HAS OBS CONTEXT | INCLUDE | DTID 1008 “Subject Context, Fetus” | 1 | MC | IF this Template is invoked more than once to describe more than one fetus. |
3 | > | CONTAINS | INCLUDE | DTID 300 “Measurement” | 1-n | U |  | $Measurement = DCID 12279 “Cardiac Ultrasound Fetal General Measurements”
4 | > | CONTAINS | INCLUDE | DTID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” | 1-n | U |  | $SectionSubject = EV (4432005, SCT, "Ductus arteriosus") $MeasType = DCID 12218 “Echocardiography Congenital”
5 | > | CONTAINS | INCLUDE | DTID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” | 1-n | U |  | $SectionSubject = EV (367624001, SCT, "Ductus venosus") $MeasType = DCID 12218 “Echocardiography Congenital”
6 | > | CONTAINS | INCLUDE | DTID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” | 1-n | U |  | $SectionSubject = EV (50536004, SCT, "Umbilical artery") $MeasType = DCID 12218 “Echocardiography Congenital”
7 | > | CONTAINS | INCLUDE | DTID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” | 1-n | U |  | $SectionSubject = EV (367567000, SCT, "Umbilical vein") $MeasType = DCID 12218 “Echocardiography Congenital”
8 | > | CONTAINS | INCLUDE | DTID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” | 1-n | U |  | $SectionSubject = EV (17232002, SCT, "Middle cerebral artery") $MeasType = DCID 12218 “Echocardiography Congenital”

## Simplified Adult Echocardiography Templates

The templates that comprise the Simplified Adult Echocardiography Report are interconnected as in Figure A-10b.

Figure A-10b. Simplified Adult Echocardiography Template Structure

### TID 5300 Simplified Echo Procedure Report

This template forms the top of a content tree that allows an ultrasound device to describe the results of an adult echocardiography imaging procedure.

The template is instantiated at the root node. It can also be included in other templates that need to incorporate echocardiography findings into another report as quoted evidence.

This template does not include an Image Library. Image Content Items in the Echo Measurement templates (for example to indicate Source of Measurement) shall be included with by-value relationships, not with by-reference relationships.

Measurements in this template (except for the Wall Motion Analysis) are collected into one of three containers, each with a specific sub-template and constraints appropriate to the purpose of the container.

- Pre-coordinated Measurements

  - Are fully standardized measurements (many taken from the ASE practice guidelines).

  - Each has a single pre-coordinated standard code that fully captures the semantics of the measurement.

  - The only modifiers permitted are to indicate coordinates where the measurement was taken, provide a brief display label, and indicate which of a set of repeated measurements is the preferred value. Other modifiers are not permitted.

- Post-coordinated Measurements

  - Are non-standardized measurements that are performed with enough regularity to merit the control and configuration to capture the full semantics of the measurement. For example these measurements may include those configured on the cart by the vendor or user site. Some of these may be variants of the Pre-coordinated Measurements.

  - A set of mandatory and conditional modifiers with controlled vocabularies capture the essential semantics in a uniform way.

  - A single pre-coordinated code is also provided so that when the same type of measurement is encountered in the future, it is not necessary to parse and evaluate the full constellation of modifer values. Since this measurement has not been fully standardized, the pre-coordinated code may use a private coding scheme (e.g., from the vendor or user site).

- Adhoc Measurements

  - Are non-standardized measurements that do not merit the effort to track or configure all the details necessary to populate the set of modifiers required for a post-coordinated measurement.

  - The measurement code describes the elementary property measured.

  - Modifiers provide a brief display label and indicate coordinates where the measurement was taken. Other modifiers are not permitted.

For an example of this encoding and a discussion of the benefits and use cases, see Annex CCCC Populating The Simplified Echo Procedure Report Template (Informative) in PS3.17.

Type:

  Non-Extensible

Order:

  Significant

Root:

  Yes

Table TID 5300. Simplified Echo Procedure Report

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (125200, DCM, "Adult Echocardiography Procedure Report") | 1 | M |  |
2 | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | U |  |
3 | > | HAS OBS CONTEXT | INCLUDE | DTID 1001 “Observation Context” | 1 | M |  |
4 | > | CONTAINS | CONTAINER | DT (55111-9, LN, "Current Procedure Descriptions") | 1 | U |  |
5 | >> | CONTAINS | CODE | DT (125203, DCM, "Acquisition Protocol") | 1-n | M |  | BCID 12001 “Ultrasound Protocol Types”
6 | > | CONTAINS | CONTAINER | EV (18785-6, LN, "Indications for Procedure") | 1 | U |  |
7 | >> | CONTAINS | CODE | EV (121071, DCM, "Finding") | 1-n | U |  | DCID 12246 “Cardiac Ultrasound Indication for Study”
8 | >> | CONTAINS | TEXT | EV (121071, DCM, "Finding") | 1 | U |  |
9 | > | CONTAINS | INCLUDE | DTID 3602 “Cardiovascular Patient Characteristics” | 1 | U |  |
10 | > | CONTAINS | CONTAINER | EV (125301, DCM, "Pre-coordinated Measurements") | 1 | M |  |
11 | >> | CONTAINS | INCLUDE | DTID 5301 “Pre-coordinated Echo Measurement” | 1-n | M |  | $Measurement = DCID 12300 “Core Echo Measurements” $Preferred = DCID 12301 “Measurement Selection Reasons”
12 | > | CONTAINS | CONTAINER | EV (125302, DCM, "Post-coordinated Measurements") | 1 | M |  |
13 | >> | CONTAINS | INCLUDE | DTID 5302 “Post-coordinated Echo Measurement” | 1-n | U |  | $Preferred = DCID 12301 “Measurement Selection Reasons”
14 | > | CONTAINS | CONTAINER | EV (125303, DCM, "Adhoc Measurements") | 1 | M |  |
15 | >> | CONTAINS | INCLUDE | DTID 5303 “Adhoc Measurement” | 1-n | U |  | $Property =DCID 12304 “Echo Measured Properties”
16 | > | CONTAINS | INCLUDE | DTID 5204 “Wall Motion Analysis” | 1-n | U |  | $Procedure = DT (35757004, SCT, "Echocardiography for Determining Ventricular Contraction")
17 | > | CONTAINS | CONTAINER | EV (125310, DCM, "Staged Measurements") | 1 | U |  |
18 | >> | HAS ACQ CONTEXT | CODE | EV (18139-6, LN, "Stage") | 1 | M |  | BCID 3207 “Stress Test Procedure Phases”
19 | >> | CONTAINS | CONTAINER | EV (125301, DCM, "Pre-coordinated Measurements") | 1 | M |  |
20 | >>> | CONTAINS | INCLUDE | DTID 5301 “Pre-coordinated Echo Measurement” | 1-n | U |  | $Measurement = DCID 12300 “Core Echo Measurements” $Preferred = DCID 12301 “Measurement Selection Reasons”
21 | >> | CONTAINS | CONTAINER | EV (125302, DCM, "Post-coordinated Measurements") | 1 | M |  |
22 | >>> | CONTAINS | INCLUDE | DTID 5302 “Post-coordinated Echo Measurement” | 1-n | U |  | $Preferred = DCID 12301 “Measurement Selection Reasons”
23 | >> | CONTAINS | CONTAINER | EV (125303, DCM, "Adhoc Measurements") | 1 | M |  |
24 | >>> | CONTAINS | INCLUDE | DTID 5303 “Adhoc Measurement” | 1-n | U |  | $Property =DCID 12304 “Echo Measured Properties”

Content Item Descriptions

Row 8 | A text string containing one or more sentences describing one or more indications, possibly with additional comments from the physician or tech.
Row 11 | These are measurements from a standardized list of pre-coordinated codes. See CID 12300 “Core Echo Measurements”. Measurements which do not correspond to the full semantics of one of the pre-coordinated codes in CID 12300 can likely be encoded in Row 13 instead. Multiple instances of the same measurement code may be present in the container. Each instance represents a different sample or derivation. This template makes no requirement that any or all samples be sent. For example, a mean value of all the samples of a given measurement could be sent without sending all or any of the samples from which the mean was calculated. Device configuration and/or operator interactions determine what measurements are sent.
Row 13 | These are measurements that can be encoded using a standardized structure of post-coordinated codes. Measurements which correspond to the full semantics of one of the pre-coordinated codes in CID 12300 “Core Echo Measurements” should be encoded in Row 11 instead. $Measurement shall be provided, but is not constrained to a CID. Multiple instances of the same measurement code may be present in the container. Each instance represents a different sample or derivation. This template makes no requirement that any or all samples be sent. For example, a mean value of all the samples of a given measurement could be sent without sending all or any of the samples from which the mean was calculated. Device configuration and/or operator interactions determine what measurements are sent.
Row 15 | These are adhoc measurements encoded with minimal semantics. Row 13 can be used to encode measurements with more complete semantics. $Units shall be provided, but is not constrained to a CID. Device configuration and/or operator interactions determine what measurements are sent.
Rows 17-24 | When present, these rows contain measurements and associate them with a specific stage of a staged procedure.

### TID 5301 Pre-coordinated Echo Measurement

This template codes numeric echo measurements where most of the details about the nature of the measurement have been pre-coordinated in the measurement code. In contrast, see TID 5302 “Post-coordinated Echo Measurement”.

The pre-coordinated measurement code is provided when this Template is included from a parent Template.

Table TID 5301. Parameters

Parameter Name | Parameter Usage
--- | ---
$Measurement | Coded term or Context Group for Concept Name of measurement
$Preferred | Flag the preferred value by indicating the reason it was selected as preferred.

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 5301. Pre-coordinated Echo Measurement

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | NUM | $Measurement | 1 | M |  |
2 | > | HAS PROPERTIES | CODE | EV (121404, DCM, "Selection Status") | 1 | MC | IFF this measurement has been selected as the single preferred value for the measured concept. | $Preferred = MemberOf {DCID 12301 “Measurement Selection Reasons”}
3 | > | HAS CONCEPT MOD | CODE | EV (121401, DCM, "Derivation") | 1 | MC | IFF this measurement is not a sample. | EV (373098007, SCT, "Mean")
4 | > |  | INCLUDE | DTID 320 “Image or Spatial Coordinates” | 1-n | U |  | $Purpose = EV (121112, DCM, "Source of measurement")
5 | > |  | INCLUDE | DTID 321 “Waveform or Temporal Coordinates” | 1-n | U |  | $Purpose = EV (121112, DCM, "Source of measurement")
6 | > | HAS PROPERTIES | TEXT | EV (125309, DCM, "Short Label") | 1 | U |  |

Content Item Descriptions

Row 2 | The reason that this value was selected as the preferred value for the measured concept. The parent template may allow TID 5301 “Pre-coordinated Echo Measurement” to be included multiple times with the same Measurement Concept Name, for example to allow multiple samples of the measurement. A given Measurement Concept Name might appear only once in the instance, in which case this this row may or may not be present. A given Measurement Concept Name may appear multiple times, however this row shall not be present for more than one value of the given Measurement Concept Name. E.g. multiple measurements of (11706-9, LN, "Aortic Valve Peak Systolic Flow") may be present, but only one may be selected as preferred.
Row 3 | The method used to derive this measurement value from multiple samples of the Measurement Concept Name. If Row 3 is not present, then this measurement value is simply a single sample of the Measurement Concept Name. ### Note A measurement value that is a mean value of other measurements and was also selected as the preferred value because it is the mean will have both Row 2 and Row 3 present.
Row 6 | This may be used to label the measurement value when space is limited on the screen or report page. E.g. a Short Label of "LVIDD" might be provided for a measurement of the left ventricle internal diameter at end diastole. ### Note Short Labels are not standardized and may omit details of the measurement, thus it is not recommended to use them for purposes such as matching.

### TID 5302 Post-coordinated Echo Measurement

This template codes numeric echo measurements where most of the details about the nature of the measurement have been post-coordinated in modifiers and acquisition context. In contrast, see TID 5301 “Pre-coordinated Echo Measurement” .

This template is intended to be used for User-defined and Vendor-defined Echo Measurements.

Several modifier rows are conditional and are omitted when the modifier concept is not significant for the measurement encoded in the item. When these modifiers are included by the sender, it indicates that the modifier concept is significant and receivers will generally treat the measurements differently than similar measurements sent that omit that modifier.

### Note

The codes in the CIDs referenced below were sufficient to accurately encode all the best practice echo measurements recommended by the ASE. If, however, a new code is needed to record a specific User-defined or Vendor-defined measurement, most of the CIDs are extensible. It is not unreasonable to expect that measurements might be made at other Finding Sites than those listed in CID 12305 “Basic Echo Anatomic Sites” , or using Measurement Methods beyond those listed in CID 12227 “Echocardiography Measurement Method” .

The concept modifiers in the template below were sufficient to accurately encode all the best practice echo measurements recommended by the ASE. Although TID 5302 “Post-coordinated Echo Measurement” is extensible and adding new modifiers is not prohibited, the meaning and significance of such new modifiers will generally not be understood by receiving systems, delaying or preventing import of such measurements. Further, adding modifiers that replicate the meaning of an existing modifier is prohibited.

If such measurements cannot be encoded with the following structure, an implementation may choose to code the measurement in TID 5303 “Adhoc Measurement” , or to use TID 5200 “Echocardiography Procedure Report” instead of TID 5300 “Simplified Echo Procedure Report” .

Table TID 5302. Parameters

Parameter Name | Parameter Usage
--- | ---
$Measurement | Coded term or Context Group for Concept Name of measurement
$Preferred | Flag the preferred value by indicating the reason it was selected as preferred.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 5302. Post-coordinated Echo Measurement

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | NUM | $Measurement | 1 | M |  |
2 | > | HAS PROPERTIES | CODE | EV (121050, DCM, "Equivalent Meaning of Concept Name") | 1-n | U |  |
3 | > | HAS PROPERTIES | CODE | EV (121404, DCM, "Selection Status") | 1 | MC | IFF this measurement has been selected as the single preferred value for the measured concept. | $Preferred =MemberOf {DCID 12301 “Measurement Selection Reasons”}
4 | > | HAS CONCEPT MOD | CODE | EV (121401, DCM, "Derivation") | 1 | MC | IFF this measurement is not a sample. | EV (373098007, SCT, "Mean"))
5 | > |  | INCLUDE | DTID 320 “Image or Spatial Coordinates” | 1-n | U |  | $Purpose =EV (121112, DCM, "Source of measurement")
6 | > |  | INCLUDE | DTID 321 “Waveform or Temporal Coordinates” | 1-n | U |  | $Purpose = EV (121112, DCM, "Source of measurement")
7 | > | HAS CONCEPT MOD | CODE | EV (125306, DCM, "Measurement Type") | 1 | M |  | DCID 12303 “Echo Measurement Types”
8 | > | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | DCID 12305 “Basic Echo Anatomic Sites”
9 | > | HAS CONCEPT MOD | CODE | EV (125305, DCM, "Finding Observation Type") | 1 | M |  | DCID 12302 “Echo Finding Observation Types”
10 | > | HAS CONCEPT MOD | CODE | EV (125307, DCM, "Measured Property") | 1 | M |  | DCID 12304 “Echo Measured Properties”
11 | > | HAS CONCEPT MOD | CODE | EV (260674002, SCT, "Flow Direction") | 1 | MC | IFF Row 9 is (44324008, SCT, "Hemodynamic Measurements") and the Flow Direction is significant for this measurement. | DCID 12306 “Echo Flow Directions”
12 | > | HAS CONCEPT MOD | CODE | EV (370129005, SCT, "Measurement Method") | 1 | MC | IFF the Measurement Method is significant for this measurement. | DCID 12227 “Echocardiography Measurement Method”
13 | > | HAS ACQ CONTEXT | CODE | EV (399264008, SCT, "Image Mode") | 1 | MC | IFF the Image Mode is significant for this measurement. | DCID 12224 “Ultrasound Image Modes”
14 | > | HAS ACQ CONTEXT | CODE | EV (111031, DCM, "Image View") | 1 | MC | IFF the Image View is significant for this measurement. | DCID 12226 “Echocardiography Image View”
15 | > | HAS CONCEPT MOD | CODE | EV (272518008, SCT, "Cardiac Cycle Point") | 1 | MC | IFF the Cardiac Cycle Point is significant for this measurement. | DCID 12307 “Cardiac Phases and Time Points”
16 | > | HAS CONCEPT MOD | CODE | EV (272517003, SCT, "Respiratory Cycle Point") | 1 | MC | IFF the Respiratory Cycle Point is significant for this measurement. | DCID 12234 “Respiration State”
17 | > | HAS CONCEPT MOD | CODE | EV (125308, DCM, "Measurement Divisor") | 1 | MC | IFF the value of Row 7 is (125313, DCM, "Indexed") or (118586006, SCT, "Ratio") or (125314, DCM, "Fractional Change") |
18 | > | HAS PROPERTIES | TEXT | EV (125309, DCM, "Short Label") | 1 | U |  |

Content Item Descriptions

Row 1 | A fully pre-coordinated code that incorporates all the semantics of Rows 7-17 for this measurement. The code is intended to allow parsers to recognize post-coordinated measurements that have been previously encountered, thus facilitating incorporation of the measurement into databases, report templates, registries, etc. Typically these codes will be from a vendor or site specific coding scheme, e.g., 99ACME. Sending the same code consistently in different reports will depend on the recording system maintaining a stable list of these pre-coordinated codes. Such a list might be configured or internally generated and managed. This shall be populated by the recording system. If the recording system does not have a method to ensure that all occurrences of the same post-coordinated measurement use the same code, it shall use the code (125304, DCM, "Untrackable Measurement"). ### Note Two measurements with the same pre-coordinated code have, by definition, the same semantics (except for "Untrackable Measurements") Two measurements with the same constellation of modifier values have the same semantics but may have different pre-coordinated codes because they come from carts of different vendors who don't share the same code table come from carts of the same vendor, but the carts don't share the same code table come from the same cart, but it's code table has been modified come from the same cart, but it does not maintain a code table Two measurements with the same constellation of modifier values and different pre-coordinated codes have the same semantics and the receiver is entitled to treat them as the same (with respect to the scope of those modifiers) Recommended units for various Measured Properties (Row 10) can be found in the Units column of CID 12304 “Echo Measured Properties” . When the Measurement Type (Row 7) is (125313, DCM, "Indexed") , (118586006, SCT, "Ratio") or (125314, DCM, "Fractional Change") , the Units for Row 1 corresponds to the fully calculated $Measurement, incorporating both the numerator (Row 10) and the denominator (Row 17). E.g. a measure of Left Ventricular Outflow Tract Diameter / BSA would have units of (cm/m2, UCUM, "cm/m2") in Row 1, (125313, DCM, "Indexed") in Row 7, (81827009, SCT, "Diameter") in Row 10, and (8277-6, LN, "Body Surface Area") in Row 17.
Row 2 | One or more additional fully pre-coordinated codes which are semantically equivalent to the code in Row 1. This may be used to communicate known mappings, such as to national registry codes or other vendors' codes.
Row 3 | The reason that this value was selected as the preferred value for the measured concept. The parent template may allow TID 5301 “Pre-coordinated Echo Measurement” to be included multiple times with the same Measurement Concept Name, for example to allow multiple samples of the measurement. A given Measurement Concept Name might appear only once in the instance, in which case this this row may or may not be present. A given Measurement Concept Name may appear multiple times, however this row shall not be present for more than one value of a given measured concept. E.g. multiple measurements of (11706-9, LN, "Aortic Valve Peak Systolic Flow") may be present, but only one may be selected as preferred.
Row 4 | The method used to derive this measurement value from multiple samples of the Measurement Concept Name. If Row 3 is not present, then this measurement value is simply a single sample of the Measurement Concept Name. ### Note A measurement value that is a mean value of other samples and was also selected as the preferred value because it is the mean will have both Row 2 and Row 3 present. This row is not used to record whether the measurement value is a direct measurement vs a measurement calculated from an equation. Such information is recorded in Row 7.
Row 8 | The finding site reflects the anatomical location where the measurement is taken. CID 12305 “Basic Echo Anatomic Sites” contains the codes which proved to be sufficient for mapping the full set of ASE standard measurements. It is recommended to use these locations unless a more detailed location is truly necessary.
Row 9 | The finding observation type indicates the type of observation made at the finding site to produce the measurement. In many cases, for example Aortic Root Diameter, the structure of the finding site is being observed. In other cases, for example Mitral Valve Regurgitant Flow Peak Velocity, the finding site is the mitral valve, the hemodynamic flow (not the valve structure) is being observed, the measured property is the peak velocity, and the flow direction is retrograde.
Row 17 | The pre-coordinated code for the measurement that has been used as the denominator of this measurement. Only applies to measurements of type Indexed, Ratio or Fractional Change. The measurement referenced as the Measurement Divisor shall be present in the instance in which it is used. When Row 17 is present, any values in Rows 5-6, 8-16 shall reflect the numerator of the measurement rather than the Index, Ratio or Fractional Change as a whole. The rest of the rows, including the pre-coordinated measurement value, the pre-coordinated measurement code, the units and the short label, reflect the Index, Ratio or Fractional Change as a whole. E.g. in the case of an Indexed measurement, the value recorded in Row 1 has already been divided by the Index referenced in Row 17, and the Units in Row 1 match the indexed value, not the numerator Property described in Row 10. For a measurement of type Indexed, the numerator is divided by the Measurement Divisor. For a measurement of type Ratio, the numerator is divided by the Measurement Divisor and is unitless. For a measurement of type Fractional Change, the numerator is first subtracted from the Measurement Divisor and the result divided by the Measurement Divisor (i.e., (Divisor - Numerator) / Divisor ).
Row 18 | This may be used to label the measurement value when space is limited on the screen or report page. E.g. a Short Label of "LVIDD" might be provided for a measurement of the left ventricle internal diameter at end diastole. ### Note Short Labels are not standardized and may omit details of the measurement, thus it is not recommended to use them for purposes such as matching.

### TID 5303 Adhoc Measurement

This Template codes numeric echo measurements where most of the details about the nature of the measurement are not communicated. The measurement is identified in terms of the property measured, such as Length, Diameter, Area, Velocity etc. and some measurement context may established by reference to spatial coordinates on an image or a waveform. A displayable label is included but there is no managed code identifying the measurement.

The template is intended to be used to include adhoc, one-time measurements whose need is determined during imaging exam or reviewing session.

Measurements that are taken in an adhoc fashion but are selected from the set of pre-coordinated or post-coordinated measurements that are configured on the Ultrasound System should be coded using TID 5301 “Pre-coordinated Echo Measurement” or TID 5302 “Post-coordinated Echo Measurement”.

Table TID 5303. Parameters

Parameter Name | Parameter Usage
--- | ---
$Property | Property being measured

Type:

  Non-Extensible

Order:

  Significant

Root:

  No

Table TID 5303. Adhoc Measurement

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | NUM | $Property | 1 | M |  |
2 | > |  | INCLUDE | DTID 320 “Image or Spatial Coordinates” | 1-n | U |  | $Purpose = EV (121112, DCM, "Source of measurement")
3 | > |  | INCLUDE | DTID 321 “Waveform or Temporal Coordinates” | 1-n | U |  | $Purpose = EV (121112, DCM, "Source of measurement")
4 | > | HAS PROPERTIES | TEXT | EV (125309, DCM, "Short Label") | 1 | M |  |

Content Item Descriptions

Row 4 | This may be used to label the measurement value when space is limited on the screen or report page. E.g. a Short Label of "LVIDD" might be provided for a measurement of the left ventricle internal diameter at end diastole. ### Note Short Labels are not standardized and may omit details of the measurement, thus it is not recommended to use them for purposes such as matching.

## Implantation Plan SR Document Templates

The Templates that comprise the Implantation Plan SR Document IOD are interconnected as in Figure A-11.

Figure A-11. Implantation Plan SR Document IOD Template Structure

### TID 7000 Implantation Plan

This Template contains all the necessary information to position an Implant Assembly and its Components in a patient. Therefore, all the Components that comprise an Implant Assembly are listed. If the Implant Assembly consists of more than one Component, the relation between the Components will be described as well. It is also possible to describe the registration between the Components and the patient and between the Components themselves.

To reference the Components within this document the Implantation Plan Component ID is used.

The Component Connection links two Implantation Plan Components in a commutative way. This means that for each link between A and B only one Component Connection has to be defined and not two for A-B and B-A.

The terminology used is defined by illustration using the example in Figure A-12.

Figure A-12. Implant Assembly and Components Terminology

Type:

  Extensible

Order:

  Significant

Root:

  Yes

Table TID 7000. Implantation Plan

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (112345, DCM, "Implantation Plan") | 1 | M |  | Root node
2 | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | U |  |
3 | > | HAS OBS CONTEXT | INCLUDE | DTID 1001 “Observation Context” | 1 | M |  |
4 | > | CONTAINS | INCLUDE | DTID 351 “Previous Reports” | 1 | MC | IFF previous Implantation Plan Documents exist | Shall only reference other Implantation Plan Documents
5 | > | CONTAINS | INCLUDE | DTID 7001 “Related Implantation Reports” | 1 | MC | IFF related Implantation Plan Documents exist that are not referenced by row 4 | Shall only reference other Implantation Plan Documents
6 | > | CONTAINS | CONTAINER | EV (112360, DCM, "Implant Component List") | 1 | M |  |
7 | >> | CONTAINS | COMPOSITE | EV (112366, DCM, "Implant Assembly Template") | 1 | U |  | References an Implant Assembly Template SOP Instance
8 | >> | CONTAINS | CONTAINER | EV (112346, DCM, "Selected Implant Component") | 1-n | M |  |
9 | >>> | CONTAINS | TEXT | EV (112347, DCM, "Component ID") | 1 | M |  |
10 | >>> | CONTAINS | CODE | EV (112370, DCM, "Component Type") | 1 | MC | IFF Row 8 contains more than one item. | DCID 7306 “Human Hip Implant Planning Landmarks”
11 | >>> | CONTAINS | COMPOSITE |  | 1 | M |  | References an Implant Template Storage SOP Instance
12 | >>> | CONTAINS | UIDREF | EV (112227, DCM, "Frame Of Reference UID") | 1 | M |  |
13 | >>> | CONTAINS | COMPOSITE | EV (112371, DCM, "Manufacturer Implant Template") | 1 | M |  | References an Implant Template Storage SOP Instance
14 | > | CONTAINS | CONTAINER | EV (112355, DCM, "Assembly") | 1-n | U |  |
15 | >> | CONTAINS | CONTAINER | EV (112350, DCM, "Component Connection") | 1-n | M |  |
16 | >>> | CONTAINS | CONTAINER | EV (112374, DCM, "Connected Implantation Plan Component") | 2 | M |  |
17 | >>>> | CONTAINS | TEXT | EV (112347, DCM, "Component ID") | 1 | M |  | Defined in the Implant Component List CONTAINER
18 | >>>> | CONTAINS | TEXT | EV (112351, DCM, "Mating Feature Set ID") | 1 | M |  | Only one Component Connection per Mating Feature Set is allowed
19 | >>>> | CONTAINS | TEXT | EV (112352, DCM, "Mating Feature ID") | 1 | M |  |
20 | >>>> | CONTAINS | CONTAINER | EV (112362, DCM, "Degrees of Freedom Specification") | 1-n | U |  |
21 | >>>>> | CONTAINS | TEXT | EV (112363, DCM, "Degree of Freedom ID") | 1 | M |  |
22 | >>>>> | CONTAINS | NUM | EV (112376, DCM, "Degree of Freedom Exact Translational Value") | 1 | MC | IFF Row 23, 24, 25, 26 and 27 are absent | UNITS = EV (mm, UCUM, "mm")
23 | >>>>> | CONTAINS | NUM | EV (112377, DCM, "Degree of Freedom Minimum Translational Value") | 1 | MC | IFF row 22, 25, 26, and 27 are absent | UNITS = EV (mm, UCUM, "mm")
24 | >>>>> | CONTAINS | NUM | EV (112378, DCM, "Degree of Freedom Maximum Translational Value") | 1 | MC | IFF row 22, 25, 26, and 27 are absent | UNITS = EV (mm, UCUM, "mm")
25 | >>>>> | CONTAINS | NUM | EV (112379, DCM, "Degree of Freedom Exact Rotational Value") | 1 | MC | IFF row 22, 23, 24, 26 and 27 are absent | UNITS = EV (deg, UCUM, "degree")
26 | >>>>> | CONTAINS | NUM | EV (112380, DCM, "Degree of Freedom Minimum Rotational Value") | 1 | MC | IFF row 22, 23, 24 and 25 are absent | UNITS = EV (deg, UCUM, "degree")
27 | >>>>> | CONTAINS | NUM | EV (112381, DCM, "Degree of Freedom Maximum Rotational Value") | 1 | MC | IFF row 22, 23, 24 and 25 are absent | UNITS = EV (deg, UCUM, "degree")
28 | > | CONTAINS | CONTAINER | EV (112358, DCM, "Information used for planning") | 1 | U |  |
29 | >> | CONTAINS | CODE | EV (112375, DCM, "Planning Method") | 1 | U |  | BCID 7320 “Planning Methods”
30 | >> | CONTAINS | IMAGE | EV (112354, DCM, "Patient Image") | 1-n | U |  |
31 | >>> | HAS PROPERTIES | NUM | EV (111026, DCM, "Horizontal Pixel Spacing") | 1 | M |  | UNITS = EV (mm/{pixel}, UCUM, "mm/pixel")
32 | >>> | HAS PROPERTIES | NUM | EV (111066, DCM, "Vertical Pixel Spacing") | 1 | M |  | UNITS = EV (mm/{pixel}, UCUM, "mm/pixel")
33 | >> | CONTAINS | COMPOSITE | EV (112361, DCM, "Patient Data Used During Planning") | 1-n | U |  | References SOP Instances except Images
34 | >>> | HAS PROPERTIES | UIDREF | EV (112356, DCM, "User Selected Fiducial") | 1-n | MC | IFF row 33 references a Fiducial SOP Instance |
35 | >>>> | HAS CONCEPT MOD | TEXT | EV (112369, DCM, "Fiducial Intent") | 1 | U |  |
36 | > | CONTAINS | CONTAINER | EV (112367, DCM, "Planning Information for Intraoperative Usage") | 1 | U |  |
37 | >> | CONTAINS | TEXT | EV (121173, DCM, "Physician Note") | 1-n | U |  |
38 | >> | CONTAINS | COMPOSITE | EV (112359, DCM, "Supporting Information") | 1 | U |  | SOP Class UID shall be Encapsulated PDF Storage
39 | >> | CONTAINS | COMPOSITE | EV (112372, DCM, "Derived Planning Images") | 1-n | U |  |
40 | >> | CONTAINS | COMPOSITE | EV (112353, DCM, "Spatial Registration") | 1-n | U |  | References Spatial Registration SOP Instances and Deformable Spatial Registration SOP Instances
41 | >>> | HAS PROPERTIES | UIDREF | EV (112227, DCM, "Frame of Reference UID") | 1-n | U |  |
42 | >> | CONTAINS | COMPOSITE | EV (112373, DCM, "Derived Planning Data") | 1-n | U |  | References SOP Instances except Images and Spatial Registrations
43 | >>> | HAS PROPERTIES | UIDREF | EV (112357, DCM, "Derived Fiducial") | 1-n | MC | IFF row 42 references a Fiducial SOP Instance |
44 | >>>> | HAS CONCEPT MOD | TEXT | EV (112369, DCM, "Fiducial Intent") | 1 | U |  |
45 | >> | CONTAINS | COMPOSITE | EV (112364, DCM, "Related Patient Data Not Used During Planning") | 1-n | U |  |

Content Item Descriptions

Row 7 | If an Implant Assembly Template was used for the planning, it should be referenced here.
Row 9 | ID given to this Implant Component. Used to reference this specific Component within the Implantation Plan.
Row 10 | See description of Component Type Code Sequence (0076,0034) Attribute in Section C.29.2.1 “Implant Assembly Template Module” in PS3.3
Row 11 | Reference to the Template that describes that component. May be the same Implant Template as referenced in row 13. The target of the reference may not be needed or available during implantation. e.g., if the plan is opened in another hospital where those implant templates are not used. No purpose of reference is specified.
Row 12 | This Frame of Reference is the Frame of Reference of the Implant Component (Frame of Reference UID (0020,0052) Attribute in the “Generic Implant Template Description Module” in PS3.3 ). This may help to find the right registration information (row 43).
Row 13 | References the Original Template that was the basis for the Derived Template. May be the same Implant Template as referenced in row 11. The target of the reference may not be needed or available during implantation, e.g., if the plan is opened in another hospital where those implant templates are not used.
Row 14 | If there is no Component Connection between sets of Implant Components, one Assembly must be used for each set.
Row 17 | The ID of a planned Component that is defined in this document and that is part of this Relation.
Row 18 | See description of Mating Feature Set ID (0068,63C0) Attribute in the “Generic Implant Template Mating Features Module” in PS3.3
Row 19 | See description of Mating Feature ID (0068,63F0) Attribute in the “Generic Implant Template Mating Features Module” in PS3.3
Row 21 | See description of Degree of Freedom ID (0068,6410) Attribute in the “Generic Implant Template Mating Features Module” in PS3.3
Row 22 - 27 | Defines the range or exact value that was selected or calculated by the planning application.
Row 31 | Defines the calibrated Horizontal Pixel Spacing that was used by the planning application, which may be different from the spacing encoded in the referenced Image SOP Instance.
Row 32 | Defines the calibrated Vertical Pixel Spacing that was used by the planning application, which may be different from the spacing encoded in the referenced Image SOP Instance.
Row 33 | Any patient data other than Image IEs used for the planning, e.g., Surface Segmentations.
Row 34 | Fiducials selected by the user for registration of implant components referenced in the parent Content Item.
Row 35 | User comment about the Fiducial. This may be the reason it was selected, the intended use, the anatomical or non-anatomical structure that the Fiducial represents, or any other intent.
Row 38 | All kinds of information in PDF form that are created by a planning application may be referenced here, e.g., drawings.
Row 39 | All kinds of images that are created by a planning application should be referenced here, e.g., images that show patient images overlaid with contour information of the Implant Component, or images that show how several implant components may be composed, or merged patient images.
Row 40 | References registration objects that contain registration data that is relevant for this Implantation Plan, e.g., registration of Implant Components.
Rows 5, 6 | Identifies one or more items within the sequence of referenced Frames of Reference (Registration Sequence (0070,0308) in the Spatial Registration Module or Deformable Registration Sequence (0064,0002) in the “Deformable Spatial Registration Module” in PS3.3 ) that are relevant for this Implantation Plan. See Figure A-13.
Row 42 | Any patient data created during the planning process that is not referenced in row 39 and 40, e.g., Surface Segmentation Instances created by the planning application.
Row 43 | These Fiducials are derived from the Fiducials identified in Row 34.
Row 45 | References to any relevant patient data containing IOD instances that were not used in planning or derived from it but belong to the patient model. Might be reports, images, surface segmentations, or other.

Figure A-13. References to Registration Objects

### TID 7001 Related Implantation Reports

This general Template provides a means to reference related Implantation Plan SR Document instances that are not previous Reports. Other Implantations that are planned to be done during the same intervention should be referenced here.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 7001. Related Implantation Reports

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (112365, DCM, "Related Implantation Reports") | 1 | M |  |
2 | > | CONTAINS | COMPOSITE |  | 1-n | M |  |

## Acquisition Context SR IOD Templates

The Templates that comprise the Acquisition Context SR are interconnected as follows:

- TID 8101 “Preclinical Small Animal Image Acquisition Context”

  - TID 1204 "Language of Content Item and Descendants"

  - TID 1001 "Observation Context"

  - TID 8110 “Biosafety Conditions”

  - TID 8121 “Animal Housing”

  - TID 8122 “Animal Feeding”

  - TID 8140 “Heating Conditions”

  - TID 8150 “Circadian Effects”

  - TID 8170 “Physiological Monitoring Performed During Procedure”

  - TID 8130 “Anesthesia”

    - TID 8131 “Medications and Mixture Medications”

  - TID 9002 “Medication, Substance, Environmental Exposure”

  - TID 8182 “Exogenous Substance Administration”

### TID 8101 Preclinical Small Animal Image Acquisition Context

This Root Template encodes a description of the conditions present during and related to data acquisition for a single imaging procedure.

### Note

1. It is not expected that a single instance be used to describe the entire life of an animal, unless it is sacrificed after a single procedure. Rather, separate instances will be used for separate procedures, though there may be some duplication of common information, such as about the home cage environment.

2. It is expected that an SR instance encoded using this template will be contained in the same Study as other instances created during the procedure, e.g., with a common Study Instance UID. If this is not practical, e.g., due to recording on a separate device without use of a shared Modality Worklist, then commonality of other Study level attributes may be necessary to link procedures (and possibly coerce the Study Instance UID to a common value).

Type:

  Extensible

Order:

  Non-Significant

Root:

  Yes

Table TID 8101. Preclinical Small Animal Image Acquisition Context

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (127001, DCM, "Preclinical Small Animal Imaging Acquisition Context") | 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 |  |
5 | > | CONTAINS | INCLUDE | DTID 8110 “Biosafety Conditions” | 1 | U |  |
6 | > | CONTAINS | CONTAINER | EV (127005, DCM, "Animal handling during specified phase") | 1-n | U |  |
7 | >> | HAS CONCEPT MOD | CODE | EV (127006, DCM, "Phase of animal handling") | 1 | M |  | DCID 634 “Phase of Animal Handling”
8 | >> | CONTAINS | DATETIME | EV (111526, DCM, "DateTime Started") | 1 | U |  |
9 | >> | CONTAINS | DATETIME | EV (111527, DCM, "DateTime Ended") | 1 | U |  |
10 | >> | CONTAINS | INCLUDE | DTID 8121 “Animal Housing” | 1 | U |  |
11 | >> | CONTAINS | INCLUDE | DTID 8122 “Animal Feeding” | 1-n | U |  |
12 | >> | CONTAINS | INCLUDE | DTID 8140 “Heating Conditions” | 1 | U |  |
13 | >> | CONTAINS | INCLUDE | DTID 8150 “Circadian Effects” | 1 | U |  |
14 | >> | CONTAINS | INCLUDE | DTID 8170 “Physiological Monitoring Performed During Procedure” | 1 | U |  |
15 | > | CONTAINS | INCLUDE | DTID 8130 “Anesthesia” | 1 | U |  |
16 | > | CONTAINS | INCLUDE | DTID 9002 “Medication, Substance, Environmental Exposure” | 1 | U |  | $ContainerConcept = EV (10160-0, LN, "History Of Medication Use") $CodeConcept = EV (111516, DCM, "Medication Type") $Route = DCID 11 “Route of Administration”
17 | > | CONTAINS | INCLUDE | DTID 8182 “Exogenous Substance Administration” | 1 | U |  | $ContainerConcept = EV (127400, DCM, "Exogenous substance") $CodeConcept = DCID 637 “Exogenous Substance Types” $CodeValue = DCID 638 “Exogenous Substance” $Route = DCID 11 “Route of Administration” $Site = DCID 644 $TissueOfOrigin = DCID 645 $TaxonomicRankOfOrigin = DCID 7454 “Animal Taxonomic Rank Values”

Content Item Descriptions

Row 3 | A single pre-coordinated code describing the general type of imaging procedure can be described using TID 1005 Row 9 Procedure Code (included in TID 1001). For small animal (as opposed to human) imaging, this will likely describe a whole body acquisition in a modality-specific manner and the use of contrast and/or radiopharmaceutical. E.g., whole body FDG PET, or whole body DCE-MRI. May be redundant with (or default to) the value present in the top level Data Set in Procedure Code Sequence (0008,1032) of the General Study Module. Species and strain identification is not described in TID 1001; rather it is encoded in DICOM Attributes in the top level Data Set.
Row 5 | The biosafety conditions are expected to be consistent across all phases of handling, so are not described separately per-phase.
Rows 8-9 | The period of time during which the phase is defined, i.e., during which the animal was managed in the specified conditions. This may be more important for interpretation for some phases (e.g., transport) than others (e.g., at rest in the home cage), and hence is optional.
Rows 10-14 | The outline of subordinate templates follows the pattern of categories of Animal Housing, Care, and Physiologic Monitoring information described in [Stout et al 2013].
Row 11 | Animal feeding is 1-n to allow encoding of dietary supplements and treats in addition to the regular diet.
Row 15 | A single anesthesia event is normally assumed for a single procedure, though the template included can include multiple pre-, intra- and post-procedure descriptions.
Row 16 | Used to describe pharmaceuticals administered that are not described elsewhere, in particular, those that are not described as anesthesia medications, and those that are not described in the images (e.g., contrast, radiopharmaceuticals). This includes therapy (such as chemotherapy, immunotherapy) and similar interventions that may be the subject of the research. The value set of $CodeValue is not defined, given the vast range of possible codes and coding schemes for drugs or medicaments that might be used. Nor are value sets for $Classification or $Site defined.
Row 17 | Used to describe non-pharmaceutical exogenous substances administered, such as cells or other tumor graft, fibrils, viruses, cytokines and toxins that describe the "model" upon which the research is being performed, as distinct from the "therapeutic intervention" (Row 16) that may be the purpose of the research. The Classification parameter is not constrained by any value set.

### TID 8110 Biosafety Conditions

This template encodes a description of the biosafety conditions applicable to research small animals.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 8110. Biosafety Conditions

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (127010, DCM, "Biosafety conditions") | 1 | M |  |
2 | > | CONTAINS | CODE | EV (409599009, SCT, "Biosafety level") | 1 | U |  | DCID 601 “Biosafety Levels”
2 | > | CONTAINS | CODE | EV (127011, DCM, "Reason for biosafety controls") | 1 | U |  | DCID 602 “Biosafety Control Reasons”
4 | > | CONTAINS | TEXT | EV (121106, DCM,"Comment") | 1 | U |  |

Content Item Descriptions

Row 4 | A brief description of any pertinent or unusual biosafety requirements.

### TID 8121 Animal Housing

This template encodes a description of housing of animals, e.g., in home cages, holders for imaging, etc., over an interval during which environmental and handling conditions are relatively homogenous.

### Note

1. Only "static" parameters of the design and setup are recorded, and "nominal" values for environmental conditions such as humidity and temperature, but not "dynamic" parameters that might vary during one housing interval, and potentially be monitored, such as oxygen or ammonia levels, temperature, humidity, urine or fecal corticosterone levels, etc.

2. Values for product names and codes are expected to be accurate at the time the information is recorded, recognizing that products may evolve over time.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 8121. Animal Housing

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (127120, DCM, "Animal housing") | 1 | M |  |
2 | > | CONTAINS | CODE | EV (127121, DCM, "Animal room type") | 1 | U |  | DCID 603 “Animal Room Types”
2b | > | CONTAINS | TEXT | EV (127122, DCM, "Animal room identifier") | 1 | U |  |
3 | > | CONTAINS | TEXT | EV (127125, DCM, "Housing manufacturer") | 1 | U |  |
4 | > | CONTAINS | TEXT | EV (127126, DCM, "Housing rack product name") | 1 | U |  |
5 | > | CONTAINS | TEXT | EV (127127, DCM, "Housing rack product code") | 1 | U |  |
6 | > | CONTAINS | TEXT | EV (127128, DCM, "Housing unit product name") | 1 | U |  |
7 | > | CONTAINS | TEXT | EV (127129, DCM, "Housing unit product code") | 1 | U |  |
8 | > | CONTAINS | TEXT | EV (127130, DCM, "Housing unit lid product name") | 1 | U |  |
9 | > | CONTAINS | TEXT | EV (127131, DCM, "Housing unit lid product code") | 1 | U |  |
10 | > | CONTAINS | NUM | EV (127140, DCM, "Number of racks per room") | 1 | U |  | UNITS = EV ({racks}, UCUM, "racks")
11 | > | CONTAINS | NUM | EV (127141, DCM, "Number of housing units per rack") | 1 | U |  | UNITS = EV ({housing units}, UCUM, "housing units") or EV ({cages}, UCUM, "cages")
12 | > | CONTAINS | TEXT | EV (127142, DCM, "Housing unit location in rack") | 1 | U |  |
13 | > | CONTAINS | NUM | EV (127143, DCM, "Number of animals within same housing unit") | 1 | U |  | UNITS = EV ({animals}, UCUM, "animals")
14 | > | CONTAINS | CODE | EV (127144, DCM, "Sex of animals within same housing unit") | 1 | U |  | DCID 7457 “Sex - Male Female or Both”
15 | > | CONTAINS | CODE | EV (127145, DCM, "Sex of handler") | 1 | U |  | DCID 7457 “Sex - Male Female or Both”
16 | > | CONTAINS | NUM | EV (127150, DCM, "Total duration in housing") | 1 | U |  | UNITS = EV (d, UCUM, "days")
17 | > | CONTAINS | NUM | EV (127151, DCM, "Housing change interval") | 1 | U |  | UNITS = EV (d, UCUM, "days")
18 | > | CONTAINS | NUM | EV (127152, DCM, "Manual handling interval") | 1 | U |  | UNITS = EV (h, UCUM, "hours")
19 | > | CONTAINS | TEXT | EV (127153, DCM, "Housing unit movement") | 1 | U |  |
20 | > | CONTAINS | NUM | EV (127160, DCM, "Housing unit width") | 1 | U |  | UNITS = EV (cm, UCUM, "cm")
21 | > | CONTAINS | NUM | EV (127161, DCM, "Housing unit height") | 1 | U |  | UNITS = EV (cm, UCUM, "cm")
22 | > | CONTAINS | NUM | EV (127162, DCM, "Housing unit length") | 1 | U |  | UNITS = EV (cm, UCUM, "cm")
23 | > | CONTAINS | CODE | EV (127170, DCM, "Housing individually ventilated") | 1 | U |  | DCID 231 “Yes-No Only”
24 | > | CONTAINS | NUM | EV (127172, DCM, "Air changes") | 1 | U |  | UNITS = EV (/h, UCUM, "/hour")
25 | > | CONTAINS | NUM | EV (C90380, NCIt, "Environmental temperature") | 1 | U |  | UNITS = EV (Cel, UCUM, "C")
26 | > | CONTAINS | NUM | EV (C90395, NCIt, "Housing humidity") | 1 | U |  | UNITS = EV (%, UCUM, "%")
27 | > | CONTAINS | CODE | EV (127175, DCM, "Housing unit reuse") | 1 | U |  | DCID 604 “Device Reuse”
28 | > | CONTAINS | CODE | EV (C90366, NCIt, "Bedding material") | 1 | U |  | DCID 605 “Animal Bedding Material”
29 | > | CONTAINS | TEXT | EV (C90366, NCIt, "Bedding material") | 1 | U |  |
30 | > | CONTAINS | TEXT | EV (127180, DCM, "Bedding manufacturer") | 1 | U |  |
31 | > | CONTAINS | TEXT | EV (127181, DCM, "Bedding product name") | 1 | U |  |
32 | > | CONTAINS | TEXT | EV (127182, DCM, "Bedding product code") | 1 | U |  |
33 | > | CONTAINS | NUM | EV (127183, DCM, "Bedding volume") | 1 | U |  | UNITS = EV (ml, UCUM, "ml")
34 | > | CONTAINS | NUM | EV (127184, DCM, "Bedding mass") | 1 | U |  | UNITS = EV (g, UCUM, "g")
34b | > | CONTAINS | NUM | EV (127185, DCM, "Bedding depth") | 1 | U |  | UNITS = EV (mm, UCUM, mm")
35 | > | CONTAINS | NUM | EV (C90365, NCIt, "Bedding change") | 1 | U |  | UNITS = EV (d, UCUM, "days")
36 | > | CONTAINS | CODE | EV (127192, DCM, "Enrichment material present") | 1 | U |  | DCID 241 “Present-Absent Only”
36b | > | CONTAINS | TEXT | EV (127191, DCM, "Enrichment manufacturer") | 1 | U |  |
37 | > | CONTAINS | TEXT | EV (127190, DCM, "Enrichment material") | 1 | U |  |
38 | > | CONTAINS | CODE | EV (127193, DCM, "Exerciser device present") | 1 | U |  | DCID 241 “Present-Absent Only”
39 | > | CONTAINS | TEXT | EV (111045004, SCT, "Exerciser device") | 1 | U |  |
40 | > | CONTAINS | CODE | EV (127195, DCM, "Shelter type") | 1 | U |  | DCID 606 “Animal Shelter Types”
41 | > | CONTAINS | TEXT | EV (127196, DCM, "Shelter manufacturer") | 1 | U |  |
42 | > | CONTAINS | TEXT | EV (127197, DCM, "Shelter product name") | 1 | U |  |
43 | > | CONTAINS | TEXT | EV (127198, DCM, "Shelter product code") | 1 | U |  |
44 | > | CONTAINS | TEXT | EV (121106, DCM,"Comment") | 1 | U |  |

Content Item Descriptions

Row 2 and 2b | The type and identifier of the entire room in which, for example, one or more racks of housing units is located, not the housing unit itself.
Row 3 | The manufacturer is expected to be the same for all housing unit components, rack, bottom and lid.
Row 12 | The position in the rack is encoded as text since it may be an "identifier" or a description. It is not a set of numeric (e.g., row, column) or coded (e.g., top, bottom or middle) values, since there are too many possible arrangements.
Row 13 | The number of animals usually applies to a single housing unit, but may also be used to describe the number of animals imaged simultaneously in a multi-animal imaging carrier or support device ("chamber", "holder", etc.).
Rows 20-22 | These may be internal or external dimensions, and are intended to provide an approximation of the living space and shape available.
Rows 25-26 | Description of measured or monitored or nominal values of temperature and humidity. The means of maintaining these conditions, if relevant, is described elsewhere (e.g., in the case of peri-procedural temperature control, in TID 8140 “Heating Conditions”).
Rows 28-29 | The bedding material may be described as a code or text, or both. The codes do not distinguish between methods of sterilization of the bedding material (e.g., irradiation, autoclaving or other heat treatment), since that is not a relevant factor for image interpretation. The definition of the NCIt concept is "that which comprises the place where a subject sleeps".
Row 35 | The definition of the NCIt concept is "a replacement of the existing materials that make up the sleeping area of a subject", and is used here to specify the interval between bedding changes.
Row 36-37 | The presence or absence of enrichment material is coded, but the type is not, and may be described as text, e.g., "facial tissue", "cotton (nesting material)".
Row 38-39 | The presence or absence of an exercise device is coded, but the type is not, and may be described as text.

### TID 8122 Animal Feeding

This template encodes a description of feeding and watering of animals, over an interval during which conditions are relatively homogenous.

### Note

1. No specific time interval during which the diet is applicable is described.

2. Values for product names and codes are expected to be accurate at the time the information is recorded, recognizing that products may evolve over time.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 8122. Animal Feeding

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (75118006, SCT, "Feeding") | 1 | M |  |
2 | > | CONTAINS | CODE | EV (82566005, SCT, "Animal feed") | 1 | U |  | DCID 607 “Animal Feed Types”
3 | > | CONTAINS | CODE | EV (127205, DCM, "Feed source") | 1 | U |  | DCID 608 “Animal Feed Sources”
4 | > | CONTAINS | TEXT | EV (127200, DCM, "Feed manufacturer") | 1 | U |  |
5 | > | CONTAINS | TEXT | EV (127201, DCM, "Feed product name") | 1 | U |  |
6 | > | CONTAINS | TEXT | EV (127202, DCM, "Feed product code") | 1 | U |  |
7 | > | CONTAINS | CODE | EV (C0015746, UMLS, "Feeding method") | 1 | U |  | DCID 609 “Animal Feeding Methods”
8 | > | CONTAINS | CODE | EV (11713004, SCT, "Water") | 1 | U |  | DCID 610 “Water Types”
9 | > | CONTAINS | CODE | EV (C90486, NCIt, "Water delivery") | 1 | U |  | DCID 609 “Animal Feeding Methods”
10 | > | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |

### TID 8130 Anesthesia

This template encodes a description of the anesthesia applied during a procedure (e.g., imaging of research small animals).

### Note

This template combines selected concepts from the [AQI Schema] elements, their complex types, and their children:

- AnesthesiaMethodSet (type AnesthesiaMethodSetType). See http://www.aqihq.org/aqischdoc/AnesthesiaMethodSet.html and http://www.aqihq.org/aqischdoc/AnesthesiaMethodSetType.html.

- AirwayManagementSet (type AirwayManagementSetType). See http://www.aqihq.org/aqischdoc/AirwayManagementSet.html and http://www.aqihq.org/aqischdoc/AirwayManagementSetType.html.

- MedicationsSet (type MedicationsSetType). See http://www.aqihq.org/aqischdoc/MedicationsSet.html and http://www.aqihq.org/aqischdoc/MedicationsSetType.html.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 8130. Anesthesia

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (399097000, SCT, "Administration of anesthesia") | 1 | M |  |
2 | > | CONTAINS | CONTAINER | EV (127300, DCM, "Anesthesia Method Set") | 1 | M |  |
3 | >> | CONTAINS | CONTAINER | EV (127301, DCM, "Anesthesia Method") | 1-n | M |  |
4 | >>> | CONTAINS | CODE | EV (127302, DCM, "Anesthesia Category") | 1 | M |  | DCID 611 “Anesthesia Category Code Type for Small Animal Anesthesia”
5 | >>> | CONTAINS | TEXT | EV (127303, DCM, "Anesthesia SubCategory") | 1 | U |  |
6 | >>> | CONTAINS | DATETIME | EV (398325003, SCT, "Anesthesia Start Time") | 1 | U |  |
7 | >>> | CONTAINS | DATETIME | EV (398164008, SCT, "Anesthesia Finish Time") | 1 | U |  |
8 | >>> | CONTAINS | CODE | EV (241687005, SCT, "Anesthesia Induction") | 1 | U |  | DCID 613 “Anesthesia Induction Code Type for Small Animal Anesthesia”
9 | >>> | CONTAINS | CODE | EV (241695009, SCT, "Anesthesia Maintenance") | 1 | U |  | DCID 615 “Anesthesia Maintenance Code Type for Small Animal Anesthesia”
10 | >>> | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |
11 | > | CONTAINS | CONTAINER | EV (127310, DCM, "Airway Management Set") | 1 | M |  |
12 | >> | CONTAINS | CONTAINER | EV (386509000, SCT, "Airway Management") | 1-n | M |  |
13 | >>> | CONTAINS | CODE | EV (127312, DCM, "Airway Management Method") | 1 | M |  | DCID 617 “Airway Management Method Code Type for Small Animal Anesthesia”
14 | >>> | CONTAINS | CODE | EV (127313, DCM, "Airway Sub-Management Method") | 1 | M |  | DCID 619 “Airway Management Sub-Method Code Type for Small Animal Anesthesia”
15 | > | CONTAINS | CONTAINER | EV (127320, DCM, "Medications Set") | 1-n | M |  |
16 | >> | CONTAINS | CODE | EV (128954007, SCT, "Procedure Phase") | 1 | M |  | DCID 631 “Phase of Procedure Requiring Anesthesia”
17 | >> | CONTAINS | INCLUDE | DTID 8131 “Medications and Mixture Medications” | 1-n | M |  | $DrugAdministered = DCID 623 “Medication for Small Animal Anesthesia”

Content Item Descriptions

Rows 1-3 | If this template is used, at least one description of anesthesia method is required. Note that the specific agents used are described separately, as intra-operative medications, per the [AQI Schema].
Rows 6-7 | These correspond to AQI elements that are named "Time" rather than "DateTime", though their value is a DateTime; the DICOM naming convention is used here.
Row 9 | Only inhalational methods of maintenance are included in this row. Absence of this row implies that the (non-inhalational) induction method is used for maintenance.
Row 10 | The comment corresponds to AQI element "Anesthesia Notes".
Rows 11-13 | At least one description of airway management is required. The airway management method also serves as the description of the method of inhalational anesthesia delivery, even if it does not involve "management" of the "airway" per se (e.g., delivery via nose cone).
Rows 15-17 | In the AQI model, a single AQI MedicationsSet is used in the AQI IntraOp element to describe intra-operative medications. This template allows a more general usage, with one or more Medications Set containers, each of which may be qualified by the phase of the procedure (pre-operative, intra-operative or post-operative). The purpose of the medication (e.g., general anesthetic) is described in the (111516, DCM, "Medication Type") of the included TID 8131 “Medications and Mixture Medications”.

### TID 8131 Medications and Mixture Medications

This template encodes a description of medications (including but not limited to anesthetic agents) used during a procedure (e.g., pre-medication drugs for an imaging procedure on humans, or anesthesia for imaging of research small animals).

### Note

This template combines selected concepts from the [AQI Schema] elements, their complex types, and their children:

- Medication (type MedicationType). See http://www.aqihq.org/aqischdoc/Medication.html and http://www.aqihq.org/aqischdoc/MedicationType.html.

- MixtureMedications (type MixtureMedicationType). See http://www.aqihq.org/aqischdoc/MixtureMedications.html and http://www.aqihq.org/aqischdoc/MixtureMedicationType.html.

Table TID 8131. Parameters

Parameter Name | Parameter Usage
--- | ---
$DrugAdministered | Type of drug administered

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 8131. Medications and Mixture Medications

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (182833002, SCT, "Medication given") | 1 | M |  |
2 | > | CONTAINS | DATETIME | EV (111526, DCM, "DateTime Started") | 1 | U |  |
3 | > | CONTAINS | DATETIME | EV (111527, DCM, "DateTime Ended") | 1 | U |  |
4 | > | CONTAINS | CODE | EV (410675002, SCT, "Route of administration") | 1 | M |  | DCID 11 “Route of Administration”
5 | > | CONTAINS | CONTAINER | EV (272163001, SCT, "Mixture") | 1-n | M |  |
6 | >> | CONTAINS | CODE | EV (122083, DCM, "Drug administered") | 1 | MC | XOR Row 7 | $DrugAdministered
7 | >> | CONTAINS | TEXT | EV (122083, DCM, "Drug administered") | 1 | MC | XOR Row 6 |
8 | >> | CONTAINS | CODE | EV (111516, DCM, "Medication Type") | 1 | M |  | DCID 621 “Type of Medication for Small Animal Anesthesia” DCID 76 “Type of Pre-medication”
9 | >> | CONTAINS | NUM | EV (260911001, SCT, "Dosage") | 1 | U |  | UNITS = DCID 82 “Units of Measurement”
10 | >> | CONTAINS | NUM | EV (122093, DCM, "Concentration") | 1 | U |  | UNITS = DCID 82 “Units of Measurement”
11 | >> | CONTAINS | CODE | EV (113510, DCM, "Drug Product Identifier") | 1 | U |  |
12 | >>> | HAS PROPERTIES | TEXT | EV (111529, DCM, "Brand Name") | 1 | U |  |
13 | >> | CONTAINS | NUM | DCID 3410 “Numeric Parameters of Drugs/Contrast” | 1-n | U |  |

Content Item Descriptions

Row 1 | AQI Medication type and element correspond to (182833002, SCT, "Medication given") (situation). (See TID 3806 Cath Procedure).
Rows 2-3 | AQI DoseStart and DoseEnd elements correspond to (111526, DCM, "DateTime Started") and (111527, DCM, "DateTime Ended") respectively. If the medication is delivered as a bolus, the end time is omitted.
Row 4 | AQI MedicationRoute corresponds to (410675002, SCT, "Route of administration"). The existing CID 11 “Route of Administration” contains a relevant subset of concepts for the enumerated values of AQI MedicationRouteCodeType.
Row 5 | The AQI schema allows the Medication type not only to describe medications with a single component, but also to add MixtureMedications children, each of which is encoded following a similar pattern to the contents of Medication, though the start and end time and route of administration are shared. This had been modeled by allowing every medication to have one or more mixture children. For medications that are not a mixture, a single instance of this row defines the medication (even though the mixture container is still used).
Rows 6, 7 | AQI MedicationName and MixtureMedicationName elements correspond to (122083, DCM, "Drug administered"). (See TID 3806 Cath Procedure). The medication (e.g., anesthesia agent) can be described with a code or text, e.g., (387368002, SCT, "Isoflurane") or "isoflurane".
Row 9 | Both AQI MedDose (or MixtureMedDose) and DoseUnits (or MixtureDoseUnits) elements are combined in one content item. Units are required to be encoded as UCUM but are not otherwise constrained.
Row 10 | Both AQI MedConcentration (or MixtureMedConcentration) and MedConcentrationUnit (or MixtureMedConcentrationUnit) elements are combined in one content item. Units are required to be encoded as UCUM but are not otherwise constrained.
Row 11 | Registered drug establishment code for the product. Equivalent codes can be encoded in this item using the Equivalent Code Sequence (0008,0121). See Section 8.9 “Equivalent Code Sequence” in PS3.3 .

### TID 8140 Heating Conditions

This template encodes a description of the heating conditions applied prior to, during or after data acquisition (e.g., during imaging of research small animals).

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 8140. Heating Conditions

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (127040, DCM, "Heating conditions") | 1 | M |  |
2 | > | CONTAINS | CODE | EV (128954007, SCT, "Procedure Phase") | 1 | U |  | DCID 631 “Phase of Procedure Requiring Anesthesia”
3 | > | CONTAINS | CODE | EV (C0018851, UMLS, "Heating") | 1 | U |  | DCID 635 “Heating Method”
4 | > | CONTAINS | CODE | EV (127210, DCM, "Feedback temperature regulation") | 1 | U |  | DCID 231 “Yes-No Only”
5 | > | CONTAINS | CODE | EV (C50304, NCIt, "Temperature sensor device component") | 1 | U |  | DCID 636 “Temperature Sensor Device Component Type for Small Animal Procedures”
6 | > | CONTAINS | NUM | EV (250881009, SCT, "Equipment Temperature") | 1 | U |  | UNITS = EV (Cel, UCUM, "C")

Content Item Descriptions

Row 2 | Phase during which the conditions are applicable may be implicit in the context of invocation of this template (e.g., TID 8101 “Preclinical Small Animal Image Acquisition Context” Row 7), or explicitly specified.
Row 3 | The definition (from MESH) is "The application of heat to raise the temperature of the environment, ambient or local, or systems for accomplishing this effect".
Row 6 | This is the nominal temperature of the heating device (e.g., heating pad) and/or the set point of the feedback regulation device.

### TID 8150 Circadian Effects

This template encodes a description of the Circadian effects relevant during data acquisition (e.g., during imaging of research small animals).

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 8150. Circadian Effects

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (127050, DCM, "Circadian effects") | 1 | M |  |
2 | > | CONTAINS | NUM | EV (127214, DCM, "Total duration of light-dark cycle") | 1 | U |  | UNITS = EV (h, UCUM, "hours")
3 | > | CONTAINS | NUM | EV (C90419, NCIt, "Light cycle") | 1 | U |  | UNITS = EV (%, UCUM, "%")
4 | > | CONTAINS | TIME | EV (127215, DCM, "Lights on time of day") | 1-n | U |  |

Content Item Descriptions

Row 2 | Usually 24 hours.
Row 3 | The definition is "the amount of ambient light/darkness to which a subject is exposed in a period of time"; also mapped to CDISC "the period of light that a subject is exposed to in a period of time, usually expressed as the amount of time in a 24 hour cycle".
Row 4 | Can only be encoded if the light-dark cycles are aligned to a 24 hour clock. May be multiple if either multiple cycles occur during a 24 hour period, or if the cycle is longer than a 24 hour period and a multiple of 24 hours in duration.

### TID 8170 Physiological Monitoring Performed During Procedure

This template encodes a description of the physiological monitoring performed during a period of time during or related to a data acquisition procedure (e.g., imaging of research small animals).

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 8170. Physiological Monitoring Performed During Procedure

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (281691001, SCT, "Physiological monitoring") | 1 | M |  |
2 | > | CONTAINS | CODE | EV (266706003, SCT, "Electrocardiographic monitoring") | 1 | U |  | DCID 231 “Yes-No Only”
3 | > | CONTAINS | CODE | EV (53617003, SCT, "Monitoring of respiration") | 1 | U |  | DCID 231 “Yes-No Only”

Content Item Descriptions

Row 2 | There is no non-surgical procedure non-specific variant of (91096005, SCT, "Monitoring of electrocardiogram at surgery"). (266706003, SCT, "Continuous electrocardiogram monitoring") is intended for non-procedural (e.g., 24-hour) monitoring. So a more generic code for any kind of monitoring is used.

### TID 8182 Exogenous Substance Administration

This template provides detailed information on a research subject's exposure to exogenous substances. It is a specialization of the more general template TID 9002 “Medication, Substance, Environmental Exposure”.

Table TID 8182. Parameters

Parameter Name | Parameter Usage
--- | ---
$ContainerConcept | Coded term for the concept name of the CONTAINER, identifying it as an exogenous substance.
$CodeConcept | Coded term for the concept name of the CODE, identifying the type of substance.
$CodeValue | Coded term or Context Group for value of the substance.
$Classification | Coded term or Context Group for classification of the substance.
$Route | Coded term or Context Group for the route of administration of the substance.
$Site | Coded term or Context Group for the anatomical site of administration of the substance
$TissueOfOrigin | Coded term or Context Group for the tissue of origin of the substance
$TaxonomicRankOfOrigin | Coded term or Context Group for the taxonomic rank (e.g., species) of origin of the substance

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 8182. Exogenous Substance Administration

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | $ContainerConcept | 1 | M |  |
2 | > | CONTAINS | CODE | $CodeConcept | 1-n | M |  | $CodeValue
3 | >> | HAS CONCEPT MOD | CODE | EV (278201002, SCT, "Classification") | 1 | U |  | $Classification
4 | >> | HAS OBS CONTEXT | CODE | EV (111534, DCM, "Role of person reporting") | 1 | U |  | DCID 7450 “Person Roles”
5 | >> | HAS PROPERTIES | NUM | EV (111524, DCM, "Age Started") | 1 | U |  | UNITS = DCID 7456 “Units of Measure for Age”
6 | >> | HAS PROPERTIES | NUM | EV (111525, DCM, "Age Ended") | 1 | U |  | UNITS = DCID 7456 “Units of Measure for Age”
7 | >> | HAS PROPERTIES | DATETIME | EV (111526, DCM, "DateTime Started") | 1 | U |  |
8 | >> | HAS PROPERTIES | DATETIME | EV (111527, DCM, "DateTime Ended") | 1 | U |  |
9 | >> | HAS PROPERTIES | NUM | EV (103335007, SCT, "Duration") | 1 | U |  | UNITS = DCID 6046 “Units of Follow-up Interval”
10 | >> | HAS PROPERTIES | CODE | EV (111528, DCM, "Ongoing") | 1 | U |  | DCID 230 “Yes-No”
11 | >> | HAS PROPERTIES | TEXT | EV (111529, DCM, "Brand Name") | 1 | U |  |
12 | >> | HAS PROPERTIES | NUM | DCID 6092 “Quantitative Concepts for Usage, Exposure” | 1 | U |  | The unit of measure shall be quantity per unit of time
13 | >> | HAS PROPERTIES | CODE | DCID 6093 “Qualitative Concepts for Usage, Exposure Amount” | 1 | U |  | DCID 6090 “Relative Usage, Exposure Amount”
14 | >> | HAS PROPERTIES | CODE | DCID 6094 “Qualitative Concepts for Usage, Exposure Frequency” | 1 | U |  | DCID 6091 “Relative Frequency of Event Values”
15 | >> | HAS PROPERTIES | CODE | EV (410675002, SCT, "Route of administration") | 1 | U |  | $Route
16 | >>> | HAS PROPERTIES | CODE | EV (272737002, SCT, "Site of") | 1 | U |  | $Site
17 | >>>> | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | MC | IF Row 16 has laterality | DCID 244 “Laterality”
18 | >>> | HAS PROPERTIES | SCOORD3D | EV (127450, DCM, "Stereotactic coordinates") | 1 | U |  |
19 | >>> | HAS PROPERTIES | CODE | EV (127451, DCM, "Position reference indicator") | 1 | U |  | DCID 647 “Position Reference Indicator for Frame of Reference”
20 | >> | HAS PROPERTIES | CODE | EV (127401, DCM, "Tissue of origin") | 1 | U |  | $TissueOfOrigin
21 | >> | HAS PROPERTIES | CODE | EV (127402, DCM, "Taxonomic rank of origin") | 1 | U |  | $TaxonomicRankOfOrigin
22 | >> | HAS PROPERTIES | CODE | EV (127411, DCM, "Strain") | 1 | U |  |
23 | >> | HAS PROPERTIES | TEXT | EV (127412, DCM, "Strain description") | 1 | U |  |
24 | >>> | HAS CONCEPT MOD | TEXT | EV (127413, DCM, "Nomenclature") | 1 | U |  |
25 | >> | HAS PROPERTIES | TEXT | EV (127415, DCM, "Genetic modifications description") | 1-n | U |  |
26 | >>> | HAS CONCEPT MOD | TEXT | EV (127413, DCM, "Nomenclature") | 1 | U |  |
27 | >>> | HAS PROPERTIES | CODE | EV (127414, DCM, "Genetic modifications") | 1 | U |  |

Content Item Descriptions

Row 3 | Classification is inherited from the more general template TID 9002 “Medication, Substance, Environmental Exposure”, and may be supplied as a parameter, but is entirely generic and is not used as an alternative to the more specific information provided in other rows, for example, Rows 19 and 20, tissue and taxonomic rank of origin.
Row 11 | Brand name may be used for any type of descriptor or identifier. E.g., a particular cell line might have a designated name, such as "MDA-MB-468", which designates a particular human breast cancer cell line.
Rows 22-27 | These rows describe the strain and genetic modifications of the source of the graft using content items that correspond to the Attributes described in Section C.7.1.1.1.4 “Patient Strain and Genetic Modifications” in PS3.3 . The strain and genetic characteristics of the animal into which the exogenous substance is grafted are described in the Patient Module; see Section C.7.1.1.1.4 “Patient Strain and Genetic Modifications” in PS3.3 .

## Relevant Patient Information Templates

### TID 9000 Relevant Patient Information for Breast Imaging

This Template collects a patient's relevant information as it relates to breast imaging. This Template, together with its subordinate Templates, describes the history of a patient's reproductive system, hormone medications, past procedures, risk factors, and indicated problems as they relate to breast health.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 9000. Relevant Patient Information for Breast Imaging

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (111511, DCM, "Relevant Patient Information for Breast Imaging") | 1 | M |  |
2 | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | M |  |
3 | > | CONTAINS | INCLUDE | DTID 3114 “Patient Assessment” | 1 | U |  |
4 | > | CONTAINS | INCLUDE | DTID 9001 “Gynecological History” | 1 | U |  |
5 | > | CONTAINS | INCLUDE | DTID 9002 “Medication, Substance, Environmental Exposure” | 1 | U |  | $ContainerConcept = EV (10160-0, LN, "History Of Medication Use") $CodeConcept = EV (111516, DCM, "Medication Type") $CodeValue = DCID 6080 “Gynecological Hormones”
6 | > | CONTAINS | INCLUDE | DTID 9003 “Previous Procedure” | 1 | U |  | $ProcedureList = DCID 6083 “Procedures for Breast” $ProcedureModifier = DCID 6058 “Procedure Modifiers for Breast” $NumConceptName = DCID 6095 “Numeric Properties of Procedures” $LateralityValue = DCID 6022 “Side” $ProcedureResult = DCID 6063 “Interventional Procedure Results” $ComplicationValue = DCID 6062 “Interventional Procedure Complications”
7 | > | CONTAINS | INCLUDE | DTID 9004 “Indicated Problem” | 1 | U |  | $ProblemList = DCID 6055 “Breast Clinical Finding or Indicated Problem” $LateralityValue = DCID 6022 “Side” $LocationValue = DCID 6018 “Clockface Location or Region”, DCID 6020 “Quadrant Location”
8 | > | CONTAINS | INCLUDE | DTID 9005 “Risk Factor” | 1 | U |  | $RiskList = DCID 6081 “Breast Cancer Risk Factors” $FamilyList = DCID 7451 “Family Member”

### TID 9001 Gynecological History

This general Template collects the details of a patient's reproductive system history, such as number of births, and gynecological surgery history.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 9001. Gynecological History

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (267011001, SCT, "Gynecological History") | 1 | M |  |
2 | > | HAS OBS CONTEXT | CODE | EV (111534, DCM, "Role of person reporting") | 1 | U |  | DCID 7450 “Person Roles”
3 | > | CONTAINS | DATE | EV (8665-2, LN, "Last menstrual period") | 1 | U |  |
4 | > | CONTAINS | NUM | EV (111518, DCM, "Age when first menstrual period occurred") | 1 | U |  | UNITS = EV (a, UCUM, "Year")
5 | > | CONTAINS | NUM | EV (111519, DCM, "Age at First Full Term Pregnancy") | 1 | U |  | UNITS = EV (a, UCUM, "Year")
6 | > | CONTAINS | NUM | EV (11977-6, LN, "Para") | 1 | U |  | UNITS = EV (1, UCUM, "no units")
7 | > | CONTAINS | NUM | EV (11639-2, LN, "Term") | 1 | U |  | UNITS = EV (1, UCUM, "no units")
8 | > | CONTAINS | NUM | EV (11637-6, LN, "Preterm") | 1 | U |  | UNITS = EV (1, UCUM, "no units")
9 | > | CONTAINS | NUM | EV (11636-8, LN, "Live Births") | 1 | U |  | UNITS = EV (1, UCUM, "no units")
10 | > | CONTAINS | NUM | EV (111593, DCM, "LBW or IUGR") | 1 | U |  | UNITS = EV (1, UCUM, "no units")
11 | > | CONTAINS | NUM | EV (11996-6, LN, "Gravida") | 1 | U |  | UNITS = EV (1, UCUM, "no units")
12 | > | CONTAINS | NUM | EV (11612-9, LN, "Aborta") | 1 | U |  | UNITS = EV (1, UCUM, "no units")
13 | > | CONTAINS | NUM | EV (33065-4, LN, "Ectopic Pregnancies") | 1 | U |  | UNITS = EV (1, UCUM, "no units")
14 | > | CONTAINS | NUM | EV (111520, DCM, "Age at Menopause") | 1 | U |  | UNITS = EV (a, UCUM, "Year")
15 | > | CONTAINS | NUM | EV (111521, DCM, "Age when hysterectomy performed") | 1 | U |  | UNITS = EV (a, UCUM, "Year")
16 | >> | HAS CONCEPT MOD | CODE | EV (255590007, SCT, "Extent") | 1 | U |  | EV (255594003, SCT, "Complete") EV (255609007, SCT, "Partial")
17 | > | CONTAINS | NUM | EV (111522, DCM, "Age when left ovary removed") | 1 | U |  | UNITS = EV (a, UCUM, "Year")
18 | > | CONTAINS | NUM | EV (111523, DCM, "Age when right ovary removed") | 1 | U |  | UNITS = EV (a, UCUM, "Year")
19 | > | CONTAINS | CODE | EV (111543, DCM, "Breast feeding history") | 1 | U |  | DCID 230 “Yes-No”
20 | >> | HAS PROPERTIES | NUM | EV (111544, DCM, "Average breast feeding period") | 1 | U |  | UNITS = EV (wk, UCUM, "Week")
21 | > | CONTAINS | CODE | EV (364320009, SCT, "Pregnancy observable") | 1 | U |  | DCID 6096 “Pregnancy Status”
22 | > | CONTAINS | CODE | EV (111391, DCM, "Menstrual Cycle Phase") | 1 | U |  | DCID 6163 “Menstrual Cycle Phase”

### TID 9002 Medication, Substance, Environmental Exposure

This general Template provides detailed information on a patient's medication or substance use, or exposure to environmental factors, including type and duration of use or exposure.

Table TID 9002. Parameters

Parameter Name | Parameter Usage
--- | ---
$ContainerConcept | Coded term for the concept name of the CONTAINER, identifying it as medication, substance, or environmental exposure history.
$CodeConcept | Coded term for the concept name of the CODE, identifying it as medication, substance, or environmental exposure.
$CodeValue | Coded term or Context Group for value of the medication, substance, or environmental exposure.
$Classification | Coded term or Context Group for classification of the medication, substance, or environmental exposure.
$Route | Coded term or Context Group for the route of administration of the medication, substance, or route of environmental exposure.
$Site | Coded term or Context Group for the anatomical site of administration of the medication, substance, or anatomical site of environmental exposure.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 9002. Medication, Substance, Environmental Exposure

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | $ContainerConcept | 1 | M |  |
2 | > | CONTAINS | CODE | $CodeConcept | 1-n | M |  | $CodeValue
3 | >> | HAS CONCEPT MOD | CODE | EV (278201002, SCT, "Classification") | 1 | U |  | $Classification
4 | >> | HAS OBS CONTEXT | CODE | EV (111534, DCM, "Role of person reporting") | 1 | U |  | DCID 7450 “Person Roles”
5 | >> | HAS PROPERTIES | NUM | EV (111524, DCM, "Age Started") | 1 | U |  | DCID 7456 “Units of Measure for Age”
6 | >> | HAS PROPERTIES | NUM | EV (111525, DCM, "Age Ended") | 1 | U |  | DCID 7456 “Units of Measure for Age”
7 | >> | HAS PROPERTIES | DATETIME | EV (111526, DCM, "DateTime Started") | 1 | U |  |
8 | >> | HAS PROPERTIES | DATETIME | EV (111527, DCM, "DateTime Ended") | 1 | U |  |
9 | >> | HAS PROPERTIES | NUM | EV (103335007, SCT, "Duration") | 1 | U |  | UNITS = DCID 6046 “Units of Follow-up Interval”
10 | >> | HAS PROPERTIES | CODE | EV (111528, DCM, "Ongoing") | 1 | U |  | DCID 230 “Yes-No”
11 | >> | HAS PROPERTIES | TEXT | EV (111529, DCM, "Brand Name") | 1 | U |  |
12 | >> | HAS PROPERTIES | NUM | DCID 6092 “Quantitative Concepts for Usage, Exposure” | 1 | U |  | The unit of measure shall be quantity per unit of time
13 | >> | HAS PROPERTIES | CODE | DCID 6093 “Qualitative Concepts for Usage, Exposure Amount” | 1 | U |  | DCID 6090 “Relative Usage, Exposure Amount”
14 | >> | HAS PROPERTIES | CODE | DCID 6094 “Qualitative Concepts for Usage, Exposure Frequency” | 1 | U |  | DCID 6091 “Relative Frequency of Event Values”
15 | >> | HAS PROPERTIES | CODE | EV (410675002, SCT, "Route of administration") | 1 | U |  | $Route
16 | >>> | HAS PROPERTIES | CODE | EV (272737002, SCT, "Site of") | 1 | U |  | $Site
17 | >>>> | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | MC | IF Row 16 has laterality | DCID 244 “Laterality”

Content Item Descriptions

Row 3 | Classification is mapped in UMLS to (C0008902, UMLS, "Classification"). Its definition is completely generic; i.e., it does not refer to any particular type of classification.
Rows 13 & 14 | If both of these Content Items are instantiated, the concept names selected for each should match. For example, use "Relative dose amount" as the concept name for row 13 with "Relative dose frequency" as the concept name for row 14.
Row 15 | Even though the concept name is route of administration, it is also used for route of exposure in the case of environmental exposure.
Rows 16 and 17 | This pattern of route with a site and laterality modifier follows that used in TID 10022 “Radiopharmaceutical Administration Event Data”.

### TID 9003 Previous Procedure

This general Template provides detailed information on a patient's previous procedure, surgery, or treatment.

Table TID 9003. Parameters

Parameter Name | Parameter Usage
--- | ---
$ProcedureList | Coded term or Context Group for value of Previous Procedure
$ProcedureModifier | Coded term or Context Group for value of Previous Procedure Modifier
$NumConceptName | Coded term or Context Group for the concept name of a numeric property of the Previous Procedure
$LateralityValue | Coded term or Context Group for value of Laterality
$ProcedureResult | Coded term or Context Group for value of Result of Procedure
$ComplicationValue | Coded term or Context Group for value of Complication

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 9003. Previous Procedure

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (111513, DCM, "Relevant Previous Procedures") | 1 | M |  |
2 | > | CONTAINS | CODE | EV (111531, DCM, "Previous Procedure") | 1-n | M |  | $ProcedureList
3 | >> | HAS CONCEPT MOD | CODE | EV (111464, DCM, "Procedure Modifier") | 1-n | U |  | $ProcedureModifier
4 | >> | HAS OBS CONTEXT | CODE | EV (111534, DCM, "Role of person reporting") | 1 | U |  | DCID 7450 “Person Roles”
5 | >> | HAS PROPERTIES | NUM | $NumConceptName | 1-n | U |  |
6 | >> | HAS PROPERTIES | CODE | EV (272741003, SCT, "Laterality") | 1 | U |  | $LateralityValue
7 | >> | HAS PROPERTIES | DATETIME | EV (122146, DCM, "Procedure DateTime") | 1 | UC | XOR row 8 |
8 | >> | HAS PROPERTIES | CODE | EV (111395, DCM, "Estimated Timeframe") | 1 | UC | XOR row 7 | BCID 6164 “Time Intervals”
9 | >> | HAS PROPERTIES | NUM | EV (246432004, SCT, "Number of occurrences") | 1 | U |  | UNITS = EV (1, UCUM, "no units")
10 | >> | HAS PROPERTIES | CODE | EV (116224001, SCT, "Complication of procedure") | 1-n | U |  | $ComplicationValue
11 | >>> | HAS PROPERTIES | CODE | EV (111466, DCM, "Severity of Complication") | 1 | U |  | DCID 251 “Severity of Complication”
12 | >> | HAS PROPERTIES | CODE | EV (122177, DCM, "Procedure Result") | 1 | U |  | $ProcedureResult
13 | >> | HAS PROPERTIES | INCLUDE | DTID 4207 “Breast Imaging Pathology Results” | 1-n | U |  |

### TID 9004 Indicated Problem

This general Template provides information about indicated problems presented by a patient. For example, indicated breast problems relating to the purpose for a mammographic examination.

Table TID 9004. Parameters

Parameter Name | Parameter Usage
--- | ---
$ProblemList | Coded term or Context Group for value of Indicated Problem
$LateralityValue | Coded term or Context Group for value of Laterality
$LocationValue | Coded term or Context Group for value of Location

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 9004. Indicated Problem

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (11450-4, LN, "Problem List") | 1 | M |  |
2 | > | CONTAINS | CODE | EV (111533, DCM, "Indicated Problem") | 1-n | M |  | $ProblemList
3 | >> | HAS OBS CONTEXT | CODE | EV (111534, DCM, "Role of person reporting") | 1 | U |  | DCID 7450 “Person Roles”
4 | >> | HAS OBS CONTEXT | DATETIME | EV (111535, DCM, "DateTime problem observed") | 1 | U |  |
5 | >> | HAS PROPERTIES | CODE | EV (272741003, SCT, "Laterality") | 1 | U |  | $LateralityValue
6 | >> | HAS PROPERTIES | CODE | EV (363698007, SCT, "Finding site") | 1 | U |  | $LocationValue
7 | >> | HAS PROPERTIES | NUM | EV (103335007, SCT, "Duration") | 1 | U |  |
8 | >> | HAS PROPERTIES | CODE | EV (272123002, SCT, "Frequency") | 1 | U |  | DCID 6091 “Relative Frequency of Event Values”
9 | >> | HAS PROPERTIES | DATETIME | EV (111536, DCM, "DateTime of last evaluation") | 1 | U |  |
10 | >> | HAS PROPERTIES | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |

### TID 9005 Risk Factor

This general Template provides detailed information on the risk factors for a patient, related to medical history for themselves and family members.

Table TID 9005. Parameters

Parameter Name | Parameter Usage
--- | ---
$RiskList | Coded term or Context Group for value of Risk Factor
$FamilyList | Coded term or Context Group for value of Family Member with Risk Factor

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 9005. Risk Factor

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (111515, DCM, "Relevant Risk Factors") | 1 | M |  |
2 | > | CONTAINS | CODE | EV (80943009, SCT, "Risk factor") | 1-n | M |  | $RiskList
3 | >> | HAS CONCEPT MOD | CODE | EV (111530, DCM, "Risk Factor modifier") | 1 | U |  | EV (57177007, SCT, "Family history of")
4 | >> | HAS PROPERTIES | NUM | EV (18185-9, LN, "Gestational Age") | 1 | UC | IFF value of row 2 is (161765003, SCT, "History of - premature delivery") |
5 | >> | HAS OBS CONTEXT | CODE | EV (111534, DCM, "Role of person reporting") | 1 | U |  | DCID 7450 “Person Roles”
6 | >> | HAS PROPERTIES | NUM | EV (111538, DCM, "Age at Occurrence") | 1 | U |  | UNITS = EV (a, UCUM, "Year")
7 | >> | HAS PROPERTIES | NUM | EV (103335007, SCT, "Duration") | 1 | U |  | UNITS = DCID 6046 “Units of Follow-up Interval”
8 | >> | HAS PROPERTIES | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |
9 | >> | INFERRED FROM | CODE | EV (111537, DCM, "Family Member with Risk Factor") | 1-n | U |  | $FamilyList
10 | >>> | HAS PROPERTIES | NUM | EV (111538, DCM, "Age at Occurrence") | 1 | U |  | UNITS = EV (a, UCUM, "Year")
11 | >>> | HAS CONCEPT MOD | CODE | EV (111539, DCM, "Menopausal phase") | 1 | U |  | DCID 6086 “Menopausal Phase”
12 | >>> | HAS CONCEPT MOD | CODE | EV (111540, DCM, "Side of Family") | 1 | U |  | DCID 6097 “Side of Family”

### TID 9006 Obstetric History

This general Template collects the details of a patient's obstetric history for a current pregnancy. Information regarding previous pregnancies is conveyed using the Gynecological History Template.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 9006. Obstetric History

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (248983002, SCT, "Obstetric History") | 1 | M |  |
2 | > | CONTAINS | DATE | DCID 12003 “OB-GYN Dates” | 1-n | U |  |
3 | > | CONTAINS | NUM | EV (18185-9, LN, "Gestational Age") | 1 | U |  | UNITS = EV (d, UCUM, "day")
4 | > | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1-n | U |  |

Content Item Descriptions

Row 3 "Gestational Age" | Observation DateTime (0040,A032) for Content Item shall be present, in order to convey the date and time at which this Gestational Age was established.

### TID 9007 General Relevant Patient Information

This Template collects a patient's relevant information for general purpose use. This Template, together with its subordinate Templates, describes the history of a patient's reproductive system, medications, substance use, environmental exposure, past procedures, risk factors, and indicated problems.

Table TID 9007. Parameters

Parameter Name | Parameter Usage
--- | ---
$ProblemList | Coded term or Context Group for value of Indicated Problem.
$RiskList | Coded term or Context Group for value of Risk List.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 9007. General Relevant Patient Information

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (111517, DCM, "Relevant Patient Information") | 1 | M |  |
2 | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | MC | IFF Root Template for the Relevant Patient Information Query Service Class |
3 | > | CONTAINS | INCLUDE | DTID 3114 “Patient Assessment” | 1 | U |  |
4 | > | CONTAINS | INCLUDE | DTID 9002 “Medication, Substance, Environmental Exposure” | 1 | U |  | $ContainerConcept = EV (10160-0, LN, "History Of Medication Use") $CodeConcept = EV (111516, DCM, "Medication Type")
5 | > | CONTAINS | INCLUDE | DTID 9002 “Medication, Substance, Environmental Exposure” | 1 | U |  | $ContainerConcept = EV (111545, DCM, "Substance Use History") $CodeConcept = EV (111546, DCM, "Used Substance Type") $CodeValue = BCID 6089 “Substances”
6 | > | CONTAINS | INCLUDE | DTID 9002 “Medication, Substance, Environmental Exposure” | 1 | U |  | $ContainerConcept = EV (111547, DCM, "Environmental Exposure History") $CodeConcept = EV (111548, DCM, "Environmental Factor")
7 | > | CONTAINS | INCLUDE | DTID 9003 “Previous Procedure” | 1 | U |  | $LateralityValue = BCID 244 “Laterality”
8 | > | CONTAINS | INCLUDE | DTID 9004 “Indicated Problem” | 1 | U |  | $LateralityValue = BCID 244 “Laterality” $ProblemList = $ProblemList
9 | > | CONTAINS | INCLUDE | DTID 9005 “Risk Factor” | 1 | U |  | $RiskList = =$RiskList $RiskList defaults to BCID 6087 “General Risk Factors” $FamilyList = DCID 7451 “Family Member”
10 | > | CONTAINS | INCLUDE | DTID 9001 “Gynecological History” | 1 | U |  |
11 | > | CONTAINS | INCLUDE | DTID 9006 “Obstetric History” | 1 | U |  |
12 | > | CONTAINS | INCLUDE | DTID 3802 “Cardiovascular Patient History” | 1 | U |  |
13 | > | CONTAINS | INCLUDE | DTID 351 “Previous Reports” | 1 | U |  |
14 | > | CONTAINS | INCLUDE | DTID 4301 “Genitourinary Patient History” | 1 | U |  |

Content Item Descriptions

Row 2 | See Annex K.
Row 14 | Genitourinary history is used to report findings such as those associated with the examinations that are suspicious for the presence of prostate cancer (i.e., Digital Rectal Examination, blood test results).

## X-Ray Radiation Dose SR IOD Templates

The Templates that comprise the X-Ray Radiation Dose SR are interconnected as in Figure A-14.

Figure A-14. X-Ray Radiation Dose SR IOD Template Structure

### TID 10001 Projection X-Ray Radiation Dose

This Template defines a container (the root) with subsidiary Content Items, each of which represents a single projection X-Ray irradiation event entry or plane-specific dose accumulations. There is a defined recording observer (the system or person responsible for recording the log, generally the system). A Biplane irradiation event will be recorded as two individual events, one for each plane. Accumulated values will be kept separate for each plane.

Type:

  Extensible

Order:

  Non-Significant

Root:

  Yes

Table TID 10001. Projection X-Ray Radiation Dose

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (113701, DCM, "X-Ray Radiation Dose Report") | 1 | M |  | Root node
1b | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | U |  |
2 | > | HAS CONCEPT MOD | CODE | EV (121058, DCM, "Procedure reported") | 1 | M |  | DT (113704, DCM, "Projection X-Ray") DT (71651007, SCT, "Mammography")
3 | >> | HAS CONCEPT MOD | CODE | EV (363703001, SCT, "Has Intent") | 1 | M |  | DCID 3629 “Procedure Intent”
4 | > | CONTAINS | CODE | EV (122142, DCM, "Acquisition Device Type") | 1 | U |  | DCID 10032 “Projection X-Ray Acquisition Device Types”
5 | > |  | INCLUDE | DTID 1002 “Observer Context” | 1-n | M |  |
6 | > | HAS OBS CONTEXT | CODE | EV (113705, DCM, "Scope of Accumulation") | 1 | M |  | DCID 10000 “Scope of Accumulation”
7 | >> | HAS PROPERTIES | UIDREF | DCID 10001 “UID Types” | 1 | M |  |
8 | > | CONTAINS | CODE | EV (113945, DCM, "X-Ray Detector Data Available") | 1 | U |  | DCID 230 “Yes-No”
9 | > | CONTAINS | CODE | EV (113943, DCM, "X-Ray Source Data Available") | 1 | U |  | DCID 230 “Yes-No”
10 | > | CONTAINS | CODE | EV (113944, DCM, "X-Ray Mechanical Data Available") | 1 | U |  | DCID 230 “Yes-No”
11 | > | CONTAINS | INCLUDE | DTID 10002 “Accumulated X-Ray Dose” | 1 | MC | IFF Single Plane system | $Plane = EV (113622, DCM, "Single Plane")
12 | > | CONTAINS | INCLUDE | DTID 10002 “Accumulated X-Ray Dose” | 1 | MC | IFF Biplane system | $Plane = EV (113620, DCM, "Plane A")
13 | > | CONTAINS | INCLUDE | DTID 10002 “Accumulated X-Ray Dose” | 1 | MC | IFF Biplane system | $Plane = EV (113621, DCM, "Plane B")
14 | > | CONTAINS | INCLUDE | DTID 10003 “Irradiation Event X-Ray Data” | 1-n | MC | IF any of the values of TID (10001) Row 18 are not (113858, DCM, "MPPS Content"), (113866, DCM, "Copied From Image Attributes") or (113867, DCM, "Computed From Image Attributes") |
15 | > | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |
16 | > | CONTAINS | IMAGE | EV (121342, DCM, "Dose Image") | 1-n | U |  |
17 | > | CONTAINS | INCLUDE | DTID 1020 “Person Participant” | 1 | U |  | $PersonProcedureRole = EV (113850, DCM, "Irradiation Authorizing")
18 | > | CONTAINS | CODE | EV (113854, DCM, "Source of Dose Information") | 1-n | M |  | DCID 10020 “Source of Projection X-Ray Dose Information”

Content Item Descriptions

Row 2 | "Projection X-Ray" refers to procedures performed on either integrated equipment (where information is passed between the X-Ray source (generator and tube), detector, and mechanical systems), or non-integrated equipment (where data might not be available for one or more components such as cassette-based systems). The data availability can be described in Rows 8, 9 and 10. The specific type of equipment can be described in Row 4. The coded term for "Mammography" is intended to encompass all types of projection X-Ray imaging of the breast. ### Note Mammography exams are distinguished by a different value in this attribute, Angiography exams are distinguished by the Irradiation Event Type attribute = Fluoroscopy, CR/DR exams are distinguished by one or more of the Data Availability Flags = No, and CT exams are distinguished by the use of a different Template.
Row 5 | The observer context may include both a Person Observer identification, as well as the identity of the equipment providing the values for the irradiation event (Device Observer identification), if not inherited.
Row 8 | A value of "No" indicates that details associated with the X-Ray Detector are not available to the device generating this report. For example, an X-Ray Source system might lack any communication with the associated cassette-based X-Ray detector or any method of entering such information. A value of "Yes" or the absence of this row means that the details are available.
Row 9 | A value of "No" indicates that details associated with the X-Ray Source are not available to the device generating this report. For example, a cassette-based X-Ray detector might lack any communication with the associated X-Ray Source or any method of entering such information. A value of "Yes" or the absence of this row means that the details are available.
Row 10 | A value of "No" indicates that details associated with the Gantry and/or Table are not available to the device generating this report. For example, a cassette-based X-Ray detector might lack any communication with the associated gantry/table or any method of entering such information. A value of "Yes" or the absence of this row means that the details are available.
Row 11 | Cassette-based X-Ray systems should consider themselves to be Single Plane systems.
Row 14 | Details of the underlying irradiation events. If Row 18 has a value of "MPPS Content" then a TID 10003 “Irradiation Event X-Ray Data” item may be generated for each item in the MPPS Exposure Dose Sequence (0040,030E), but since this is an optional element in MPPS, if it is absent, empty or incomplete, there may be no irradiation event level information available. Alternatively, the information may be copied or computed from the images.
Row 16 | The Dose Image references a graphic representation of the radiation dose distribution. This may be a Secondary Capture scan of a dosimetry film.
Row 17 | The physician responsible for determining that the irradiating procedure was appropriate for the indications. The value may come from Requesting Physician (0032,1032), Requesting Physician Identification Sequence (0032,1031) or somewhere else based on hospital policies.
Row 18 | The primary source of information from which this dose object was constructed. The Source of Dose Information (Row 18) is independent of the Scope Of Accumulation (Row 6); e.g., it would be typical to have a scope of (113016, DCM, "Performed Procedure Step"), but a source of (113856, DCM, "Automated Data Collection") rather than (113858, DCM, "MPPS Content").

### TID 10002 Accumulated X-Ray Dose

This general Template provides detailed information on projection X-Ray dose value accumulations over several irradiation events from the same equipment (typically a study or a performed procedure step).

Table TID 10002. Parameters

Parameter Name | Parameter Usage
--- | ---
$Plane | Coded term identifying to which acquisition plane the encoded information belongs.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10002. Accumulated X-Ray Dose

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (113702, DCM, "Accumulated X-Ray Dose Data") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (113764, DCM, "Acquisition Plane") | 1 | M |  | $Plane
3 | > | CONTAINS | CONTAINER | EV (122505, DCM, "Calibration") | 1-n | MC | IFF Calibration Data is available |
4 | >> | HAS CONCEPT MOD | CODE | EV (113794, DCM, "Dose Measurement Device") | 1 | M |  | DCID 10010 “Dose Measurement Devices”
5 | >> | CONTAINS | DATETIME | EV (113723, DCM, "Calibration DateTime") | 1 | M |  |
6 | >> | CONTAINS | NUM | EV (122322, DCM, "Calibration Factor") | 1 | M |  | UNITS = EV (1, UCUM, "no units")
7 | >> | CONTAINS | NUM | EV (113763, DCM, "Calibration Uncertainty") | 1 | M |  | UNITS = EV (%, UCUM, "Percent")
8 | >> | CONTAINS | TEXT | EV (113724, DCM, "Calibration Responsible Party") | 1 | M |  |
9 | >> | CONTAINS | TEXT | EV (113720, DCM, "Calibration Protocol") | 1 | U |  |
10 | > | CONTAINS | INCLUDE | DTID 10004 “Accumulated Fluoroscopy and Acquisition Projection X-Ray Dose” | 1 | MC | IFF TID 10001 Row 4 = (113957, DCM, "Fluoroscopy-Guided Projection Radiography System") or TID 10001 Row 2 = (113704, DCM, "Projection X-Ray") and TID 10001 Row 4 is absent) |
11 | > | CONTAINS | INCLUDE | DTID 10005 “Accumulated Mammography X-Ray Dose” | 1 | MC | IFF TID 10001 Row 2 = (71651007, SCT, "Mammography") |
12 | > | CONTAINS | INCLUDE | DTID 10007 “Accumulated Total Projection Radiography Dose” | 1 | MC | IFF TID 10001 Row 4 = (113958, DCM, "Integrated Projection Radiography System") or TID (10001) Row 4 = (113957, DCM, "Fluoroscopy-Guided Projection Radiography System") or TID (10001) Row 2 = (113704, DCM, "Projection X-Ray") and TID (10001) Row 4 is absent) |
13 | > | CONTAINS | INCLUDE | DTID 10006 “Accumulated Cassette-based Projection Radiography Dose” | 1 | MC | IFF TID 10001 Row 4 = (113959, DCM, "Cassette-based Projection Radiography System") |
14 | > | CONTAINS | INCLUDE | DTID 1021 “Device Participant” | 1 | MC | Required if the irradiating device is not the recording device and the dose was accumulated on a single device. | $DeviceProcedureRole = EV (113859, DCM, "Irradiating Device")
15 | > | CONTAINS | CODE | EV (128750, DCM, "Equipment Landmark") | 1 | U |  | EV (128751, DCM, "Center of Table Head")
16 | >> | HAS PROPERTIES | NUM | EV (128752, DCM, "Equipment Landmark X Position") | 1 | M |  | UNITS = EV (mm, UCUM, "mm")
17 | >> | HAS PROPERTIES | NUM | EV (128753, DCM, "Equipment Landmark Z Position") | 1 | M |  | UNITS = EV (mm, UCUM, "mm")
18 | > | CONTAINS | CONTAINER | EV (128754, DCM, "Patient Location Fiducial") | 1-n | U |  |
19 | >> | CONTAINS | INCLUDE | DTID 400 “Reference Location” | 1 | M |  |
20 | >> | HAS PROPERTIES | NUM | EV (128756, DCM, "Equipment Landmark to Patient Fiducial Z Distance") | 1 | M |  | UNITS = EV (mm, UCUM, "mm")

Content Item Descriptions

Row 5 | Date that the calibration of the equipment's dose indicators was performed
Row 6 | Typically a value provided by the medical physicist. The recorded dose or dose area product values in this report can be multiplied by this factor to obtain estimated real-world values. ### Note It is important that this value must not be applied to the measured values before storing them in the report.
Row 7 | Value range from 0 to 100 percent. Uncertainty of the 'actual' value expressed as+/- of the mean.
Row 8 | Identifies Individual or organization responsible for calibration
Row 9 | Describes calibration protocol according to equipment standards or local guidelines.
Row 14 | The device that produced the irradiation accumulated in this Template. I.e., the X-Ray source. This is not required to be present if the information is the same as that already recorded in TID 1004 “Device Observer Identifying Attributes” encoded via the inclusion of TID 1002 “Observer Context” in TID 10001 “Projection X-Ray Radiation Dose” Row 5, which in turn may be absent if identical to the content in the Enhanced General Equipment Module, or if more than one device produced the accumulated irradiation.
Rows 16 and 17 | These coordinates relate a visible landmark on the X-Ray table to the Table Reference Point that is arbitrarily defined by the manufacturer and not necessarily visible to the operator. The Equipment Landmark Y Position is not recorded since it is, by definition, in the plane of the table as is the origin of the Table Coordinate System so the value would always be zero.
Row 19 | In many instances, the values will be either: EV (128772, DCM, "Reference Basis") = (88986008, SCT, "Vertex of Head") with EV (128773, DCM, "Reference Geometry") = (128120, DCM, "Plane through Superior Extent"), or EV (128772, DCM, "Reference Basis") = (56459004, SCT, "Foot") with EV (128773, DCM, "Reference Geometry") = (128121, DCM, "Plane through Inferior Extent")
Row 20 | This distance (likely recorded by the operator) locates the patient with respect to an X-Ray table landmark. The patient is assumed to be centered in the left-right axis of the X-Ray table.

### TID 10003 Irradiation Event X-Ray Data

This Template conveys the dose and equipment parameters of a single irradiation event.

The Template and requirements are structured to consider equipment with various levels of integration between the components (X-Ray Source, Plate or Detector, and Gantry/Table) of the equipment.

An irradiation event is the loading of X-Ray equipment caused by a single continuous actuation of the equipment's irradiation switch, from the start of the loading time of the first pulse until the loading time trailing edge of the final pulse. The irradiation event is the "smallest" information entity to be recorded in the realm of Radiation Dose reporting. Individual Irradiation Events are described by a set of accompanying physical parameters that are sufficient to understand the "quality" of irradiation that is being applied. This set of parameters may be different for the various types of equipment that are able to create irradiation events. Any automatic on-off switching of the irradiation source during the event shall not be treated as separate events, rather the event includes the time between start and stop of irradiation as triggered by the user. E.g., a pulsed fluoro X-Ray acquisition shall be treated as a single irradiation event.

As described in Section 6.2.4, measurement concepts may be post-coordinated, even though not explicitly specified in the Template. In particular, post-coordination using modifier concept (121401, DCM, "Derivation"), with modifier values drawn from CID 10009 “Measured/Calculated” would be appropriate to encode indications of measured or of calculated values.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10003. Irradiation Event X-Ray Data

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (113706, DCM, "Irradiation Event X-Ray Data") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (113764, DCM, "Acquisition Plane") | 1 | M |  | DCID 10003 “Equipment Plane Identification”
3 | > | CONTAINS | UIDREF | EV (113769, DCM, "Irradiation Event UID") | 1 | M |  |
4 | > | CONTAINS | TEXT | EV (113605, DCM, "Irradiation Event Label") | 1 | U |  |
5 | >> | HAS CONCEPT MOD | CODE | EV (113606, DCM, "Label Type") | 1 | MC | IF the value of Row 4 is the value of an Attribute in the images. | DCID 10022 “Label Types”
5a | > | CONTAINS | CODE | EV (128551, DCM, "Is Repeated Acquisition") | 1 | U |  | DCID 231 “Yes-No Only”
5b | >> | HAS CONCEPT MOD | CODE | EV (128552, DCM, "Reason for Repeating Acquisition") | 1 | MC | IFF Row 5a = (373066001, SCT, "Yes") | DCID 10034 “Reason for Repeating Acquisition” DCID 7011 “Rejected for Quality Reasons”
5c | >> | HAS PROPERTIES | UIDREF | EV (113769, DCM, "Irradiation Event UID") | 1 | UC | IFF Row 5a = (373066001, SCT, "Yes") |
6 | > | CONTAINS | DATETIME | DT (111526, DCM, "DateTime Started") | 1 | M |  |
7 | > | CONTAINS | CODE | EV (113721, DCM, "Irradiation Event Type") | 1 | M |  | DCID 10002 “Irradiation Event Types”
8 | > | CONTAINS | TEXT | EV (125203, DCM, "Acquisition Protocol") | 1 | U |  |
11 | > | CONTAINS | CODE | EV (111031, DCM, "Image View") | 1 | U |  | DCID 4010 “DX View” DCID 4014 “View for Mammography”
12 | >> | HAS CONCEPT MOD | CODE | EV (111032, DCM, "Image View Modifier") | 1-n | U |  | DCID 4011 “DX View Modifier” DCID 4015 “View Modifier for Mammography”
13 | >> | CONTAINS | CODE | EV (113946, DCM, "Projection Eponymous Name") | 1 | U |  | DCID 4012 “Projection Eponymous Name”
14 | > | CONTAINS | CODE | EV (113745, DCM, "Patient Table Relationship") | 1 | U |  | DCID 21 “Patient Equipment Relationship”
15 | > | CONTAINS | CODE | EV (113743, DCM, "Patient Orientation") | 1 | U |  | DCID 19 “Patient Orientation”
16 | >> | HAS CONCEPT MOD | CODE | EV (113744, DCM, "Patient Orientation Modifier") | 1 | M |  | DCID 20 “Patient Orientation Modifier”
17 | > | CONTAINS | CODE | EV (123014, DCM, "Target Region") | 1 | M |  | DCID 4031 “Common Anatomic Regions”
17b | >> | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | UC | If anatomy is bi-lateral | DCID 244 “Laterality”
18 | > | CONTAINS | NUM | EV (122130, DCM, "Dose Area Product") | 1 | MC | IFF TID 10001 Row 2 = (113704, DCM, "Projection X-Ray") | UNITS = EV (Gy.m2, UCUM, "Gy.m2")
19 | > | CONTAINS | NUM | EV (111634, DCM, "Half Value Layer") | 1 | U |  | UNITS = EV (mm, UCUM, "mm")
20 | > | CONTAINS | NUM | EV (111638, DCM, "Patient Equivalent Thickness") | 1 | U |  | UNITS = EV (mm, UCUM, "mm")
21 | > | CONTAINS | NUM | EV (111636, DCM, "Entrance Exposure at RP") | 1 | MC | IF TID 10001 Row 2 = (71651007, SCT, "Mammography") and (TID (10001) Row 9 is absent or value is (373066001, SCT, "Yes")) and (TID (10001) Row 10 is absent or value is (373066001, SCT, "Yes")) | UNITS = EV (mGy, UCUM, "mGy")
22 | > | CONTAINS | TEXT | EV (113780, DCM, "Reference Point Definition") | 1 | MC | IF Row 21 is present and Row 23 is not present |
23 | > | CONTAINS | CODE | EV (113780, DCM, "Reference Point Definition") | 1 | MC | IF Row 21 is present and Row 22 is not present | DCID 10025 “Radiation Dose Reference Points”
24 | > | CONTAINS | INCLUDE | DTID 4007 “Mammography CAD Breast Composition” | 1 | U |  |
25 | > | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |
26 | > | CONTAINS | INCLUDE | DTID 1020 “Person Participant” | 1-n | U |  | $PersonProcedureRole = EV (113851, DCM, "Irradiation Administering")
27 | > | CONTAINS | INCLUDE | DTID 10003A “Irradiation Event X-Ray Detector Data” | 1 | MC | IFF TID 10001 Row 8 is absent or has a value of (373066001, SCT, "Yes") |
28 | > | CONTAINS | INCLUDE | DTID 10003B “Irradiation Event X-Ray Source Data” | 1 | MC | IFF TID 10001 Row 9 is absent or has a value of (373066001, SCT, "Yes") |
29 | > | CONTAINS | INCLUDE | DTID 10003C “Irradiation Event X-Ray Mechanical Data” | 1 | MC | IFF TID 10001 Row 10 is absent or has a value of (373066001, SCT, "Yes") |

Content Item Descriptions

Row 3 | If the image generating entity does not assign a DICOM UID to the irradiation event (e.g., for non-digital imaging equipment), the application generating this report shall assign a UID. In the case of non-integrated cassette-based equipment, a standalone Detector will generate UIDs for the Events it observes. If the X-Ray Source component of the equipment also reports information, it too will generate UIDs for the Events it creates. A downstream system (e.g., a workstation or the Dose Information Reporter itself) may combine the two reports into a composite report, and match up the events based on details such as the time information, and use the UIDs of the X-Ray Source.
Rows 5a, 5b, 5c | If an acquisition is a repeat because an earlier acquisition was unsatisfactory, this may be recorded along with a coded reason and the earlier acquisition's irradiation event UID. This is intended to help with subsequent analysis by providing a priori information about why the exam might be flagged as an outlier with higher dose exposure values than usual for the type of study.
Row 6 | The DateTime that the application of X-Rays started for this irradiation event. This shall correspond to the start of the first irradiation in the Irradiation Event, which defines the starting point for the calculation of Row 36 "Irradiation Duration".
Row 17 | The target region is the anatomy exposed.
Row 17b | Previously, a CODE content item (91723000, SCT, "Anatomical structure") along with CODE concept modifier (272741003, SCT, "Laterality") were used to identify bilateral anatomy. This duplicated the function of Row 17 and was retired. See PS3.16 2017c.
Row 21 | A text definition of the Reference Point (RP) used for RP-related dose values.
Row 22 | A coded definition of the Reference Point (RP) used for RP-related dose values
Row 26 | People responsible for the administration of the radiation reported in the irradiation event. May include values that would appear in Performing Physicians' Name (0008,1050), Performing Physician Identification Sequence (0008,1052), Operators' Name (0008,1070) and/or Operator Identification Sequence (0008,1072).

### TID 10003A Irradiation Event X-Ray Detector Data

This Template contains data that is expected to be available to the X-Ray detector or plate reader component of the equipment.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10003A. Irradiation Event X-Ray Detector Data

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | NUM | EV (113845, DCM, "Exposure Index") | 1 | MC | IF the value is displayable to the X-Ray system operator. | UNITS = EV (1, UCUM, "no units")
2 |  |  | NUM | EV (113846, DCM, "Target Exposure Index") | 1 | MC | IF the value is displayable to the X-Ray system operator. | UNITS = EV (1, UCUM, "no units")
3 |  |  | NUM | EV (113847, DCM, "Deviation Index") | 1 | MC | IF the value is displayable to the X-Ray system operator. | UNITS = EV (1, UCUM, "no units")
4 |  |  | INCLUDE | DTID 1021 “Device Participant” | 1 | U |  | $DeviceProcedureRole = EV (113942, DCM, "X-Ray Reading Device")
5 |  |  | IMAGE | EV (113795, DCM, "Acquired Image") | 1-n | MC | IFF Image Object is created for this irradiation event |

Content Item Descriptions

Row 4 | The device that read the detector of this Irradiation Event. E.g., the CR Plate Reader.
Row 5 | Reference to Image instances created during this event, if any. The UID reference(s) provided here shall be the values at the time the images were initially created. (Note that image UIDs may be changed as the images are managed over a long term.)

### TID 10003B Irradiation Event X-Ray Source Data

This Template contains data that is expected to be available to the X-Ray source component of the equipment.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10003B. Irradiation Event X-Ray Source Data

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | NUM | EV (113738, DCM, "Dose (RP)") | 1 | MC | IF TID 10001 Row 2 = (113704, DCM, "Projection X-Ray") AND any of the values of TID (10001) Row 18 are not (113858, DCM, "MPPS Content") | UNITS = EV (Gy, UCUM, "Gy")
2 |  |  | TEXT | EV (113780, DCM, "Reference Point Definition") | 1 | MC | IF Row 1 is present and Row 3 is not present |
3 |  |  | CODE | EV (113780, DCM, "Reference Point Definition") | 1 | MC | IF Row 1 is present and Row 2 is not present | DCID 10025 “Radiation Dose Reference Points”
4 |  |  | NUM | EV (111631, DCM, "Average Glandular Dose") | 1 | MC | IFF TID 10001 Row 2 = (71651007, SCT, "Mammography") | UNITS = EV (mGy, UCUM, "mGy")
5 |  |  | CODE | EV (113732, DCM, "Fluoro Mode") | 1 | UC | IFF TID 10003 Row 7 value = (44491008, SCT, "Fluoroscopy") | DCID 10004 “Fluoro Modes”
6 |  |  | NUM | EV (113791, DCM, "Pulse Rate") | 1 | MC | IFF Row 5 value = (113631, DCM, "Pulsed") | UNITS = EV ({pulse}/s, UCUM, "pulse/s")
7 |  |  | NUM | EV (113768, DCM, "Number of Pulses") | 1 | MC | IFF Row 5 is not present or Row 5 is present and equals (113631, DCM, "Pulsed") | UNITS = EV (1, UCUM, "no units")
8 | > | HAS CONCEPT MOD | CODE | EV (121401, DCM, "Derivation") | 1 | MC | IFF count of pulses in Row 7 is estimated | EV (414135002, SCT, "Estimated")
9 |  |  | NUM | EV (113793, DCM, "Pulse Width") | 1-n | U |  | UNITS = EV (ms, UCUM, "ms")
10 |  |  | NUM | EV (113742, DCM, "Irradiation Duration") | 1 | U |  | UNITS = EV (s, UCUM, "s")
11 |  |  | NUM | EV (113733, DCM, "KVP") | 1-n | M |  | UNITS = EV (kV, UCUM, "kV")
12 |  |  | NUM | EV (113734, DCM, "X-Ray Tube Current") | 1-n | MC | IF Row 15 is not present | UNITS = EV (mA, UCUM, "mA")
13 |  |  | NUM | EV (113767, DCM, "Average X-Ray Tube Current") | 1 | U |  | UNITS = EV (mA, UCUM, "mA")
14 |  |  | NUM | EV (113824, DCM, "Exposure Time") | 1 | MC | IF Row 15 is not present | UNITS = EV (ms, UCUM, "ms")
15 |  |  | NUM | EV (113736, DCM, "Exposure") | 1-n | MC | IF Row 12 or 14 is not present | UNITS = EV (uA.s, UCUM, "uA.s")
16 |  |  | NUM | EV (113766, DCM, "Focal Spot Size") | 1 | U |  | UNITS = EV (mm, UCUM, "mm")
17 |  |  | CODE | EV (111632, DCM, "Anode Target Material") | 1 | U |  | DCID 10016 “Anode Target Material”
18 |  |  | CONTAINER | EV (113771, DCM, "X-Ray Filters") | 1-n | U |  |
19 | > | CONTAINS | CODE | EV (113772, DCM, "X-Ray Filter Type") | 1 | U |  | DCID 10007 “X-Ray Filter Types”
20 | > | CONTAINS | CODE | EV (113757, DCM, "X-Ray Filter Material") | 1 | U |  | DCID 10006 “X-Ray Filter Materials”
21 | > | CONTAINS | NUM | EV (113758, DCM, "X-Ray Filter Thickness Minimum") | 1 | U |  | UNITS = EV (mm, UCUM, "mm")
22 | > | CONTAINS | NUM | EV (113773, DCM, "X-Ray Filter Thickness Maximum") | 1 | U |  | UNITS = EV (mm, UCUM, "mm")
23 |  |  | NUM | EV (113790, DCM, "Collimated Field Area") | 1 | U |  | UNITS = EV (m2, UCUM, "m2")
24 |  |  | NUM | EV (113788, DCM, "Collimated Field Height") | 1 | U |  | UNITS = EV (mm, UCUM, "mm")
25 |  |  | NUM | EV (113789, DCM, "Collimated Field Width") | 1 | U |  | UNITS = EV (mm, UCUM, "mm")
26 |  |  | CODE | EV (111635, DCM, "X-Ray Grid") | 1-n | U |  | DCID 10017 “X-Ray Grid”
27 |  |  | INCLUDE | DTID 1021 “Device Participant” | 1 | MC | Required if the irradiating device is not the recording device. | $DeviceProcedureRole = EV (113859, DCM, "Irradiating Device")

Content Item Descriptions

Row 1 | Dose applied by this irradiation event, relative to defined reference point.
Row 7 | If a precise count of pulses is not available, an estimated number shall be provided, and the Row 8 Concept Modifier shall indicate "Estimated"
Row 9 | Pulse width as measured/recorded by the system, either as a single total value, or as multiple values. If multiple values are provided, their number shall match the value in Row 7 "Number of Pulses".
Row 11 | KVP value as measured/recorded by system, either as a single mean value, or as multiple values. If multiple values are provided, their number shall match the value in Row 7 "Number of Pulses".
Row 12 | Tube current as measured/recorded by system, either as a single mean value, or as multiple values. If multiple values are provided, their number shall match the value in Row 7 "Number of Pulses".
Row 14 | Exposure time as measured/recorded by the system.
Row 15 | Exposure as measured/recorded by system, either as a single total value, or as multiple values. If multiple values are provided, their number shall match the value in Row 7 "Number of Pulses". The Exposure will be affected by the shape of the pulse and other factors, and may not be a simple multiplication of tube current and exposure time.
Row 18 | If one or more Filter(s) were applied during this irradiation event
Row 23 | Collimated area at the receptor plane.
Row 27 | The device that produced the irradiation in this Irradiation Event. I.e., the X-Ray source. This is not required to be present if the information is the same as that already recorded in TID 1004 “Device Observer Identifying Attributes” encoded via the inclusion of TID 1002 “Observer Context” in TID 10001 “Projection X-Ray Radiation Dose” Row 5, which in turn may be absent if identical to the content in the Enhanced General Equipment Module.

### TID 10003C Irradiation Event X-Ray Mechanical Data

This Template contains data that is expected to be available to the gantry or mechanical component of the equipment.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10003C. Irradiation Event X-Ray Mechanical Data

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (113956, DCM, "CR/DR Mechanical Configuration") | 1 | U |  | DCID 10031 “CR/DR Mechanical Configuration”
2 |  |  | NUM | EV (112011, DCM, "Positioner Primary Angle") | 1 | UC | XOR Row 6 | UNITS = EV (deg, UCUM, "deg")
3 |  |  | NUM | EV (112012, DCM, "Positioner Secondary Angle") | 1 | UC | XOR Row 6 | UNITS = EV (deg, UCUM, "deg")
4 |  |  | NUM | EV (113739, DCM, "Positioner Primary End Angle") | 1 | UC | IFF TID 10003 Row 7 value = (113613, DCM, "Rotational Acquisition") | UNITS = EV (deg, UCUM, "deg")
5 |  |  | NUM | EV (113740, DCM, "Positioner Secondary End Angle") | 1 | UC | IFF TID 10003 Row 7 value = (113613, DCM, "Rotational Acquisition") | UNITS = EV (deg, UCUM, "deg")
6 |  |  | NUM | EV (113770, DCM, "Column Angulation") | 1 | UC | XOR Rows 2, 3 | UNITS = EV (deg, UCUM, "deg")
7 |  |  | NUM | EV (113754, DCM, "Table Head Tilt Angle") | 1 | U |  | UNITS = EV (deg, UCUM, "deg")
8 |  |  | NUM | EV (113755, DCM, "Table Horizontal Rotation Angle") | 1 | U |  | UNITS = EV (deg, UCUM, "deg")
9 |  |  | NUM | EV (113756, DCM, "Table Cradle Tilt Angle") | 1 | U |  | UNITS = EV (deg, UCUM, "deg")
10 |  |  | NUM | EV (111633, DCM, "Compression Thickness") | 1 | U |  | UNITS = EV (mm, UCUM, "mm")
10a |  |  | NUM | EV (111647, DCM, "Compression Force") | 1 | U |  | UNITS = EV (N, UCUM, "Newton")
10b |  |  | NUM | EV (111648, DCM, "Compression Pressure") | 1 | U |  | UNITS = EV (kPa, UCUM, "kilopascal")
10c |  |  | NUM | EV (111649, DCM, "Compression Contact Area") | 1 | U |  | UNITS = EV (mm2, UCUM, "mm2")
11 |  |  | NUM | DCID 10008 “Dose Related Distance Measurements” | 1-n | U |  | UNITS = EV (mm, UCUM, "mm")
12 |  |  | NUM | EV (128757, DCM, "Positioner Isocenter Primary Angle") | 1 | U |  | UNITS = EV (deg, UCUM, "deg")
13 |  |  | NUM | EV (128758, DCM, "Positioner Isocenter Secondary Angle") | 1 | U |  | UNITS = EV (deg, UCUM, "deg")
14 |  |  | NUM | EV (128759, DCM, "Positioner Isocenter Detector Rotation Angle") | 1 | U |  | UNITS = EV (deg, UCUM, "deg")
15 |  |  | NUM | EV (128760, DCM, "Positioner Isocenter Primary End Angle") | 1 | U |  | UNITS = EV (deg, UCUM, "deg")
16 |  |  | NUM | EV (128761, DCM, "Positioner Isocenter Secondary End Angle") | 1 | U |  | UNITS = EV (deg, UCUM, "deg")
17 |  |  | NUM | EV (128762, DCM, "Positioner Isocenter Detector Rotation End Angle") | 1 | U |  | UNITS = EV (deg, UCUM, "deg")
18 |  |  | NUM | EV (128763, DCM, "Table Head Tilt End Angle") | 1 | U |  | UNITS = EV (deg, UCUM, "deg")
19 |  |  | NUM | EV (128764, DCM, "Table Horizontal Rotation End Angle") | 1 | U |  | UNITS = EV (deg, UCUM, "deg")
20 |  |  | NUM | EV (128765, DCM, "Table Cradle Tilt End Angle") | 1 | U |  | UNITS = EV (deg, UCUM, "deg")

Content Item Descriptions

Row 2 | Angle in patient's "equatorial" plane (LAO to RAO). For dynamically changing angle during the event, the start value shall be provided. Equivalent to (0018,1510) in an image instance.
Row 3 | Angle in patient's "sagittal" plane (CRAN to CAUD). For dynamically changing angle during the event, the start value shall be provided. Equivalent to (0018,1511) in an image instance.
Row 4 | In case of motion during irradiation event, Positioner Primary ending angle
Row 5 | In case of motion during irradiation event., Positioner Secondary ending angle
Row 6 | Column device Angle in equipment based coordinates
Rows 12 to 20 | Refer to the definitions of the X-Ray Isocenter Reference System (“X-Ray Isocenter Reference System Macro” in PS3.3 ).

### TID 10004 Accumulated Fluoroscopy and Acquisition Projection X-Ray Dose

This general Template provides detailed information on projection X-Ray dose value accumulations over several irradiation events from the same equipment (typically a study or a performed procedure step).

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10004. Accumulated Fluoroscopy and Acquisition Projection X-Ray Dose

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | NUM | EV (113726, DCM, "Fluoro Dose Area Product Total") | 1 | MC | IFF TID 10003 Row 7 value = (44491008, SCT, "Fluoroscopy") for at least one irradiation event | UNITS = EV (Gy.m2, UCUM, "Gy.m2")
2 |  |  | NUM | EV (113728, DCM, "Fluoro Dose (RP) Total") | 1 | MC | IFF TID 10003 Row 7 value = (44491008, SCT, "Fluoroscopy") for at least one irradiation event AND any of the values of TID (10001) Row 18 are not (113858, DCM, "MPPS Content"). | UNITS = EV (Gy, UCUM, "Gy")
3 |  |  | NUM | EV (113730, DCM, "Total Fluoro Time") | 1 | MC | IFF TID 10003 Row 7 value = (44491008, SCT, "Fluoroscopy") for at least one irradiation event. | UNITS = EV (s, UCUM, "s")
4 |  |  | NUM | EV (113727, DCM, "Acquisition Dose Area Product Total") | 1 | MC | IF any of the values of TID (10001) Row 18 are not (113858, DCM, "MPPS Content"). | UNITS = EV (Gy.m2, UCUM, "Gy.m2")
5 |  |  | NUM | EV (113729, DCM, "Acquisition Dose (RP) Total") | 1 | MC | IF any of the values of TID (10001) Row 18 are not (113858, DCM, "MPPS Content"). | UNITS = EV (Gy, UCUM, "Gy")
6 |  |  | NUM | EV (113855, DCM, "Total Acquisition Time") | 1 | MC | IF any of the values of TID (10001) Row 18 are not (113858, DCM, "MPPS Content"). | UNITS = EV (s, UCUM, "s")

Content Item Descriptions

Rows 1-3 | Fluoroscopic component only
Row 3 | Total clock time of Fluoroscopy accumulated over the defined scope of accumulation (i.e., the sum of the Irradiation Duration values for accumulated fluoroscopy irradiation events)
Rows 4-6 | Acquisition component only
Row 6 | Total clock time of acquisitions accumulated over the defined scope of accumulation (i.e., the sum of the Irradiation Duration values for accumulated acquisition irradiation events)

### TID 10005 Accumulated Mammography X-Ray Dose

This modality specific Template provides detailed information on breast imaging projection X-Ray dose value accumulations over several irradiation events from the same equipment (typically a study or a performed procedure step).

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 10005. Accumulated Mammography X-Ray Dose

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | NUM | EV (111637, DCM, "Accumulated Average Glandular Dose") | 1-2 | M |  | UNITS = EV (mGy, UCUM, "mGy")
2 | > | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | M |  | DCID 6022 “Side”

### TID 10006 Accumulated Cassette-based Projection Radiography Dose

This Template provides information on Projection Radiography dose values accumulated on Cassette-based systems over one or more irradiation events (typically a study or a performed procedure step) from the same equipment.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10006. Accumulated Cassette-Based Projection Radiography Dose

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CODE | EV (113947, DCM, "Detector Type") | 1 | MC | IF TID 10001 Row 8 is absent or value is (373066001, SCT, "Yes") | DCID 10030 “Detector Types”
2 |  |  | NUM | EV (113731, DCM, "Total Number of Radiographic Frames") | 1 | MC | IF TID 10001 Row 8 is absent or value is (373066001, SCT, "Yes") | UNITS = EV (1, UCUM, "no units")

Content Item Descriptions

Row 2 | The number of radiographic frames recorded by the X-Ray detector or the number of exposures recorded by the X-Ray source, whichever is known to be greater.

### TID 10007 Accumulated Total Projection Radiography Dose

This Template provides information on total Projection Radiography dose values accumulated on Integrated or combined fluoroscopy/acquisition systems over one or more irradiation events (typically a study or a performed procedure step) from the same equipment.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10007. Accumulated Total Projection Radiography Dose

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | NUM | EV (113722, DCM, "Dose Area Product Total") | 1 | M |  | UNITS = EV (Gy.m2, UCUM, "Gy.m2")
2 |  |  | NUM | EV (113725, DCM, "Dose (RP) Total") | 1 | MC | IF TID 10001 Row 4 = (113958, DCM, "Integrated Projection Radiography System") or any of the values of TID (10001) Row 18 are not (113858, DCM, "MPPS Content"). | UNITS = EV (Gy, UCUM, "Gy")
3 |  |  | NUM | EV (113737, DCM, "Distance Source to Reference Point") | 1 | U |  | UNITS = EV (mm, UCUM, "mm")
4 |  |  | NUM | EV (113731, DCM, "Total Number of Radiographic Frames") | 1 | U |  | UNITS = EV (1, UCUM, "no units")
5 |  |  | CODE | EV (113780, DCM, "Reference Point Definition") | 1 | MC | IF any of (113725, DCM, "Dose (RP) Total"), (113728, DCM, "Fluoro Dose (RP) Total") or (113729, DCM, "Acquisition Dose (RP) Total") are present, and Row 6 is not present. | DCID 10025 “Radiation Dose Reference Points”
6 |  |  | TEXT | EV (113780, DCM, "Reference Point Definition") | 1 | MC | IF any of (113725, DCM, "Dose (RP) Total"), (113728, DCM, "Fluoro Dose (RP) Total") or (113729, DCM, "Acquisition Dose (RP) Total") are present, and Row 5 is not present. |

Content Item Descriptions

Row 1 | Accumulated Dose Area Product
Row 2 | Accumulated dose relative to reference point.
Row 3 | A single value for Radiography systems calculating reference point dose based on fixed distance.
Row 5 | A coded definition of the Reference Point (RP) used for RP-related dose values.
Row 6 | A text definition of the Reference Point (RP) used for RP-related dose values.

## CT Radiation Dose SR IOD Templates

The Templates that comprise the CT Radiation Dose SR are interconnected as in Figure A-15.

Figure A-15. CT Radiation Dose SR IOD Template Structure

### TID 10011 CT Radiation Dose

This Template defines a container (the root) with subsidiary Content Items, each of which corresponds to a single CT X-Ray irradiation event entry. There is a defined recording observer (the system or person responsible for recording the log, generally the system). Accumulated values shall be kept for a whole Study or at least a part of a Study, if the Study is divided in the workflow of the examination, or a performed procedure step. Multiple CT Radiation Dose objects may be created for one Study.

Type:

  Extensible

Order:

  Significant

Root:

  Yes

Table TID 10011. CT Radiation Dose

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (113701, DCM, "X-Ray Radiation Dose Report") | 1 | M |  | Root node
1b | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | U |  |
2 | > | HAS CONCEPT MOD | CODE | EV (121058, DCM, "Procedure reported") | 1 | M |  | EV (77477000, SCT, "Computed Tomography X-Ray")
3 | >> | HAS CONCEPT MOD | CODE | EV (363703001, SCT, "Has Intent") | 1 | M |  | DCID 3629 “Procedure Intent”
4 | > |  | INCLUDE | DTID 1002 “Observer Context” | 1-n | M |  |
5 | > | HAS OBS CONTEXT | DATETIME | EV (113809, DCM, "Start of X-Ray Irradiation") | 1 | M |  |
6 | > | HAS OBS CONTEXT | DATETIME | EV (113810, DCM, "End of X-Ray Irradiation") | 1 | M |  |
7 | > | HAS OBS CONTEXT | CODE | EV (113705, DCM, "Scope of Accumulation") | 1 | M |  | DCID 10000 “Scope of Accumulation”
8 | >> | HAS PROPERTIES | UIDREF | DCID 10001 “UID Types” | 1 | M |  |
9 | > | CONTAINS | INCLUDE | DTID 10012 “CT Accumulated Dose Data” | 1 | M |  |
10 | > | CONTAINS | INCLUDE | DTID 10013 “CT Irradiation Event Data” | 1-n | M |  |
11 | > | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |
12 | > | CONTAINS | CODE | EV (113854, DCM, "Source of Dose Information") | 1-n | M |  | DCID 10021 “Source of CT Dose Information”
13 | > | CONTAINS | INCLUDE | DTID 1020 “Person Participant” | 1 | U |  | $PersonProcedureRole = EV (113850, DCM, "Irradiation Authorizing")

Content Item Descriptions

Row 4 | The observer context may include both a Person Observer identification, as well as the identity of the equipment providing the values for the irradiation event (Device Observer identification), if not inherited.
Row 5 | Start, DateTime of the first CT Irradiation Event of the accumulation
Row 6 | End, DateTime of the last CT Irradiation Event of the accumulation
Row 12 | The primary source of information from which this dose object was constructed.
Row 13 | The physician responsible for determining that the irradiating procedure was appropriate for the indications. The value may come from Requesting Physician (0032,1032), Requesting Physician Identification Sequence (0032,1031) or somewhere else based on hospital policies.

### TID 10012 CT Accumulated Dose Data

This general Template provides detailed information on CT X-Ray dose value accumulations over several irradiation events from the same equipment and over the scope of accumulation specified for the report (typically a Study or a Performed Procedure Step).

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 10012. CT Accumulated Dose Data

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (113811, DCM, "CT Accumulated Dose Data") | 1 | M |  |
2 | > | CONTAINS | NUM | EV (113812, DCM, "Total Number of Irradiation Events") | 1 | M |  | UNITS = EV ({events}, UCUM, "events")
3 | > | CONTAINS | NUM | EV (113813, DCM, "CT Dose Length Product Total") | 1 | M |  | UNITS = EV (mGy.cm, UCUM, "mGy.cm")
4 | > | CONTAINS | NUM | EV (113814, DCM, "CT Effective Dose Total") | 1 | U |  | UNITS = EV (mSv, UCUM, "mSv")
5 | >> | HAS PROPERTIES | TEXT | EV (121406, DCM, "Reference Authority") | 1 | MC | XOR row 6 |
6 | >> | HAS PROPERTIES | CODE | EV (121406, DCM, "Reference Authority") | 1 | MC | XOR row 5 | DCID 10015 “CT Dose Reference Authorities”
7 | >> | HAS CONCEPT MOD | CODE | EV (370129005, SCT, "Measurement Method") | 1 | M |  | DCID 10011 “Effective Dose Evaluation Method”
8 | >> | HAS PROPERTIES | TEXT | EV (113815, DCM, "Patient Model") | 1 | MC | IF the value of row 7 equals (113800, DCM, "DLP to E conversion via MC computation") or equals (113801, DCM, "CTDIfreeair to E conversion via MC computation") |
9 | >> | HAS PROPERTIES | CONTAINER | EV (113816, DCM, "Condition Effective Dose measured") | 1 | MC | IF the value of row 7 equals (113802, DCM, "DLP to E conversion via measurement") or equals (113803, DCM, "CTDIfreeair to E conversion via measurement") |
10 | >>> | CONTAINS | TEXT | EV (113817, DCM, "Effective Dose Phantom Type") | 1 | M |  |
11 | >>> | CONTAINS | TEXT | EV (113818, DCM, "Dosimeter Type") | 1 | M |  |
12 | > | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |
13 | > | CONTAINS | INCLUDE | DTID 1021 “Device Participant” | 1 | MC | Required if the irradiating device is not the recording device and the dose was accumulated on a single device. | $DeviceProcedureRole = EV (113859, DCM, "Irradiating Device")

Content Item Descriptions

Rows 5, 6 | Total Number of CT irradiation events. A CT irradiation event is one continuous irradiation procedure and is defined through consistent acquisition parameters. In the case of dose modulation the calculations are based on the effective parameters (e.g., the effective mA recorded in the Mean X-Ray Tube Current), and these acquisition parameters are consistent.
Rows 5, 6 | The Dose Length Product (DLP) is calculated for every irradiation event. The Dose Length Product Total is the sum of the DLP values. The calculation is based on the CTDIvol result of each irradiation event.
Rows 5, 6 | Effective dose (E, in units of mSv) evaluated as a total over the scope is defined in Row 6 of TID 10011 “CT Radiation Dose”. Effective dose is defined by the reference in Rows 5 or 6 of this Template. It may be calculated from a product of DLP and an 'Effective Dose Conversion Factor' (E/DLP). Or it may be calculated from a product of the Mean CTDIfreeair and the ratio E/CTDIfreeair. The ratios E/DLP or E/CTDIfreeair may be evaluated either from computer simulations applying Monte Carlo (MC) sampling techniques or from dosimetric measurements in an anthropomorphic phantom, e.g., the Alderson-Rando phantom.. The specific method used is identified in Rows 7 through 11.
Row 5 - 6 | Reference of the base publication defining the Effective Dose, either as a coded value, or a textual bibliographic reference. ICRP Publications shall be referenced using their assigned coded values.
Row 7 | Description of the method used for Effective Dose evaluations.
Row 8 | Description of the reference-patient mathematical or computational model used when Effective Dose is derived via Monte Carlo simulations of radiation transport in such models. Examples of publications that specify particular reference patient models are NUREG/CR-1159, ORNL/NUREG/TM-367 (1980); NRPB-R186 (1985); GSF-Bericht S-885 (1986); Fill et al., Health Physics Vol. 86 (3): 253-272 (2004).
Row 9 | Description of the condition Effective Dose measured
Row 10 | Type of Effective Dose phantom used, e.g., Alderson-Rando
Row 11 | Type of dosimeter used, e.g., TLD (Thermo Luminescence Dosimeter)
Row 13 | The device that produced the irradiation accumulated in this Template. I.e., the CT Scanner. This is not required to be present if the information is the same as that already recorded in TID 1004 “Device Observer Identifying Attributes” encoded via the inclusion of TID 1002 “Observer Context” in TID 10011 “CT Radiation Dose” Row 4, which in turn may be absent if identical to the content in the Enhanced General Equipment Module, or if more than one device produced the accumulated irradiation.

### TID 10013 CT Irradiation Event Data

This Template conveys the dose and equipment parameters of a single irradiation event.

A CT irradiation event is the loading of X-Ray equipment caused by a single continuous actuation of the equipment's irradiation switch, from the start of the loading time of the first pulse until the loading time trailing edge of the final pulse. Any on-off switching of the radiation source during the event shall not be treated as separate events; rather the event includes the time between start and stop of radiation as triggered by the user, e.g., a single sequence of scanning comprised of multiple slices acquired with successive tube rotations and table increments shall be treated as a single irradiation event. Depending on the examination workflow and the anatomical target region the CT irradiation event data may split into multiple instances of this Template for better dose estimation. The irradiation event is the "smallest" information entity to be recorded in the realm of Radiation Dose reporting. Individual Irradiation Events are described by a set of accompanying physical parameters that are sufficient to understand the "quality" of irradiation that is being applied. This set of parameters may be different for the various types of equipment that are able to create irradiation events.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 10013. CT Irradiation Event Data

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (113819, DCM, "CT Acquisition") | 1 | M |  |
2 | > | CONTAINS | TEXT | EV (125203, DCM, "Acquisition Protocol") | 1 | U |  |
3 | > | CONTAINS | CODE | EV (123014, DCM, "Target Region") | 1 | M |  | DCID 4030 “CT, MR and PET Anatomy Imaged”
4 | > | CONTAINS | CODE | EV (113820, DCM, "CT Acquisition Type") | 1 | M |  | DCID 10013 “CT Acquisition Type”
4b | >> | HAS PROPERTIES | CODE | EV (113961, DCM, "Reconstruction Algorithm") | 1-n | U |  | DCID 10033 “CT Reconstruction Algorithm”
5 | > | CONTAINS | CODE | EV (408730004, SCT, "Procedure Context") | 1 | U |  | DCID 10014 “Contrast Imaging Technique”
6 | > | CONTAINS | UIDREF | EV (113769, DCM, "Irradiation Event UID") | 1 | M |  |
6b | > | CONTAINS | TEXT | EV (113605, DCM, "Irradiation Event Label") | 1 | U |  |
6c | >> | HAS CONCEPT MOD | CODE | EV (113606, DCM, "Label Type") | 1 | MC | IF the value of Row 6b is the value of an Attribute in the images. | DCID 10022 “Label Types”
6d | > | CONTAINS | CODE | EV (128551, DCM, "Is Repeated Acquisition") | 1 | U |  | DCID 231 “Yes-No Only”
6e | >> | HAS CONCEPT MOD | CODE | EV (128552, DCM, "Reason for Repeating Acquisition") | 1 | MC | IFF Row 6d = (373066001, SCT, "Yes") | DCID 10034 “Reason for Repeating Acquisition”
6e1 | >> | HAS PROPERTIES | UIDREF | EV (113769, DCM, "Irradiation Event UID") | 1 | UC | IFF Row 6d = (373066001, SCT, "Yes") |
6f | > | CONTAINS | DATETIME | EV (111526, DCM, "DateTime Started") | 1 | U |  |
7 | > | CONTAINS | CONTAINER | EV (113822, DCM, "CT Acquisition Parameters") | 1 | M |  |
8 | >> | CONTAINS | NUM | EV (113824, DCM, "Exposure Time") | 1 | M |  | UNITS = EV (s, UCUM, "s")
9 | >> | CONTAINS | INCLUDE | DTID 10014 “Scanning Length” | 1 | M |  |
10 | >> | CONTAINS | NUM | EV (113826, DCM, "Nominal Single Collimation Width") | 1 | M |  | UNITS = EV (mm, UCUM, "mm")
11 | >> | CONTAINS | NUM | EV (113827, DCM, "Nominal Total Collimation Width") | 1 | M |  | UNITS = EV (mm, UCUM, "mm")
12 | >> | CONTAINS | NUM | EV (113828, DCM, "Pitch Factor") | 1 | MC | IF row 4 equals (116152004, SCT, "Spiral Acquisition") or equals (113804, DCM, "Sequenced Acquisition") | UNITS = EV ({ratio}, UCUM, "ratio")
13 | >> | CONTAINS | NUM | EV (113823, DCM, "Number of X-Ray Sources") | 1 | M |  | UNITS = EV ({X-Ray sources}, UCUM, "X-Ray sources")
14 | >> | CONTAINS | CONTAINER | EV (113831, DCM, "CT X-Ray Source Parameters") | 1-n | M |  |
15 | >>> | CONTAINS | TEXT | EV (113832, DCM, "Identification of the X-Ray Source") | 1 | M |  |
16 | >>> | CONTAINS | NUM | EV (113733, DCM, "KVP") | 1 | M |  | UNITS = EV (kV, UCUM, "kV")
17 | >>> | CONTAINS | NUM | EV (113833, DCM, "Maximum X-Ray Tube Current") | 1 | M |  | UNITS = EV (mA, UCUM, "mA")
18 | >>> | CONTAINS | NUM | EV (113734, DCM, "X-Ray Tube Current") | 1 | M |  | UNITS = EV (mA, UCUM, "mA")
19 | >>> | CONTAINS | NUM | EV (113834, DCM, "Exposure Time per Rotation") | 1 | MC | IF row 4 does not equal (113805, DCM, "Constant Angle Acquisition") | UNITS = EV (s, UCUM, "s")
20 | >>> | CONTAINS | NUM | EV (113821, DCM, "X-Ray Filter Aluminum Equivalent") | 1 | U |  | UNITS = EV (mm, UCUM, "mm")
21 | > | CONTAINS | CONTAINER | EV (113829, DCM, "CT Dose") | 1 | MC | IF row 4 does not equal (113805, DCM, "Constant Angle Acquisition") |
22 | >> | CONTAINS | NUM | EV (113830, DCM, "Mean CTDIvol") | 1 | M |  | UNITS = EV (mGy, UCUM, "mGy")
23 | >> | CONTAINS | CODE | EV (113835, DCM, "CTDIw Phantom Type") | 1 | M |  | DCID 4052 “Phantom Devices”
24 | >> | CONTAINS | NUM | EV (113836, DCM, "CTDIfreeair Calculation Factor") | 1 | U |  | UNITS = EV (mGy/mA.s, UCUM, "mGy/mA.s")
25 | >> | CONTAINS | NUM | EV (113837, DCM, "Mean CTDIfreeair") | 1 | U |  | UNITS = EV (mGy, UCUM, "mGy")
26 | >> | CONTAINS | NUM | EV (113838, DCM, "DLP") | 1 | M |  | UNITS = EV (mGy.cm, UCUM, "mGy.cm")
27 | >> | CONTAINS | NUM | EV (113839, DCM, "Effective Dose") | 1 | U |  | UNITS = EV (mSv, UCUM, "mSv")
28 | >>> | HAS CONCEPT MOD | CODE | EV (370129005, SCT, "Measurement Method") | 1 | MC | IF row 27 is present | DCID 10011 “Effective Dose Evaluation Method”
29 | >>>> | HAS PROPERTIES | NUM | EV (113840, DCM, "Effective Dose Conversion Factor") | 1 | MC | IF row 28 is present and equals (113800, DCM, "DLP to E conversion via MC computation") or equals (113802, DCM, "DLP to E conversion via measurement") | UNITS = EV (mSv/mGy.cm, UCUM, "mSv/mGy.cm")
30 | >> | CONTAINS | NUM | EV (113930, DCM, "Size Specific Dose Estimate") | 1-n | U |  | UNITS = EV (mGy, UCUM, "mGy")
31 | >>> | HAS CONCEPT MOD | CODE | EV (370129005, SCT, "Measurement Method") | 1 | M |  | DCID 10023 “Size Specific Dose Estimation Method for CT”
32 | >>> | INFERRED FROM | NUM | EV (113931, DCM, "Measured Lateral Dimension") | 1 | MC | IF row 31 equals (113934, DCM, "AAPM 204 Lateral Dimension") or (113936, DCM, "AAPM 204 Sum of Lateral and AP Dimension") | UNITS = EV (mm, UCUM, "mm")
33 | >>> | INFERRED FROM | NUM | EV (113932, DCM, "Measured AP Dimension") | 1 | MC | IF row 31 equals (113935, DCM, "AAPM 204 AP Dimension") or (113936, DCM, "AAPM 204 Sum of Lateral and AP Dimension") | UNITS = EV (mm, UCUM, "mm")
34 | >>> | INFERRED FROM | NUM | EV (113933, DCM, "Derived Effective Diameter") | 1 | MC | IF row 31 equals (113934, DCM, "AAPM 204 Lateral Dimension") or (113935, DCM, "AAPM 204 AP Dimension") or (113936, DCM, "AAPM 204 Sum of Lateral and AP Dimension") or (113937, DCM, "AAPM 204 Effective Diameter Estimated From Patient Age") | UNITS = EV (mm, UCUM, "mm")
34a | >>> | INFERRED FROM | NUM | EV (113991, DCM, "Dw Conversion Factor Coefficients") | 2 | UC | IFF row 31 equals (113988, DCM, "Estimated from Water Equivalent Diameter") or (113989, DCM, "Arithmetic Average of SSDE(z)") | UNITS = EV (mm, UCUM, "mm")
34b | >>> | INFERRED FROM | UIDREF | EV (113985, DCM, "Series or Instance used for Water Equivalent Diameter estimation") | 1-n | U |  |
34c | >>> | INFERRED FROM | NUM | EV (113980, DCM, "Water Equivalent Diameter") | 1 | MC | IF row 31 equals (113988, DCM, "Estimated from Water Equivalent Diameter") or (113989, DCM, "Arithmetic Average of SSDE(z)") | UNITS = EV (mm, UCUM, "mm")
34d | >>>> | HAS CONCEPT MOD | CODE | EV EV (370129005, SCT, "Measurement Method") | 1 | M |  | DCID 10024 “Water Equivalent Diameter Method”
34e | >>>> | INFERRED FROM | NUM | EV (113994, DCM, "Longitudinal Position Z") | 1 | MC | IF row 31 equals (113981, DCM, "Water Equivalent Diameter Representative Value") | UNITS = EV (mm, UCUM, "mm")
34f | >>> | INFERRED FROM | NUM | EV (113993, DCM, "Size Specific Dose Estimate At Longitudinal Position Z") | 1-n | MC | IF row 31 equals (113989, DCM, "Arithmetic Average of SSDE(z)") | UNITS = EV (mGy, UCUM, "mGy")
34g | >>>> | INFERRED FROM | NUM | EV (113994, DCM, "Longitudinal Position Z") | 1 | M |  | UNITS = EV (mm, UCUM, "mm")
34h | >>>> | INFERRED FROM | NUM | EV (113995, DCM, "Water Equivalent Diameter At Longitudinal Position Z") | 1 | M |  | UNITS = EV (mm, UCUM, "mm")
35 | >> | CONTAINS | INCLUDE | DTID 10015 “CT Dose Check Details” | 1 | M |  |
36 | > | CONTAINS | TEXT | EV (113842, DCM, "X-Ray Modulation Type") | 1 | U |  |
37 | > | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |
38 | > | CONTAINS | INCLUDE | DTID 1020 “Person Participant” | 1-n | U |  | $PersonProcedureRole = EV (113851, DCM, "Irradiation Administering")
39 | > | CONTAINS | INCLUDE | DTID 1021 “Device Participant” | 1 | MC | Required if the irradiating device is not the recording device. | $DeviceProcedureRole = EV (113859, DCM, "Irradiating Device")

Content Item Descriptions

Row 2 | User-defined type of clinical acquisition protocol for creating images or image-derived measurements. May be taken from Protocol Name (0018,1030) or from Performed Procedure Step Description (0040,0254).
Row 3 | The target region is the anatomy exposed.
Row 4 | Description of the method used during acquisition of this CT irradiation event, may be derived from Acquisition Type (0018,9302).
Row 4b | Though not a characteristic of the acquisition per se, the type of reconstruction intended has a bearing on the technique used. If multiple types of reconstruction are performed, multiple values can be listed. These values should correspond to the values of Reconstruction Algorithm (0018,9315) in the reconstructed images.
Row 5 | The acquisition was performed with or without contrast medium application.
Row 6d, 6e, 6e1 | If an acquisition is a repeat because an earlier acquisition was unsatisfactory, this may be recorded along with a coded reason and the earlier acquisition's irradiation event UID. This is intended to help with subsequent analysis by providing a priori information about why the study might be flagged as an outlier with higher dose exposure values than usual for the type of study.
Row 6f | The DateTime that the application of X-Rays started for this irradiation event. This shall correspond to the start of the first irradiation in the Irradiation Event, which defines the starting point for the calculation of the contents of the Row 21 "CT Dose" CONTAINER.
Row 8 | Total time the patient has received X-Ray exposure during the irradiation event.
Row 10 | The value of the nominal width (referenced to the location of the isocenter along the z axis) of a single collimated slice in mm.
Row 11 | The value of the nominal width (referenced to the location of the isocenter along the z axis) of the nominal total collimation in mm over the area of active X-Ray detection (z-coverage).
Row 12 | Pitch Factor: For Spiral Acquisition, the Pitch Factor is the ratio of the Table Feed per Rotation to the Nominal Total Collimation Width. For Sequenced Acquisition, the Pitch Factor is the ratio of the Table Feed per single sequenced scan to the Nominal Total Collimation Width.
Row 14 | CT X-Ray source parameters related to the acquisition. For each X-Ray source an item must be present. For multi-energy acquisitions, multiple items may be present for each X-Ray source, each item describing one energy level.
Row 15 | Identification of the X-Ray source. Identifies the particular X-Ray source (in a multi-source CT system) for which the set of X-Ray source parameter values is reported.
Row 16 | KVP value as measured/recorded by system.
Row 18 | Mean tube current as measured/recorded by system.
Row 19 | Exposure time as measured/recorded by the system per rotation.
Row 20 | Thickness of an equivalent filter constructed from aluminum, in case of multi-source CT systems AND if Row 4 is not present
Row 21 | CT Dose for one acquisition
Row 22 | "Mean CTDIvol" refers to the average value of the CTDIvol applied within this acquisition. CTDIvol is the volume CTDIw, where CTDIw is the weighted computed tomography dose index 100 as defined in IEC 60601-2-44. For Sequenced and Spiral scanning, CTDIvol = CTDIw / Pitch Factor. For Stationary and Free scanning, CTDIvol = CTDIw ✕ Cumulative Exposure Time/ Exposure Time Per Rotation. According to IEC 60601-2-44 Ed 3 for Constant Angle Acquisition may be calculated as CTDIvol = (CTDIw / Current Time Product (mAs)) ✕ X-Ray Tube Current (mA) x (Nominal Total Collimation Width (mm) / Table Speed (mm/s)). ### Note The ratio CTDIw / Current Time Product is evaluated independently of the Constant Angle Acquisition but with the same settings of tube voltage and Total Collimation Width as those of the Constant Angle Acquisition. See also CTDIvol (0018,9345) and Spiral Pitch Factor (0018,9311) in the “Enhanced Computed Tomography Image IOD” in PS3.3 .
Row 23 | The type of phantom used for CTDI measurement according to IEC 60601-2-44(e.g., Head 16 cm diameter PMMA, Body 32 cm diameter PMMA).
Row 24 | The CTDIfree air Calculation Factor is the CTDIfree air per mAs, expressed in units of mGy/mAs. The CTDIfree air Calculation Factor may be used in one method calculating Dose. For example, for this acquisition, Effective Dose = Mean X-Ray Tube Current ✕ Cumulative Exposure Time ✕ CTDIfree air Calculation Factor ✕ (Effective Dose/ CTDIfree air).
Row 25 | MeanCTDIfree air is the mean CTDI for this acquisition, evaluated free-in-air according to IEC 60601-2-44. MeanCTDIfree air = Mean X-Ray Tube Current ✕ Cumulative Exposure Time ✕ CTDIfree air Calculation Factor. The CTDIfree air may be used in one method of calculating Effective Dose.
Row 26 | For Spiral scanning, DLP = CTDIvol ✕ Scanning Length. For Sequenced scanning, DLP = CTDIvol ✕ Nominal Total Collimation Width ✕ Cumulative Exposure Time / Exposure Time per Rotation. For Stationary and Free scanning, DLP = CTDIvol ✕ Nominal Total Collimation Width (according to IEC 60601-2-44).
Row 27 | Effective Dose in mSv of the single continuous time-frame of the irradiation computed as described in TID 10012 “CT Accumulated Dose Data”.
Row 29 | The Effective Dose Conversion Factor is the ratio of the Effective Dose to the DLP, expressed in units of mSv/mGy.cm, and it is used as a factor in one method of estimating Effective Dose. Monte Carlo Simulations (or dosimetric measurements in an anthropomorphic phantom, e.g., the Alderson-Rando phantom) may be used as a basis for the evaluation of Effective Dose Conversion Factors. This is different from the Conversion Factor to compute a Size Specific Dose Estimate from a Water Equivalent Diameter.
Row 30 | This value represents a Size Specific Dose Estimate (SSDE) for this irradiation event as a whole. More than one Size Specific Dose Estimate may be included, for example if different computation methods are used. If SSDE is estimated for multiple Z positions within a single irradiation event, that is found in Row 34f.
Row 31 | Methods including [AAPM Report 204] and [IEC 62985] are listed in CID 10023 “Size Specific Dose Estimation Method for CT”; other methods may be used. The phantom size (16cm or 32cm) used for the calculation is available from the phantom type defined in Row 23.
Row 32 | The condition specifies inclusion of the Measured Lateral Dimension if it was used in the calculation.
Row 33 | The condition specifies inclusion of the Measured AP Dimension if it was used in the calculation.
Row 34 | The Derived Effective Diameter is conditionally included, whether it was derived from measurements or estimated from age, but may not be used for other (non-AAPM Report 204) methods.
Row 34a | The conversion factor described by the coefficients is used both for the SSDE(z) values in Row 34f and, if Row 31 is (113988, DCM, “Estimated from Water Equivalent Diameter”), for the SSDE value in Row 30.
Row 34b | If the Water Equivalent Diameter was computed from raw views rather than reconstructed images, then the Raw Data may be referenced.
Row 34c | A single value for Water Equivalent Diameter is encoded. If Row 31 is (113988, DCM, “Estimated from Water Equivalent Diameter”), this value is used to generate Row 30. If Row 31 is (113989, DCM, "Arithmetic Average of SSDE(z)"), this value is not used directly to generate Row 30, but is still present and represents Dw, the Arithmetic Average of the Dw(z) values in Row 34h as described in [IEC 62985].
Row 34e | This z position is patient (not table or gantry) relative, to allow it to be defined in the Patient Coordinate System and hence related to the Image Position (Patient) in the reconstructed images (see TID 10014 “Scanning Length”, included at Row 9). It is required if the method uses a representative slice, but may also be present if the method used a Localizer or Raw Data at a single location rather than the entire scan range.
Row 34f | A set of Size Specific Dose Estimates at particular z positions along the scan axis. These values correspond to the SSDE(z) values identified in [IEC 62985].
Row 34g | The z position at which the SSDE in Row 34f was calculated. As with Row 34e, the value is patient relative.
Row 34h | The Water Equivalent Diameter used to calculate the SSDE in Row 34f using the conversion factor described in Row 34a. This value, along with the Row 34h values for the other SSDEs in Row 34f, corresponds to the set of Dw(z) values identified in [IEC 62985].
Row 35 | Record of details associated with using the NEMA Dose Check Standard [NEMA XR 25-2019].
Row 36 | The type of exposure modulation. May use the value of Exposure Modulation Type (0018,9323) from CT Exposure Macro or from CT Image Module.
Row 38 | People responsible for the administration of the radiation reported in the irradiation event. May include values that would appear in Performing Physicians' Name (0008,1050), Performing Physician Identification Sequence (0008,1052), Operators' Name (0008,1070) and/or Operator Identification Sequence (0008,1072).
Row 39 | The device that produced the irradiation in this Irradiation Event. I.e., the CT scanner. This is not required to be present if the information is the same as that already recorded in the TID 1004 “Device Observer Identifying Attributes” encoded via the inclusion of TID 1002 “Observer Context” in TID 10011 “CT Radiation Dose” Row 4, which in turn may be absent if identical to the content in the Enhanced General Equipment Module.

### TID 10014 Scanning Length

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 10014. Scanning Length

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | NUM | EV (113825, DCM, "Scanning Length") | 1 | M |  | UNITS = EV (mm, UCUM, "mm")
2 |  |  | NUM | EV (113893, DCM, "Length of Reconstructable Volume") | 1 | U |  | UNITS = EV (mm, UCUM, "mm")
3 |  |  | NUM | EV (113899, DCM, "Exposed Range") | 1 | UC | IFF TID 10013 “CT Irradiation Event Data” row 4 CT Acquisition Type equals (116152004, SCT, "Spiral Acquisition") | UNITS = EV (mm, UCUM, "mm")
4 |  |  | NUM | EV (113895, DCM, "Top Z Location of Reconstructable Volume") | 1 | U |  | UNITS = EV (mm, UCUM, "mm")
5 |  |  | NUM | EV (113896, DCM, "Bottom Z Location of Reconstructable Volume") | 1 | U |  | UNITS = EV (mm, UCUM, "mm")
6 |  |  | NUM | EV (113897, DCM, "Top Z Location of Scanning Length") | 1 | U |  | UNITS = EV (mm, UCUM, "mm")
7 |  |  | NUM | EV (113898, DCM, "Bottom Z Location of Scanning Length") | 1 | U |  | UNITS = EV (mm, UCUM, "mm")
8 |  |  | UIDREF | EV (112227, DCM, "Frame of Reference UID") | 1 | MC | IF any of Rows 4 through 7 or Row 34e of TID 10013 are present. | If present, shall be the same UID as in the images reconstructed from this irradiation event.

Content Item Descriptions

Row 1 | For Spiral scanning, the scanning length is normally the table travel in mm during the tube loading (see Figure A-16). For Sequenced scanning, the scanning length is the table travel between consecutive scans times the number of scans. For Stationary and Free scanning, the scanning length is the nominal width of the total collimation.
Row 2 | The length of the reconstructable volume is the maximum z-range between the outermost edges of the top and bottom slices that can be reconstructed from the acquisition. For Spiral scanning, the length of reconstructable volume is the z-range between the outermost beginning of the first reconstructable slice and the outermost end of the last reconstructable slice (see Figure A-16). For Sequenced scanning, the length of reconstructable volume is the z-range between the outermost beginning of the first slice and the outermost end of the last slice (i.e., including any skip). For Stationary and Free scanning, the length of reconstructable volume is the nominal width of the total collimation.
Row 3 | For Spiral scanning, the exposed range is as defined in IEC 60601-2-44 (Ed. 3) 302.115(b) (see Figure A-16). Exposed range is not defined for other modes of scanning.
Rows 4-5 | The Top and Bottom Z Locations of the Reconstructable Volume are independent of the slice width of any actual reconstructed slices. They are measured from the edges of the volume, and hence are not equal to the Z locations encoded in the images of any actual reconstructed slices, which are recorded as the center of the slice.
Rows 4-7 | These locations are patient (not table or gantry) relative, to allow them to be defined in the Patient Coordinate System and hence related to the Image Position (Patient) in the reconstructed images. They are also defined in terms of the top (towards the patient's head), and bottom (towards the patient's feet) of the corresponding ranges, in order to make them independent of whether the scan starts at the top or the bottom or shuttles back and forth in between (see Figure A-16).

Figure A-16. Spiral Acquisition Parameters

### TID 10015 CT Dose Check Details

This Template records details related to the use of the NEMA Dose Check Standard [NEMA XR 25-2019].

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 10015. CT Dose Check Details

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (113900, DCM, "Dose Check Alert Details") | 1 | MC | IF the scanning device has implemented dose alerts |
2 | > | CONTAINS | CODE | EV (113901, DCM, "DLP Alert Value Configured") | 1 | M |  | DCID 230 “Yes-No”
3 | > | CONTAINS | CODE | EV (113902, DCM, "CTDIvol Alert Value Configured") | 1 | M |  | DCID 230 “Yes-No”
4 | > | CONTAINS | NUM | EV (113903, DCM, "DLP Alert Value") | 1 | MC | IFF value of Row 2 is (373066001, SCT, "Yes") | UNITS = EV (mGy.cm, UCUM, "mGy.cm")
5 | > | CONTAINS | NUM | EV (113904, DCM, "CTDIvol Alert Value") | 1 | MC | IFF value of Row 3 is (373066001, SCT, "Yes") | UNITS = EV (mGy, UCUM, "mGy")
6 | > | CONTAINS | NUM | EV (113905, DCM, "Accumulated DLP Forward Estimate") | 1 | MC | IF Accumulated DLP Forward Estimate (Row 6) exceeds DLP Alert Value (Row 4) | UNITS = EV (mGy.cm, UCUM, "mGy.cm")
7 | > | CONTAINS | NUM | EV (113906, DCM, "Accumulated CTDIvol Forward Estimate") | 1 | MC | IF Accumulated CTDIvol Forward Estimate (Row 7) exceeds CTDIvol Alert Value (Row 5) | UNITS = EV (mGy, UCUM, "mGy")
8 | > | CONTAINS | TEXT | EV (113907, DCM, "Reason for Proceeding") | 1 | UC | IFF Accumulated DLP Forward Estimate (Row 6) exceeds DLP Alert Value (Row 4) or Accumulated CTDIvol Forward Estimate (Row 7) exceeds CTDIvol Alert Value (Row 5) |
9 | > | CONTAINS | INCLUDE | DTID 1020 “Person Participant” | 1 | MC | IF Accumulated DLP Forward Estimate (Row 6) exceeds DLP Alert Value (Row 4) or Accumulated CTDIvol Forward Estimate (Row 7) exceeds CTDIvol Alert Value (Row 5) | $PersonProcedureRole = EV (113850, DCM, "Irradiation Authorizing")
9b | > | CONTAINS | CODE | EV (113915, DCM, "Alternative dose alert behavior active") | 1 | U |  | DCID 231 “Yes-No Only”
10 |  |  | CONTAINER | EV (113908, DCM, "Dose Check Notification Details") | 1 | MC | IF the scanning device has implemented dose notifications |
11 | > | CONTAINS | CODE | EV (113909, DCM, "DLP Notification Value Configured") | 1 | M |  | DCID 230 “Yes-No”
12 | > | CONTAINS | CODE | EV (113910, DCM, "CTDIvol Notification Value Configured") | 1 | M |  | DCID 230 “Yes-No”
13 | > | CONTAINS | NUM | EV (113911, DCM, "DLP Notification Value") | 1 | MC | IFF value of Row 11 is (373066001, SCT, "Yes") | UNITS = EV (mGy.cm, UCUM, "mGy.cm")
14 | > | CONTAINS | NUM | EV (113912, DCM, "CTDIvol Notification Value") | 1 | MC | IFF value of Row 12 is (373066001, SCT, "Yes") | UNITS = EV (mGy, UCUM, "mGy")
15 | > | CONTAINS | NUM | EV (113913, DCM, "DLP Forward Estimate") | 1 | MC | IF DLP Forward Estimate (Row 15) exceeds DLP Notification Value (Row 13) | UNITS = EV (mGy.cm, UCUM, "mGy.cm")
16 | > | CONTAINS | NUM | EV (113914, DCM, "CTDIvol Forward Estimate") | 1 | MC | IF CTDIvol Forward Estimate (Row 16) exceeds CTDIvol Notification Value (Row 14) | UNITS = EV (mGy, UCUM, "mGy")
17 | > | CONTAINS | TEXT | EV (113907, DCM, "Reason for Proceeding") | 1 | UC | IFF DLP Forward Estimate (Row 15) exceeds DLP Notification Value (Row 13) or CTDIvol Forward Estimate (Row 16) exceeds CTDIvol Notification Value (Row 14) |
18 | > | CONTAINS | INCLUDE | DTID 1020 “Person Participant” | 1 | UC | IFF DLP Forward Estimate (Row 15) exceeds DLP Notification Value (Row 13) or CTDIvol Forward Estimate (Row 16) exceeds CTDIvol Notification Value (Row 14) | $PersonProcedureRole = EV (113850, DCM, "Irradiation Authorizing")

Content Item Descriptions

Row 1 | Container for Dose Check Alert details.
Row 2 | Indicates whether a DLP Alert Value was configured (e.g., by the institution) for the exam to which this irradiation event belongs.
Row 3 | Indicates whether a CTDIvol Alert Value was configured (e.g., by the institution) for the exam to which this irradiation event belongs.
Row 4 | The configured value applicable to the current exam that would trigger an alert if the accumulated DLP were projected to exceed it.
Row 5 | The configured value applicable to the current exam that would trigger an alert if the Accumulated CTDIvol at any given location were projected to exceed it.
Row 6 | The value estimated prior to performing this irradiation event of the projected DLP accumulated during this exam, including this irradiation event. The estimate may include assumptions such as those described in the NEMA Dose Check Standard [NEMA XR 25-2019].
Row 7 | The value estimated prior to performing this irradiation event of the projected CTDIvol accumulated during this exam, including this irradiation event. The value is for the location with the highest estimated accumulation. The actual location is not recorded. The estimate may include assumptions such as those described in the NEMA Dose Check Standard [NEMA XR 25-2019].
Row 8 | The reason provided by the operator for proceeding with an irradiation event projected to exceed an alert value.
Row 9 | Person responsible for authorizing irradiation projected to exceed an alert value.
Row 10 | Container for Dose Check Notification details.
Row 11 | Indicates whether a DLP Notification Value was configured (e.g., by the institution) for the Protocol Element Group to which this irradiation event corresponds.
Row 12 | Indicates whether a CTDIvol Notification Value was configured (e.g., by the institution) for the Protocol Element Group to which this irradiation event corresponds.
Row 13 | The configured value applicable to the current irradiation event that would trigger a notification if the DLP were projected to exceed it.
Row 14 | The configured value applicable to the current irradiation event that would trigger a notification if the CTDIvol were projected to exceed it.
Row 15 | The value estimated prior to performing this irradiation event of the DLP for this irradiation event. The estimate may include assumptions such as those described in the NEMA Dose Check Standard [NEMA XR 25-2019].
Row 16 | The value estimated prior to performing this irradiation event of the CTDIvol for this irradiation event. The value is for the location with the highest estimated value. The actual location is not recorded. The estimate may include assumptions such as those described in the NEMA Dose Check Standard [NEMA XR 25-2019].
Row 17 | The reason provided by the operator for proceeding with an irradiation event projected to exceed a notification value.
Row 18 | Person responsible for authorizing irradiation projected to exceed a notification value.

## Radiopharmaceutical Radiation Dose SR IOD Templates

The Templates that comprise the Radiopharmaceutical Radiation Dose SR are interconnected as in Figure A-17.

Figure A-17. Radiopharmaceutical Radiation Dose SR IOD Template Structure

### TID 10021 Radiopharmaceutical Radiation Dose

This Template defines a container (the root) with subsidiary Content Items, each of which corresponds to a single Radiopharmaceutical Administration Dose event entry. There is a defined recording observer (the system and/or person responsible for recording the assay of the radiopharmaceutical, and the person administered the radiopharmaceutical). Multiple Radiopharmaceutical Radiation Dose objects may be created for one study. Radiopharmaceutical Start DateTime in TID 10022 “Radiopharmaceutical Administration Event Data” will convey the order of administrations.

Type:

  Extensible

Order:

  Significant

Root:

  Yes

Table TID 10021. Radiopharmaceutical Radiation Dose

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (113500, DCM, "Radiopharmaceutical Radiation Dose Report") | 1 | M |  | Root node
1b | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | U |  |
2 | > | HAS CONCEPT MOD | CODE | EV (363589002, SCT, "Associated Procedure") | 1 | M |  | DCID 3108 “NM/PET Procedures”
3 | >> | HAS CONCEPT MOD | CODE | EV (363703001, SCT, "Has Intent") | 1 | M |  | DCID 3629 “Procedure Intent”
4 | > | CONTAINS | INCLUDE | DTID 10022 “Radiopharmaceutical Administration Event Data” | 1 | M |  |
5 | > | CONTAINS | INCLUDE | DTID 10024 “Imaging Agent Administration Patient Characteristics” | 1 | U |  |
6 | > | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |

Content Item Descriptions

Row 2 | The associated procedure is the procedure performed, or if no procedure was performed the procedure that was ordered.

### TID 10022 Radiopharmaceutical Administration Event Data

The Radiopharmaceutical Administration Event conveys the dose and assay and time information of a single radiopharmaceutical event. A Radiopharmaceutical Administration event is one radioactive pharmaceutical administered to a patient.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 10022. Radiopharmaceutical Administration Event Data

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (113502, DCM, "Radiopharmaceutical Administration") | 1 | M |  |
2 | > | CONTAINS | CODE | EV (349358000, SCT, "Radiopharmaceutical agent") | 1 | M |  | DCID 25 “Radiopharmaceuticals” DCID 4021 “PET Radiopharmaceutical”
3 | >> | HAS PROPERTIES | CODE | EV (89457008, SCT, "Radionuclide") | 1 | M |  | DCID 18 “Isotopes in Radiopharmaceuticals” DCID 4020 “PET Radionuclide”
4 | >> | HAS PROPERTIES | NUM | EV (304283002, SCT, "Radionuclide Half Life") | 1 | M |  | UNITS = EV (s, UCUM, "seconds")
5 | > | CONTAINS | NUM | EV (123007, DCM, "Radiopharmaceutical Specific Activity") | 1 | U |  | UNITS = EV (Bq/mmol, UCUM, "Bq/mmol")
6 | > | CONTAINS | UIDREF | EV (113503, DCM, "Radiopharmaceutical Administration Event UID") | 1 | M |  |
7 | > | CONTAINS | CODE | EV (113505, DCM, "Intravenous Extravasation Symptoms") | 1-n | U |  | DCID 10043 “Intravenous Extravasation Symptoms”
8 | > | CONTAINS | NUM | EV (113506, DCM, "Estimated Extravasation Activity") | 1 | U |  | UNITS = EV(%, UCUM, "percent")
9 | > | CONTAINS | DATETIME | EV (123003, DCM, "Radiopharmaceutical Start DateTime") | 1 | M |  |
10 | > | CONTAINS | DATETIME | EV (123004, DCM, "Radiopharmaceutical Stop DateTime") | 1 | U |  |
11 | > | CONTAINS | NUM | EV (113507, DCM, "Administered activity") | 1 | M |  | UNITS = EV (MBq, UCUM, "MBq")
12 | > | CONTAINS | NUM | EV (123005, DCM, "Radiopharmaceutical Volume") | 1 | U |  | UNITS = EV (cm3, UCUM, "cm3")
13 | > | CONTAINS | NUM | EV (113508, DCM, "Pre-Administration Measured Activity") | 1 | U |  | UNITS = EV (MBq, UCUM, "MBq")
14 | >> | HAS OBS CONTEXT | CODE | EV (113540, DCM, "Activity Measurement Device") | 1 | U |  | DCID 10041 “Source of Radioisotope Activity Information”
15 | >> | HAS OBS CONTEXT | INCLUDE | DTID 1002 “Observer Context” | 1-n | U |  |
16 | > | CONTAINS | NUM | EV (113509, DCM, "Post-Administration Measured Activity") | 1 | U |  | UNITS = EV (MBq, UCUM, "MBq")
17 | >> | HAS OBS CONTEXT | CODE | EV (113540, DCM, "Activity Measurement Device") | 1 | U |  | DCID 10041 “Source of Radioisotope Activity Information”
18 | >> | HAS OBS CONTEXT | INCLUDE | DTID 1002 “Observer Context” | 1-n | U |  |
19 | > | CONTAINS | INCLUDE | DTID 10023 “Organ Dose” | 1-n | U |  |
20 | > | CONTAINS | CODE | EV (410675002, SCT, "Route of administration") | 1 | M |  | BCID 11 “Route of Administration”
21 | >> | HAS PROPERTIES | CODE | EV (272737002, SCT, "Site of") | 1 | MC | IF Row 20 equals (47625008, SCT, "Intravenous route") or (78421000, SCT, "Intramuscular route") | DCID 3746 “Percutaneous Entry Site”
22 | >>> | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | MC | IF Row 21 has laterality | DCID 244 “Laterality”
23 | > | CONTAINS | INCLUDE | DTID 1020 “Person Participant” | 1-n | M |  | $PersonProcedureRole = EV (113851, DCM, "Irradiation Administering")
24 | > | CONTAINS | CODE | EV (121147, DCM, "Billing Code(s)") | 1-n | U |  |
25 | > | CONTAINS | CODE | EV (113510, DCM, "Drug Product Identifier") | 1-n | U |  |
26 | > | CONTAINS | TEXT | EV (111529, DCM, "Brand Name") | 1 | U |  |
27 | > | CONTAINS | TEXT | EV (113511, DCM, "Radiopharmaceutical Dispense Unit Identifier") | 1 | U |  |
28 | >> | CONTAINS | TEXT | EV (113512, DCM, "Radiopharmaceutical Lot Identifier") | 1-n | U |  |
29 | >> | CONTAINS | TEXT | EV (113513, DCM, "Reagent Vial Identifier") | 1-n | U |  |
30 | >> | CONTAINS | TEXT | EV (113514, DCM, "Radionuclide Identifier") | 1-n | U |  |
31 | > | CONTAINS | TEXT | EV (113516, DCM, "Prescription Identifier") | 1 | U |  |
32 | > | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |

Content Item Descriptions

Row 4 | The value of Half-life that was used for computing the decay of the administered radiopharmaceutical. It is not intended for use by the receiver for any further computation.
Row 5 | Activity per unit mass of the radiopharmaceutical at Radiopharmaceutical Start Time
Row 6 | Unique identification of a single radiopharmaceutical administration event.
Row 8 | The estimated percentage of administered activity lost at the injection site. The estimation includes extravasation, paravenous administration and leakage at the injection site.
Row 9 | The time the radiopharmaceutical was administered to the patient for imaging purposes.
Row 11 | Total amount of radioactivity administered to the patient at Radiopharmaceutical Start Time. It is a computed field from the TID 10022 Pre-Administration Measured Activity Row 13, TID 10022 Post-Administration Measured Activity Row 17, Radionuclide Half Life Row 4 and Radiopharmaceutical Start Time Row 9. Does not include estimated extravasation activity.
Rows 13, 16 | Observation DateTime (0040,A032) shall be used to record when the measurement was taken.
Row 23 | Identifies the person administering the product.
Row 24 | The billing codes for the preparation and administration of the radiopharmaceutical. It does not include performance and interpretation of the imaging.
Row 25 | Registered drug establishment code for the product. A coding scheme example is NDC, WHO-DDE or RxNorm. Multiple entries can be used for equivalent drug product codes.
Row 27 | The human readable identification of the specific radiopharmaceutical quantity (dose) administered to the patient.
Row 28 | Identifies the vial, batch or lot number from which the individual radiopharmaceutical quantity (dose) was produced. Row 27 the Radiopharmaceutical Identifier records the identification for each individual dose.
Row 29 | Identifies the lot or unit serial number for the reagent component for the radiopharmaceutical identified in row 27.
Row 30 | Identifies the lot or unit serial number for the radionuclide component for the radiopharmaceutical identified in row 27.

### TID 10023 Organ Dose

This Template conveys the information about the dose to a single organ.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 10023. Organ Dose

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (113517, DCM, "Organ Dose Information") | 1 | M |  |
2 | > | HAS CONCEPT MOD | CODE | EV (363698007, SCT, "Finding Site") | 1 | M |  | DCID 10044 “Radiosensitive Organs”
3 | > | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | MC | IFF anatomy has laterality | DCID 244 “Laterality”
4 | > | CONTAINS | NUM | EV (118538004, SCT, "Mass") | 1 | U |  | UNITS = EV (g, UCUM, "grams")
5 | >> | HAS CONCEPT MOD | TEXT | EV (370129005, SCT, "Measurement Method") | 1 | M |  |
6 | > | CONTAINS | NUM | EV (113518, DCM, "Organ Dose") | 1 | M |  | UNITS = EV (mGy, UCUM, "mGy")
7 | >> | HAS PROPERTIES | CODE | EV (121406, DCM, "Reference Authority") | 1 | MC | XOR Row 8 | BCID 10040 “Radiopharmaceutical Organ Dose Reference Authority”
8 | >> | HAS PROPERTIES | TEXT | EV (121406, DCM, "Reference Authority") | 1 | MC | XOR Row 7 |

Content Item Descriptions

Row 3 | For paired organs, use (51440002, SCT, "Bilateral") to report the estimated absorbed dose for both organs.
Row 4 | The estimated mass of organ in grams used when calculating the organ dose.
Row 5 | Method used to obtain the estimate. This could include a method that does not involve performing a measurement (e.g., Standard Organ Mass Tables).
Row 6 | Organ dose (in units of mGy). Organ is specified by row 2.

### TID 10024 Imaging Agent Administration Patient Characteristics

This Template describes the characteristics of the patient that are specific to the current clinical presentation (visit). In the case of radiopharmaceuticals, the characteristics noted may affect the activity received, and how dose is calculated for the patient. Patient Characteristic concepts in this Template, which may replicate attributes in the Patient Study Module, are included here as possible targets of by-reference relationships from other Content Items in the SR tree.

Type:

  Extensible

Order:

  Significant

Root:

  No

Table TID 10024. Imaging Agent Administration Patient Characteristics

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (121118, DCM, "Patient Characteristics") |  |  |  |
2 | > | CONTAINS | CODE | EV (109054, DCM, "Patient state") | 1-n | U |  | DCID 10045 “Radiopharmaceutical Patient State” DCID 64 “Imaging Agent Administration Patient State”
3 | > | CONTAINS | NUM | EV (121033, DCM, "Subject Age") | 1 | U |  | UNITS = DCID 7456 “Units of Measure for Age”
4 | > | CONTAINS | CODE | EV (121032, DCM, "Subject Sex") | 1 | U |  | DCID 7455 “Sex”
5 | > | CONTAINS | NUM | EV (8302-2, LN, "Patient Height") | 1 | U |  | UNITS = EV (cm, UCUM, "cm")
6 | > | CONTAINS | NUM | EV (29463-7, LN, "Patient Weight") | 1 | U |  | UNITS = EV (kg, UCUM, "kg").
7 | > | CONTAINS | NUM | EV (8277-6, LN, "Body Surface Area") | 1 | U |  | UNITS = EV (m2, UCUM, "m^2")
8 | >> | INFERRED FROM | CODE | EV (8278-4, LN, "Body Surface Area Formula") | 1 | U |  | BCID 3663 “Body Surface Area Equations”
9 | > | CONTAINS | NUM | EV (60621009, SCT, "Body Mass Index") | 1 | U |  | UNITS = EV (kg/m2, UCUM, "kg/m^2")
10 | >> | INFERRED FROM | CODE | EV (121420, DCM, "Equation") | 1 | U |  | DT (122265, DCM, "BMI = Wt/Ht^2")
11 | > | CONTAINS | NUM | EV (14749-6, LN, "Glucose") | 1 | U |  | UNITS = EV (mmol/l, UCUM, "mmol/l")
12 | > | CONTAINS | NUM | EV(113550, DCM, "Fasting Duration") | 1 | U |  | UNITS = DT (h, UCUM, "hours")
13 | > | CONTAINS | NUM | EV(113551, DCM, "Hydration Volume") | 1 | U |  | UNITS = DT (ml, UCUM, "ml")
14 | > | CONTAINS | TEXT | EV (113552, DCM, "Recent Physical Activity") | 1 | U |  |
15 | > | CONTAINS | NUM | EV (2160-0, LN, "Serum Creatinine") | 1 | U |  | UNITS = DT (mg/dl, UCUM, "mg/dl")
16 | > | CONTAINS | NUM | EV (80274001, SCT, "Glomerular Filtration Rate") | 1-n | U |  | UNITS = DT (ml/min{1.73_m2}, UCUM, "ml/min/1.73m2")
17 | >> | HAS CONCEPT MOD | CODE | EV (370129005, SCT, "Measurement Method") | 1 | U |  | DCID 10047 “GFR Measurement Methods”
18 | >> | HAS CONCEPT MOD | CODE | EV (121050, DCM, "Equivalent meaning of concept name") | 1 | M |  | DCID 10046 “GFR Measurements”

Content Item Descriptions

Row 3 | Defaults to value of Patient's Age (0010,1010) in Patient Study Module
Row 5 | Patient height may differ from Patient's Size (0010,1020). Row 4 is the height value used for any height based protocols. Observation DateTime (0040,A032) may be used to record when the measurement was taken.
Row 6 | Patient weight may differ from Patient's Weight (0010,1030). Row 5 is the weight value used for any weight based protocols. Observation DateTime (0040,A032) shall be used to record when the measurement was taken.
Row 11 | Patient's Blood Glucose level. Observation DateTime (0040,A032) shall be used to record when the measurement was taken.
Row 15 | Serum Creatinine level. Observation DateTime (0040,A032) shall be used to record when the measurement was taken.
Row 16 | Glomerular Filtration Rate Observation DateTime (0040,A032) shall be used to record when the measurement was taken. The formatting of the UCUM units is aligned with LOINC. See http://unitsofmeasure.org/trac/ticket/98

## Patient Radiation Dose SR IOD Templates

The Templates that comprise the Patient Radiation Dose SR are interconnected as in Figure A-18.

Figure A-18. Patient Radiation Dose Structured Report IOD Template Structure

### TID 10030 Patient Radiation Dose

This template defines a container (the root) with subsidiary content items for determining an estimated radiation dose to a patient.

Type:

  Extensible

Order:

  Non-Significant

Root:

  Yes

Table TID 10030. Patient Radiation Dose

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (128401, DCM, "Patient Radiation Dose 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 1002 “Observer Context” | 1-n | M |  |
4 | > | CONTAINS | INCLUDE | DTID 10031 “Radiation Dose Estimate” | 1 | M |  |
5 | > | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |

Content Item Descriptions

Row 3 | Identify all observers and devices involved with creating the organ estimations included in this Patient Radiation Dose SR.

### TID 10031 Radiation Dose Estimate

The dose estimate is used to record the results from one analysis method from one or more radiation sources. Organ dose estimates are calculated from one or more irradiation events to a patient. The output from one or more sources of radiation can be used separately or combined to estimate the dose to a patient or individual organs.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10031. Radiation Dose Estimate

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (128402, DCM, "Radiation Dose Estimate") | 1 | M |  |
2 | > | HAS CONCEPT MOD | TEXT | EV (128403, DCM, "Radiation Dose Estimate Name") | 1 | M |  |
3 | > | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |
4 | > | CONTAINS | INCLUDE | DTID 10033 “Radiation Dose Estimate Methodology” | 1 | M |  |
5 | > | CONTAINS | INCLUDE | DTID 10032 “Radiation Dose Estimate Representation” | 1-n | U |  |
6 | > | CONTAINS | CONTAINER | EV (113517, DCM, "Organ Radiation Dose Information") | 1-n | M |  |
7 | >> | CONTAINS | CODE | EV (113343008, SCT, "Organ") | 1 | M |  | DCID 10060 “Organs for Radiation Dose Estimates”
8 | >>> | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | MC | IF Row 7 has laterality | DCID 244 Laterality
9 | >> | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |
10 | >> | CONTAINS | NUM | DCID 10061 “Absorbed Radiation Dose Types” | 1 | M |  | UNITS = EV (mGy, UCUM, "mGy")
11 | >>> | HAS PROPERTIES | NUM | DCID 225 “Measurement Uncertainty Concepts” | 1-n | U |  | UNITS = EV (mGy, UCUM, "mGy")
12 | >>>> | HAS PROPERTIES | TEXT | EV (128511, DCM, "Reference to Uncertainty Determination Method") | 1 | U |  |
13 | >> | CONTAINS | NUM | DCID 10062 “Equivalent Radiation Dose Types” | 1 | U |  | UNITS = EV (mSv, UCUM, "mSv")
14 | >>> | HAS PROPERTIES | NUM | DCID 225 “Measurement Uncertainty Concepts” | 1-n | U |  | UNITS = EV (mSv, UCUM, "mSv")
15 | >>>> | HAS PROPERTIES | TEXT | EV (128511, DCM, "Reference to Uncertainty Determination Method") | 1 | U |  |

Content Item Descriptions

Row 13 | Equivalent Dose is an international quantity and includes the use of a Radiation Weighting Factor to compensate for the radiation type, e.g., photon, neutron, alpha or beta particle, etc. Stating equivalent dose is not recommended in almost all dosimetry situations, except in Radiopharmaceutical dose. This is not Effective Dose.

### TID 10032 Radiation Dose Estimate Representation

Different representations (e.g., images) of the distribution of absorbed energy allow a better understanding of how this energy may affect tissue.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10032. Radiation Dose Estimate Representation

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (128412, DCM, "Radiation Dose Estimate Representation") | 1 | M |  |
2 | > | CONTAINS | CODE | EV (128413, DCM, "Distribution Representation") | 1 | M |  | DCID 10063 “Radiation Dose Estimate Distribution Representation”
3 | > | CONTAINS | IMAGE | EV (128414, DCM, "Radiation Dose Representation Data") | 1 | MC | XOR Row 4 |
4 | > | CONTAINS | COMPOSITE | EV (128414, DCM, "Radiation Dose Representation Data") | 1 | MC | XOR Row 3 |
5 | > | CONTAINS | CODE | EV (113343008, SCT, "Organ") | 1-n | M |  | DCID 10060 “Organs for Radiation Dose Estimates”
6 | >> | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | MC | IF Row 5 has laterality | DCID 244 “Laterality”
7 | > | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |

Content Item Descriptions

Roww 3 and 4 | Reference to an Instance that contains the dose representation, e.g., surface segmentation, mesh, parametric map, RT dose, Secondary Capture, etc.
Row 5 | The organs in the representation. The organs in this Row shall be present in Row 7 of TID 10031 “Radiation Dose Estimate”.

### TID 10033 Radiation Dose Estimate Methodology

This template includes the information specific to the organ dose calculation methodology used when estimating dose to individual organs, entire body or a phantom from imaging studies that use ionizing radiation.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10033. Radiation Dose Estimate Methodology

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (128415, DCM, "Radiation Dose Estimate Methodology") | 1 | M |  |
2 | > | CONTAINS | COMPOSITE | EV (128416, DCM, "SR Instance Used") | 1-n | M |  |
3 | >> | HAS OBS CONTEXT | COMPOSITE | EV (128447, DCM, "Spatial Fiducials") | 1-n | U |  |
4 | >> | HAS PROPERTIES | UIDREF | EV (128429, DCM, "Event UID Used") | 1-n | MC | IFF some Events in the Structured Report were not used in calculating the dose. |
5 | > | CONTAINS | CONTAINER | EV (128500, DCM, "Patient Radiation Dose Model") | 1 | M |  |
6 | >> | CONTAINS | CODE | EV (128417, DCM, "Patient Model Type") | 1 | M |  | DCID 10064 “Patient Model Type”
7 | >> | CONTAINS | CODE | EV (128420, DCM, "Radiation Transport Model Type") | 1 | M |  | DCID 10065 “Radiation Transport Model Type”
8 | >> | CONTAINS | IMAGE | EV (128425, DCM, "Patient Radiation Dose Model Data") | 1 | UC | XOR Row 9, 10 |
9 | >> | CONTAINS | COMPOSITE | EV (128425, DCM, "Patient Radiation Dose Model Data") | 1 | UC | XOR Row 8, 10 |
10 | >> | CONTAINS | UIDREF | EV (128425, DCM, "Patient Radiation Dose Model Data") | 1 | UC | XOR Row 8, 9 |
11 | >> | CONTAINS | TEXT | EV (128426, DCM, "Patient Radiation Dose Model Reference") | 1 | U |  |
12 | >> | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |
13 | >> | CONTAINS | CONTAINER | EV (128427, DCM, "Patient Model Demographics") | 1 | M |  |
14 | >>> | CONTAINS | NUM | EV (128428, DCM, "Model Minimum Age") | 1 | MC | IF model requires minimum age to be defined | DCID 7456 “Units of Measure for Age”
15 | >>> | CONTAINS | NUM | EV (128430, DCM, "Model Maximum Age") | 1 | MC | IF model requires maximum age to be defined | DCID 7456 “Units of Measure for Age”
16 | >>> | CONTAINS | CODE | EV (128437, DCM, "Model Patient Sex") | 1 | MC | IF model requires sex to be defined. | DCID 7455 “Sex”
17 | >>> | CONTAINS | NUM | EV (128438, DCM, "Model Minimum Weight") | 1 | MC | IF model requires minimum weight to be defined | UNITS = EV (kg, UCUM, "kg")
18 | >>> | CONTAINS | NUM | EV (128441, DCM, "Model Maximum Weight") | 1 | MC | IF model requires maximum weight to be defined | UNITS = EV (kg, UCUM, "kg")
19 | >>> | CONTAINS | NUM | EV (128439, DCM, "Model Minimum Height") | 1 | MC | IF model requires minimum height to be defined | UNITS = EV (cm, UCUM, "cm")
20 | >>> | CONTAINS | NUM | EV (128442, DCM, "Model Maximum Height") | 1 | MC | IF model requires maximum height to be defined | UNITS = EV (cm, UCUM, "cm")
21 | >> | CONTAINS | CONTAINER | EV (128456, DCM, "Patient Model Registration") | 1-n | UC | IF spatial information used from Radiation Dose SR or Patient Radiation Dose Model |
22 | >>> | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |
23 | >>> | CONTAINS | CODE | EV (128446, DCM, "Registration Method") | 1 | M |  | DCID 7100 “RCS Registration Method Type”
24 | >>> | CONTAINS | COMPOSITE | EV (128444, DCM, "Spatial Registration Reference") | 1 | MC | IFF Row 8, 9 or 10 are present and Frame of Reference is defined |
25 | > | CONTAINS | CONTAINER | EV (128457, DCM, "X-Ray Beam Attenuator") | 1-n | MC | IF attenuators used in estimation |
26 | >> | CONTAINS | CODE | EV (128458, DCM, "Attenuator Category") | 1 | M |  | DCID 10066 “Attenuator Category”
27 | >> | CONTAINS | CODE | EV (128465, DCM, "Equivalent Attenuator Material") | 1 | M |  | DCID 10067 “Radiation Attenuator Materials”
28 | >> | CONTAINS | NUM | EV (128469, DCM, "Equivalent Attenuator Thickness") | 1 | MC | IF the attenuator is of uniform thickness | UNITS = EV (mm, UCUM, "mm")
29 | >> | CONTAINS | TEXT | EV (128468, DCM, "Attenuator Description") | 1 | U |  |
30 | >> | CONTAINS | CONTAINER | EV (128472, DCM, "X-Ray Beam Attenuator Model") | 1 | U |  |
31 | >>> | CONTAINS | CODE | EV (128420, DCM, "Radiation Transport Model Type") | 1 | U |  | DCID 10065 “Radiation Transport Model Type”
32 | >>> | CONTAINS | TEXT | EV (128474, DCM, "X-Ray Beam Attenuator Model Reference") | 1 | U |  |
33 | >>> | CONTAINS | IMAGE | EV (128470, DCM, "X-Ray Attenuator Model Data") | 1 | UC | XOR Row 34, 35 |
34 | >>> | CONTAINS | COMPOSITE | EV (128470, DCM, "X-Ray Attenuator Model Data") | 1 | UC | XOR Row 33, 35 |
35 | >>> | CONTAINS | UIDREF | EV (128470, DCM, "X-Ray Attenuator Model Data") | 1 | UC | XOR Row 33, 34 |
36 | >> | CONTAINS | CONTAINER | EV (128475, DCM, "X-Ray Beam Attenuator Model Registration") | 1-n | U |  |
37 | >>> | CONTAINS | CODE | EV (128446, DCM, "Registration Method") | 1 | M |  | DCID 7100 “RCS Registration Method Type”
38 | >>> | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |
39 | >>> | CONTAINS | COMPOSITE | EV (128444, DCM, "Spatial Registration Reference") | 1 | MC | IFF Row 33, 34 or 35 are present and Frame of Reference is defined |
40 | > | CONTAINS | CONTAINER | EV (128476, DCM, "Radiation Dose Estimate Method") | 1-n | M |  |
41 | >> | CONTAINS | CODE | EV (128477, DCM, "Radiation Dose Estimate Method Type") | 1 | M |  | DCID 10068 “Estimate Method Types”
42 | >> | CONTAINS | INCLUDE | DTID 10034 “Radiation Dose Estimate Parameters” | 1 | U |  |
43 | >> | CONTAINS | TEXT | EV (128482, DCM, "Radiation Dose Estimate Method Reference") | 1 | U |  |

Content Item Descriptions

Row 2 | Reference to Radiation Dose SRs or Radiopharmaceutical Administration Dose SRs used in the dose estimation. At least one such SR shall be referenced. ### Note If an SR does not exist, one must be created from estimated data.
Row 3 | Reference to Fiducial SOP Instance that is used to register the Frame of Reference of the Radiation Dose SR.
Row 4 | Reference to Irradiation Event UIDs or Radiopharmaceutical Event UIDs used in the Radiation Dose Estimate Methodology. This shall not be present if all events in the SR are used.
Rows 8 and 9 | Reference to an instance that contains the model used when determining the radiation transport and deposition of energy within a patient, e.g., Surface Segmentation, Mesh, Parametric Map, etc.
Row 10 | Reference to the series of images that contains the model used when determining the radiation transport and deposition of energy within a patient,, e.g., CT, MRI, etc.
Row 11 | Reference to Publication describing the model used. If proprietary, reference the manufacturer model and version of software used.
Rows 13-20 | Provide the demographics used in the patient model to estimate dose. These are not necessarily the demographics of the actual patient.
Row 21 | Contains the Spatial Registration from each Source Radiation Dose SR Frame of Reference to the patient model Frame of Reference. The Frame of Reference of patient model is defined by the space of model coordinates. The Frame of Reference of the Source Radiation Dose SR is the Frame of Reference of the acquired patient images. If no Frame of Reference of the acquired patient images exists, fiducials can be used to define Frame of Reference in both the equipment space, i.e., Source Radiation Dose SR, and the Patient Model space and referenced in Row 5. If RCS Registration Method Type is Visual Alignment, it is assumed any translation/rotation information from the visual alignment is added to other alignment translation/rotation information and saved as a single Spatial Registration SOP Instance.
Row 25 | One content item per attenuator. This can be information about materials in the radiation beam that is used in the estimation method and that may or may not have been included in the Radiation Dose SR. If the beam Attenuator (e.g., filter) is included here and is also in the Radiation Dose SR it is assumed additional information relative to the beam Attenuator material, shape, size, location was needed and this information was not in the Radiation Dose SR or the Radiation Dose SR information is considered incorrect or incomplete.
Row 27 | The estimation method may use an equivalent material rather than the actual material, e.g., a plastic table may be use equivalent aluminum attenuation.
Row 28 | If the attenuator is not uniform, a thickness may still be provided and it is expected that Row 29 (Attenuator Description) will clarify how that thickness was determined. The specified equivalent material is identified in Row 27.
Row 29 | The attenuator characteristics may be described here. If the attenuator thickness was not provided in Row 28, the attenuator may still be described.
Row 30 | Complex attenuators are best described by a model.
Rows 33 and 34 | Reference to an Instance that contains the model e.g., Surface Segmentation, Mesh, Parametric Map, etc.
Row 35 | Reference to the Series of Images that contains the model, e.g., CT, MRI, etc. This can be a Spatial Fiducials SOP Instance.
Row 36 | Contains the Spatial Registration from each Source Radiation Dose SR Frame of Reference to the X-Ray attenuator model Frame of Reference. The Frame of Reference of the X-Ray attenuator model is defined by the space of model coordinates. The Frame of Reference of the Source Radiation Dose SR is the Frame of Reference of the acquired patient images. If no Frame of Reference of the acquired patient images exists, fiducials can be used to define Frame of Reference in both the equipment space, i.e., Source Radiation Dose SR, and X-Ray attenuator model space and referenced in Row 30. If RCS Registration Method Type is Visual Alignment it is assumed any translation/rotation information from the visual alignment is added to other alignment translation/rotation information and saved as a single Spatial Registration SOP Instance.
Row 32 and 43 | Provide name of method, reference to a publication or the manufacturer model and version

### TID 10034 Radiation Dose Estimate Parameters

This template includes the parameters that are specific to the Radiation Dose Estimate Method used in the algorithms when estimating dose to individual organs, phantoms, or the entire body from imaging studies that use ionizing radiation.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10034. Radiation Dose Estimate Parameters

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (128434, DCM, "Radiation Dose Estimate Parameters") | 1 | M |  |
2 | > | CONTAINS | NUM | DCID 10069 “Radiation Dose Estimation Parameter ” | 1-n | MC | IF Row 4 absent | UNITS = DCID 82 “Units of Measurement”
4 | > | CONTAINS | COMPOSITE | EV (128436, DCM, "Radiation Dose Composite Parameters") | 1-n | MC | IF Row 2 absent |
5 | >> | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |

Content Item Descriptions

Row 2 | These are the parameters of the method specified in Row 43 of TID 10033 “Radiation Dose Estimate Methodology”. The code meanings should correlate directly with the names of the parameters used in the methodology documentation.
Row 4 | References to Parametric Map Image, Mesh, encapsulated pdf, or other similar IOD.
Row 5 | Describes the contents of the IOD referenced in Row 4

## Enhanced X-Ray Radiation Dose SR IOD Templates

The Templates that comprise the Enhanced X-Ray Radiation Dose SR are interconnected as in Figure A-18b.

Figure A-18b. Enhanced X-Ray Radiation Dose Structured Report IOD Template Structure

### TID 10040 Enhanced X-Ray Radiation Dose

This template defines a container (the root) with subsidiary content items for documenting the radiation output for an ionizing radiation imaging device. This template supports cone-beam CT, in addition to other modalities.

Type:

  Extensible

Order:

  Non-Significant

Root:

  Yes

Table TID 10040. Enhanced X-Ray Radiation Dose

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (113701, DCM, "X-Ray Radiation Dose Report") | 1 | M |  | Root Node
2 | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | M |  |
3 | > | HAS CONCEPT MOD | CODE | EV (121058, DCM, "Procedure reported") | 1 | M |  |
4 | >> | HAS CONCEPT MOD | CODE | EV (363703001, SCT, "Has Intent") | 1 | M |  | DCID 3629 “Procedure Intent”
5 | > | HAS OBS CONTEXT | INCLUDE | DTID 1002 “Observer Context” | 1-n | M |  |
6 | > | HAS OBS CONTEXT | CODE | EV (113705, DCM, "Scope of Accumulation") | 1 | M |  | DCID 10000 “Scope of Accumulation”
7 | > | CONTAINS | INCLUDE | DTID 10041 “Accumulated Dose Data” | 1-n | U |  |
8 | > | CONTAINS | INCLUDE | DTID 10042 “Irradiation Event Summary Data” | 1-n | M |  |
9 | > | CONTAINS | INCLUDE | DTID 10043 “Irradiation Details” | 1 | M |  |
10 | > | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |
11 | > | CONTAINS | INCLUDE | DTID 1020 “Person Participant” | 1 | U |  | $PersonProcedureRole = EV (113850, DCM, "Irradiation Authorizing")
12 | > | CONTAINS | CODE | EV (113854, DCM, "Source of Dose Information") | 1-n | M |  | DCID 10020 “Source of Projection X-Ray Dose Information”

Content Item Descriptions

Row 7 | TID 10041 may be included once for each source. Summary-level values that may include multiple sources, e.g., Dose Area Product Total from planes A and B of a biplane system,could be described by an instance of TID 10041 where the Identification of X-Ray Source indicates multiple sources, e.g., "A and B".
Row 8 | TID 10042 shall be included once for each irradiation event. Irradiation event values that may include multiple sources, e.g., CTDI for a dual-source CT scanner,could be described by an instance of TID 10042 where the Identification of X-Ray Source indicates multiple sources, e.g., "1 and 2".

### TID 10041 Accumulated Dose Data

This template documents scope of accumulation summary data for a single radiation source. Some rows are modality-specific and may not apply to all uses.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10041. Accumulated Dose Data

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130500, DCM, "Accumulated Dose Data") | 1 | M |  |
2 | > | CONTAINS | TEXT | EV (113832, DCM, "Identification of the X-Ray Source") | 1 | M |  |
3 | > | CONTAINS | CONTAINER | EV (122505, DCM, "Calibration") | 1-n | MC | IFF Calibration Data is available |
4 | >> | HAS CONCEPT MOD | CODE | EV (113794, DCM, "Dose Measurement Device") | 1 | M |  | DCID 10010 “Dose Measurement Devices” DCID 7026 “Radiotherapeutic Dose Measurement Devices”
5 | >> | CONTAINS | DATETIME | EV (113723, DCM, "Calibration DateTime") | 1 | M |  |
6 | >> | CONTAINS | NUM | EV (122322, DCM, "Calibration Factor") | 1 | M |  | UNITS = EV (1, UCUM, "no units")
7 | >> | CONTAINS | NUM | EV (113763, DCM, "Calibration Uncertainty") | 1 | M |  | UNITS = EV (%, UCUM, "Percent")
8 | >> | CONTAINS | TEXT | EV (113724, DCM, "Calibration Responsible Party") | 1 | M |  |
9 | >> | CONTAINS | TEXT | EV (113720, DCM, "Calibration Protocol") | 1 | U |  |
10 | > | CONTAINS | INCLUDE | DTID 1021 “Device Participant” | 1 | MC | Required if the irradiating device is not the recording device and the dose was accumulated on a single device. | $DeviceProcedureRole = EV (113859, DCM, "Irradiating Device")
11 | > | CONTAINS | NUM | EV (113722, DCM, "Dose Area Product Total") | 1 | U |  | UNITS = EV (Gy.m2, UCUM, "Gy.m2")
12 | > | CONTAINS | NUM | EV (113726, DCM, "Fluoro Dose Area Product Total") | 1 | U |  | UNITS = EV (Gy.m2, UCUM, "Gy.m2")
13 | > | CONTAINS | NUM | EV (113727, DCM, "Acquisition Dose Area Product Total") | 1 | U |  | UNITS = EV (Gy.m2, UCUM, "Gy.m2")
14 | > | CONTAINS | NUM | EV (113730, DCM, "Total Fluoro Time") | 1 | U |  | UNITS = EV (s, UCUM, "s")
15 | > | CONTAINS | NUM | EV (113855, DCM, "Total Acquisition Time") | 1 | U |  | UNITS = EV (s, UCUM, "s")
16 | > | CONTAINS | NUM | EV (111637, DCM, "Accumulated Average Glandular Dose") | 1-2 | U |  | UNITS = EV (mGy, UCUM, "mGy")
17 | >> | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | M |  | DCID 6022 “Side”
18 | > | CONTAINS | CODE | EV (113947, DCM, "Detector Type") | 1 | U |  | DCID 10030 “Detector Types”
19 | > | CONTAINS | NUM | EV (113731, DCM, "Total Number of Radiographic Frames") | 1 | U |  | UNITS = EV (1, UCUM, "no units")
20 | > | CONTAINS | CONTAINER | EV (130502, DCM, "Reference Point Dosimetry") | 1 | U |  |
21 | >> | CONTAINS | TEXT | EV (113780, DCM, "Reference Point Definition") | 1 | MC | XOR Row 22 |
22 | >> | CONTAINS | CODE | EV (113780, DCM, "Reference Point Definition") | 1 | MC | XOR Row 21 | DCID 10025 “Radiation Dose Reference Points”
23 | >> | CONTAINS | NUM | EV (113725, DCM, "Dose (RP) Total") | 1 | U |  | UNITS = EV (Gy, UCUM, "Gy")
24 | >> | CONTAINS | NUM | EV (113728, DCM, "FluoroDose (RP) Total") | 1 | U |  | UNITS = EV (Gy, UCUM, "Gy")
25 | >> | CONTAINS | NUM | EV (113729, DCM, "Acquisition Dose (RP) Total") | 1 | U |  | UNITS = EV (Gy, UCUM, "Gy")
26 | >> | CONTAINS | NUM | EV (113737, DCM, "Distance Source to Reference Point") | 1 | U |  | UNITS = EV (mm, UCUM, "mm")
27 | > | CONTAINS | NUM | EV (113812, DCM, "Total Number of Irradiation Events") | 1 | U |  | UNITS = EV ({events}, UCUM, "events")
28 | > | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |

Content Item Descriptions

Row 2 | Identification the X-Ray source. This designation shall not change for a given source throughout the entire RDSR. Summary-level values that may traditionally include multiple sources, e.g., Dose Area Product Total from planes A and B of a biplane system, could be described by an instance of this template where the Identification of X-Ray Source indicates multiple sources, e.g., "A and B." Summary-level values that are not traditionally described across multiple sources, e.g., Dose (RP) Total on a biplane system, should not accumulate these values across both sources.
Row 5 | Date that the calibration of the equipment's dose indicators was performed.
Row 6 | Typically, a value provided by the medical physicist. The recorded dose or dose area product values in this report can be multiplied by this factor to obtain estimated real-world values. ### Note Note: It is important that this value must not be applied to the measured values before storing them in the report.
Row 7 | Value range from 0 to 100 percent. Uncertainty of the 'actual' value expressed as +/- of the mean.
Row 8 | Identifies Individual or organization responsible for calibration.
Row 9 | Describes calibration protocol according to equipment standards or local guidelines.
Row 10 | The device that produced the irradiation accumulated in this template, i.e., the X-Ray source. This is not required to be present if the information is the same as that already recorded in TID 1004 “Device Observer Identifying Attributes” encoded via the inclusion of TID 1002 “Observer Context” in TID 10040 Row 5.
Row 11 | The total Dose Area Product for all fluoroscopy and acquisition events for a given X-Ray radiation source.
Row 12 | The fluoroscopy component of the total Dose Area Product.
Row 13 | The acquisition component of the total Dose Area Product.
Row 14 | Total clock time of Fluoroscopy accumulated over the defined scope of accumulation (i.e., the sum of the Irradiation Duration values for accumulated fluoroscopy irradiation events).
Row 15 | Total clock time of acquisitions accumulated over the defined scope of accumulation (i.e., the sum of the Irradiation Duration values for accumulated acquisition irradiation events).
Row 21 | A text definition of the Reference Point (RP) used for RP-related dose values.
Row 22 | A coded definition of the Reference Point (RP) used for RP-related dose values.
Row 23 | Accumulated dose relative to reference point.
Row 24 | The fluoroscopic component of the accumulated dose relative to reference point.
Row 25 | The acquisition component of the accumulated dose relative to reference point.
Row 26 | A single value for calculating reference point dose based on fixed distance.
Row 27 | Total Number of irradiation events.

### TID 10042 Irradiation Event Summary Data

This template documents irradiation event-level summary data.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10042. Irradiation Event Summary Data

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130501, DCM, "Irradiation Event Summary Data") | 1 | M |  |
2 | > | CONTAINS | UIDREF | EV (113769, DCM, "Irradiation Event UID") | 1 | M |  |
3 | > | CONTAINS | DATETIME | DT (111526, DCM, "DateTime Started") | 1 | M |  |
4 | > | CONTAINS | DATETIME | DT (111527, DCM, "DateTime Ended") | 1 | M |  |
5 | > | CONTAINS | TEXT | EV (113832, DCM, "Identification of the X-Ray Source") | 1 | M |  |
6 | > | CONTAINS | TEXT | EV (113605, DCM, "Irradiation Event Label") | 1 | U |  |
7 | >> | HAS CONCEPT MOD | CODE | EV (113606, DCM, "Label Type") | 1 | MC | IF the value of Row 6 is the value of an Attribute in the images. | DCID 10022 “Label Types”
8 | > | CONTAINS | CODE | EV (113721, DCM, "Irradiation Event Type") | 1 | M |  | DCID 10002 “Irradiation Event Types”
9 | > | CONTAINS | CODE | EV (111031, DCM, "Image View") | 1 | U |  | DCID 4010 “DX View” DCID 4014 “View for Mammography”
10 | >> | HAS CONCEPT MOD | CODE | EV (111032, DCM, "Image View Modifier") | 1-n | U |  | DCID 4011 “DX View Modifier” DCID 4015 “View Modifier for Mammography”
11 | >> | CONTAINS | CODE | EV (113946, DCM, "Projection Eponymous Name") | 1 | U |  | DCID 4012 “Projection Eponymous Name”
12 | > | CONTAINS | NUM | EV (113845, DCM, "Exposure Index") | 1 | U |  | UNITS = EV (1, UCUM, "no units")
13 | > | CONTAINS | NUM | EV (113846, DCM, "Target Exposure Index") | 1 | U |  | UNITS = EV (1, UCUM, "no units")
14 | > | CONTAINS | NUM | EV (113847, DCM, "Deviation Index") | 1 | U |  | UNITS = EV (1, UCUM, "no units")
15 | > | CONTAINS | IMAGE | EV (113795, DCM, "Acquired Image") | 1-n | U |  |
16 | > | CONTAINS | NUM | EV (113738, DCM, "Dose (RP)") | 1 | U |  | UNITS = EV (Gy, UCUM, "Gy")
17 | > | CONTAINS | NUM | EV (111631, DCM, "Average Glandular Dose") | 1 | U |  | UNITS = EV (mGy, UCUM, "mGy")
18 | > | CONTAINS | CODE | EV (128551, DCM, "Is Repeated Acquisition") | 1 | U |  | DCID 231 “Yes-No Only”
19 | >> | HAS CONCEPT MOD | CODE | EV (128552, DCM, "Reason for Repeating Acquisition") | 1 | MC | IFF Row 18 = (373066001, SCT, "Yes") | DCID 10034 “Reason for Repeating Acquisition” DCID 7011 “Rejected for Quality Reasons”
20 | >> | CONTAINS | UIDREF | EV (113769, DCM, "Irradiation Event UID") | 1 | UC | IFF Row 18 = (373066001, SCT, "Yes") |
21 | > | CONTAINS | CODE | EV (130503, DCM, "Is Rejected Acquisition") | 1 | U |  | DCID 231 “Yes-No Only”
22 | >> | HAS CONCEPT MOD | CODE | EV (130504, DCM, "Reason for Rejecting Acquisition") | 1 | MC | IFF Row 21 = (373066001, SCT, "Yes") | DCID 10034 “Reason for Repeating Acquisition” DCID 7011 “Rejected for Quality Reasons”
23 | > | CONTAINS | NUM | EV (113768, DCM, "Number of Pulses") | 1 | U |  | UNITS = EV (1, UCUM, "no units")
24 | >> | HAS CONCEPT MOD | CODE | EV (121401, DCM, "Derivation") | 1 | MC | IFF count of pulses in Row 23 is estimated | EV (414135002, SCT, "Estimated")
25 | > | CONTAINS | NUM | EV (113820, DCM, "CT Acquisition Type") | 1 | U |  | DCID 10013 “CT Acquisition Type”
26 | > | CONTAINS | NUM | EV (113824, DCM, "Exposure Time") | 1 | U |  | UNITS = EV (ms, UCUM, "ms")
27 | > | CONTAINS | CONTAINER | EV (113829, DCM, "CT Dose") | 1 | U |  |
28 | >> | CONTAINS | NUM | EV (113830, DCM, "Mean CTDIvol") | 1 | M |  | UNITS = EV (mGy, UCUM, "mGy")
29 | >> | CONTAINS | CODE | EV (113835, DCM, "CTDIw Phantom Type") | 1 | M |  | DCID 4052 “Phantom Devices”
30 | >> | CONTAINS | NUM | EV (113836, DCM, "CTDIfreeair Calculation Factor") | 1 | U |  | UNITS = EV (mGy/mA.s, UCUM, "mGy/mA.s")
31 | >> | CONTAINS | NUM | EV (113837, DCM, "Mean CTDIfreeair") | 1 | U |  | UNITS = EV (mGy, UCUM, "mGy")
32 | >> | CONTAINS | NUM | EV (113838, DCM, "DLP") | 1 | M |  | UNITS = EV (mGy.cm, UCUM, "mGy.cm")
33 | >> | CONTAINS | NUM | EV (113930, DCM, "Size Specific Dose Estimation") | 1-n | U |  | UNITS = EV (mGy, UCUM, "mGy")
34 | >>> | HAS CONCEPT MOD | CODE | EV (370129005, SCT, "Measurement Method") | 1 | M |  | DCID 10023 “Size Specific Dose Estimation Method for CT”
35 | >>>> | INFERRED FROM | NUM | EV (113931, DCM, "Measured Lateral Dimension") | 1 | MC | IF row 34 equals (113934, DCM, "AAPM 204 Lateral Dimension") or (113936, DCM, "AAPM 204 Sum of Lateral and AP Dimension") | UNITS = EV (mm, UCUM, "mm")
36 | >>>> | INFERRED FROM | NUM | EV (113932, DCM, "Measured AP Dimension") | 1 | MC | IF row 34 equals (113935, DCM, "AAPM 204 AP Dimension") or (113936, DCM, "AAPM 204 Sum of Lateral and AP Dimension") | UNITS = EV (mm, UCUM, "mm")
37 | >>>> | INFERRED FROM | NUM | EV (113933, DCM, "Derived Effective Diameter") | 1 | MC | IF row 34 equals (113934, DCM, "AAPM 204 Lateral Dimension") or (113935, DCM, "AAPM 204 AP Dimension") or (113936, DCM, "AAPM 204 Sum of Lateral and AP Dimension") or (113937, DCM, "AAPM 204 Effective Diameter Estimated From Patient Age") | UNITS = EV (mm, UCUM, "mm")
38 | >>>> | INFERRED FROM | NUM | EV (113980, DCM, "Water Equivalent Diameter") | 1 | MC | IF row 34 equals (113981, DCM, "Water Equivalent Diameter Representative Value") | UNITS = EV (mm, UCUM, "mm")
39 | >>>>> | HAS CONCEPT MOD | CODE | EV (370129005, SCT, "Measurement Method") | 1 | M |  | DCID 10024 “Water Equivalent Diameter Method”
40 | >>>> | INFERRED FROM | UIDREF | EV (113985, DCM, "Series or Instance used for Water Equivalent Diameter estimation") | 1-n | MC | IF row 34 equals (113982, DCM, "Water Equivalent Diameter Integrated Across Scan Range") or (113984, DCM, "Water Equivalent Diameter From Localizer") or (row 34 equals (113983, DCM, "Water Equivalent Diameter From Raw Data") and the Raw Data is encoded in DICOM). |
41 | >>>> | INFERRED FROM | NUM | EV (113986, DCM, "Z value of location of Water Equivalent Diameter estimation") | 1 | MC | IF row 34 equals (113981, DCM, "Water Equivalent Diameter Representative Value") | UNITS = EV (mm, UCUM, "mm")
42 | >> | CONTAINS | INCLUDE | DTID 10015 “CT Dose Check Details” | 1 | U |  |
43 | > | CONTAINS | TEXT | EV (113842, DCM, "X-Ray Modulation Type") | 1 | U |  |
44 | > | CONTAINS | UIDREF | EV (112227, DCM, "Frame of Reference UID") | 1 | U |  | If present, shall be the same UID as in the images resulting from this irradiation event.
45 | > | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |
46 | > | CONTAINS | INCLUDE | DTID 1020 “Person Participant” | 1-n | U |  | $PersonProcedureRole = EV (113851, DCM, "Irradiation Administering")
47 | > | CONTAINS | INCLUDE | DTID 1021 “Device Participant” | 1 | MC | Required if the irradiating device is not the recording device. | $DeviceProcedureRole = EV (113859, DCM, "Irradiating Device")

Content Item Descriptions

Row 3 | This shall correspond to the start of the first irradiation in the Irradiation Event.
Row 4 | This shall correspond to the end of the last irradiation in the Irradiation Event.
Row 5 | Identification the X-Ray source. This designation shall not change for a given source throughout the entire RDSR. Irradiation event values that apply to multiple sources, e.g., CTDI on a dual-source CT scanner, could be described by an instance of this template where the Identification of X-Ray Source indicates multiple sources, e.g., "1 and 2." Irradiation event valuesthat are not traditionally described across multiple sources, e.g., Dose (RP) on a biplane system, should not accumulate these values across both sources.
Row 8 | Cone-beam CT is expected to use (113613, DCM, "Rotational Acquisition").
Row 15 | Reference to Image instances created during this event, if any. The UID reference(s) provided here shall be the values at the time the images were initially created. (Note that image UIDs may be changed as the images are managed over a long term).
Row 16 | Dose applied by this irradiation event, relative to defined reference point. This value may be provided at the Irradiation Event level, but is redundant if the Output Measurement Position is at the same position as the Reference Point defined in TID 10041.
Rows 18, 19, 20 | If an acquisition is a repeat because an earlier acquisition was unsatisfactory, this may be recorded along with a coded reason and the earlier acquisition's irradiation event UID. This is intended to help with subsequent analysis by providing a priori information about why the exam might be flagged as an outlier with higher dose exposure values than usual for the type of exam.
Rows 21, 22 | If an acquisition is a rejected because it was unsatisfactory, this may be recorded along with a coded reason. This is intended to help with subsequent analysis by providing a priori information about why the exam might be flagged as an outlier with higher dose exposure values than usual for the type of exam.
Row 23 | If a precise count of pulses is not available, an estimated number shall be provided, and the Row 24 Concept Modifier shall indicate "Estimated".
Row 25 | Description of the method used during acquisition of the CT irradiation event.
Row 26 | DICOM attributes exist for both Exposure Time in Seconds and Exposure Time in ms. This row uses milliseconds (ms).
Row 27 | CT Dose for one acquisition.
Row 28 | "Mean CTDIvol" refers to the average value of the CTDIvol applied within this acquisition. CTDIvol is the volume CTDIw, where CTDIw is the weighted computed tomography dose index 100 as defined in IEC 60601-2-44. For Sequenced and Spiral scanning, CTDIvol = CTDIw / Pitch Factor. For Stationary and Free scanning, CTDIvol = CTDIw ✕ Cumulative Exposure Time/ Exposure Time Per Rotation. According to IEC 60601-2-44 Ed 3 for Constant Angle Acquisition may be calculated as CTDIvol = (CTDIw / Current Time Product (mAs)) ✕ X-Ray Tube Current (mA) x (Nominal Total Collimation Width (mm) / Table Speed (mm/s)). ### Note The ratio CTDIw / Current Time Product is evaluated independently of the Constant Angle Acquisition but with the same settings of tube voltage and Total Collimation Width as those of the Constant Angle Acquisition. See also CTDIvol (0018,9345) and Spiral Pitch Factor (0018,9311) in the “Enhanced Computed Tomography Image IOD” in PS3.3 .
Row 29 | The type of phantom used for CTDI measurement according to IEC 60601-2-44 (e.g., Head 16 cm diameter PMMA, Body 32 cm diameter PMMA).
Row 30 | The CTDI freeair Calculation Factor is the CTDI freeair per mAs, expressed in units of mGy/mAs. The CTDI freeair Calculation Factor may be used in one method calculating Dose. For example, for this acquisition, Effective Dose = Mean X-Ray Tube Current ✕ Cumulative Exposure Time ✕ CTDI freeair Calculation Factor ✕ (Effective Dose/ CTDI freeair).
Row 31 | MeanCTDI freeair is the mean CTDI for this acquisition, evaluated free-in-air according to IEC 60601-2-44. MeanCTDI freeair = Mean X-Ray Tube Current ✕ Cumulative Exposure Time ✕ CTDI freeair Calculation Factor. The CTDI freeair may be used in one method of calculating Effective Dose.
Row 32 | For Spiral scanning, DLP = CTDI vol ✕ Scanning Length. For Sequenced scanning, DLP = CTDI vol ✕ Nominal Total Collimation Width âœ•Cumulative Exposure Time / Exposure Time per Rotation. For Stationary and Free scanning, DLP = CTDI vol ✕ Nominal Total Collimation Width (according to IEC 60601-2-44).
Row 33 | More than one Size Specific Dose Estimation may be included, for example if different computation methods are used.
Row 34 | The methods of [AAPM Report 204] are listed in CID 10023 "Size Specific Dose Estimation Method for CT"; other methods may be used. The phantom size used for the calculation is available from the phantom type defined in Row 29.
Row 35 | The condition specifies inclusion of the Measured Lateral Dimension if it was used in the calculation.
Row 36 | The condition specifies inclusion of the Measured AP Dimension if it was used in the calculation.
Row 37 | The Derived Effective Diameter is conditionally included, whether it was derived from measurements or estimated from age, but may not be used for other (non-AAPM Report 204) methods.
Row 38 | A single value for Water Equivalent Diameter is encoded in Row 38 if the method uses a single value. It is required if the method uses a representative slice, but may also be present if the method used a Localizer or Raw Data at a single location rather than the entire scan range.
Row 39 | The modifier is intended to specify the family of methods and not the specific technique (e.g., for AAPM 220 (113987, DCM, "AAPM 220") is used, not (113981, DCM, "Water Equivalent Diameter Representative Value"), etc.).
Row 40 | If the method uses multiple slices across the scan range, the reconstructed image Series or (list of) Instances used is referenced; the values for Water Equivalent Diameter may or may not be recorded in the CT Image Module or CT Exposure Macro of those images. More than one Series may be referenced if the reconstructed images for this acquisition used for Water Equivalent Diameter estimation span multiple series. If the Water Equivalent Diameter was computed from raw views rather than reconstructed images, then the Raw Data is referenced, if it was encoded in DICOM (it is not required to be).
Row 41 | This location is patient (not table or gantry) relative, to allow it to be defined in the Patient Coordinate System and hence related to the Image Position (Patient) in the reconstructed images. It is required if the method uses a representative slice, but may also be present if the method used a Localizer or Raw Data at a single location rather than the entire scan range.
Row 42 | Record of details associated with using the NEMA Dose Check Standard [NEMA XR 25-2019].
Row 43 | The type of exposure modulation. May use the value of Exposure Modulation Type (0018,9323) from CT Exposure Macro or from CT Image Module.
Row 46 | People responsible for the administration of the radiation reported in the irradiation event. May include values that would appear in Performing Physicians' Name (0008,1050), Performing Physician Identification Sequence (0008,1052), Operators' Name (0008,1070) and/or Operator Identification Sequence (0008,1072).
Row 47 | The device that produced the irradiation in this irradiation event. This is not required to be present if the information is the same as that already recorded in TID 1004 “Device Observer Identifying Attributes” encoded via the inclusion of TID 1002 “Observer Context” in TID 10040 Row 5.

### TID 10043 Irradiation Details

This template describes the radiation dose characteristics independent of an irradiation event. The complete time period over the scope of accumulation and frame of reference are defined in this template.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10043. Irradiation Details

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130505, DCM, "Irradiation Details") | 1 | M |  |
2 | > | CONTAINS | DATETIME | DT (111526, DCM, "DateTime Started") | 1 | M |  |
3 | > | CONTAINS | DATETIME | DT (111527, DCM, "DateTime Ended") | 1 | M |  |
4 | > | CONTAINS | UIDREF | EV (112227, DCM, "Frame of Reference UID") | 1 | M |  |
5 | > | CONTAINS | CODE | EV (130506, DCM, "RDSR Frame of Reference Origin") | 1 | M |  | DCID 10074 “RDSR Frame of Reference Origins”
6 | > | CONTAINS | TEXT | EV (130507, DCM, "RDSR Frame of Reference Description") | 1 | U |  |
7 | > | CONTAINS | INCLUDE | DTID 10044 “Radiation Source Characteristics” | 1-n | M |  |
8 | > | CONTAINS | INCLUDE | DTID 10045 “Radiation Technique” | 1-n | M |  |
9 | > | CONTAINS | INCLUDE | DTID 10046 “Filtration” | 1-n | MC | IF filtration characteristics are known |
10 | > | CONTAINS | INCLUDE | DTID 10047 “Attenuators” | 1-n | MC | IF attenuator characteristics are known |
11 | > | CONTAINS | INCLUDE | DTID 10048 “Radiation Output” | 1-n | M |  |
12 | > | CONTAINS | INCLUDE | DTID 10049 “Radiation Field Area” | 1-n | M |  |
13 | > | CONTAINS | INCLUDE | DTID 10050 “X-Ray Source Reference Coordinate System” | 1-n | M |  |
14 | > | CONTAINS | INCLUDE | DTID 10051 “Beam Position” | 1-n | M |  |
15 | > | CONTAINS | INCLUDE | DTID 10052 “Attenuator Position” | 1-n | MC | IF Row 10 is present AND any attenuator position is known |
16 | > | CONTAINS | INCLUDE | DTID 10053 “Patient Attenuation Characteristics” | 1-n | U |  |
17 | > | CONTAINS | INCLUDE | DTID 10054 “Procedure Characteristics” | 1-n | U |  |

Content Item Descriptions

Row 2 | The DateTime of the beginning of first instance of irradiation in the period defined by the scope of accumulation
Row 3 | The DateTime of the end of the last instance of irradiation in the period defined by the scope of accumulation
Row 4 | Frame of Reference UID identifies the reference coordinate system (RCS) used for this RDSR. This RCS may be defined relative to a point in the room, a point on the equipment, a point on the patient support, etc. This RCS shall be a right-handed Cartesian coordinate system. All events within the scope of accumulation shall use the same RCS. Changes to the system following geometric calibration or service shall result in a new RCS, which will be identified by a new Frame of Reference UID and shall be put into a separate RDSR. ### Note Note: The images generated over this scope of accumulation will also have an RCS identified by an Frame of Reference UID. The Frame of Reference UID of the images may or may not be the same as the Frame of Reference UID for the RDSR RCS. If it is not the same, registration would be required to relate the two RCSs.
Row 5 | It defines the component that is used to define the origin of the RDSR RCS. Allows secondary devices used during the same scope of accumulation to more easily make registration to other RCS post acquisition.
Row 6 | The textual description may include a description of the origin and orientation relative to the real-world entity (e.g., the gantry, patient support, rotational isocenter, etc.).
Row 7, 8, 9, 11, 12, 13, 14 | The subtemplate shall be included at least once for each source if applicable conditions are met.
Row 10, 15 | The subtemplate shall be included at least once if the conditions are met.
Row 16, 17 | The subtemplate may be included multiple times to reflect changes across multiple sources or over time

### TID 10044 Radiation Source Characteristics

This template describes a radiation source (e.g., focal spot size, anode material, etc.).

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10044. Radiation Source Characteristics

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130508, DCM, "Radiation Source Characteristics") | 1 | M |  |
2 | > | CONTAINS | DATETIME | DT (111526, DCM, "DateTime Started") | 1 | M |  |
3 | > | CONTAINS | DATETIME | DT (111527, DCM, "DateTime Ended") | 1 | M |  |
4 | > | CONTAINS | TEXT | EV (113832, DCM, "Identification of the X-Ray Source") | 1 | M |  |
5 | > | CONTAINS | NUM | EV (113766, DCM, "Focal Spot Size") | 1 | MC | XOR Row 6 | UNITS = EV (mm, UCUM, "mm")
6 | > | CONTAINS | TABLE | EV (113766, DCM, "Focal Spot Size") | 1 | MC | XOR Row 5 | NCOLUMNS = 2 COLUMN 1 = EV (111526, DCM, "DateTime Started") COLUMN 2 = EV (113766, DCM, "Focal Spot Size") COLUMN 2 UNITS = EV (mm, UCUM, "mm") COLUMN 1 VR = DT COLUMN 2 VR = FL
7 | > | CONTAINS | CODE | EV (111632, DCM, "Anode Target Material") | 1 | UC | XOR Row 8 | DCID 10016 “Anode Target Material”
8 | > | CONTAINS | TABLE | EV (111632, DCM, "Anode Target Material") | 1 | UC | XOR Row 7 | NCOLUMNS = 2 COLUMN 1 = EV (111526, DCM, "DateTime Started") COLUMN 2 = EV (111632, DCM, "Anode Target Material") COLUMN 2 VALUES = DCID 10016 “Anode Target Material” COLUMN 1 VR = DT COLUMN 2 VR = SQ
9 | > | CONTAINS | CONTAINER | EV (130531, DCM, "Attenuator Characteristics") | 1-n | U |  |
10 | >> | CONTAINS | CODE | EV (113757, DCM, "X-Ray Filter Material") | 1 | MC | XOR Row 13 | DCID 10067 “Radiation Attenuator Materials”
11 | >> | CONTAINS | NUM | EV (130509, DCM, "X-Ray Filter Thickness") | 1 | MC | IFF Row 10 is present | UNITS = EV (mm, UCUM, "mm")
12 | >>> | HAS PROPERTIES | CODE | EV (130510, DCM, "Reported Value Type") | 1 | U |  | DCID 10072 “Reported Value Types”
13 | >> | CONTAINS | CODE | EV (128465, DCM, "Equivalent Attenuator Material") | 1 | MC | XOR Row 10 | DCID 10067 “Radiation Attenuator Materials”
14 | >> | CONTAINS | NUM | EV (128469, DCM, "Equivalent Attenuator Thickness") | 1 | MC | IFF Row 13 is present | UNITS = EV (mm, UCUM, "mm")
15 | >>> | HAS PROPERTIES | CODE | EV (130510, DCM, "Reported Value Type") | 1 | U |  | DCID 10072 “Reported Value Types”

Content Item Descriptions

Row 2 | The DateTime of the beginning of the time period over which the content items are applicable.
Row 3 | The DateTime of the end of the time period over which the content items are applicable.
Row 4 | Identification the X-Ray source. This designation shall not change for a given source throughout the entire RDSR. For systems with multiple X-Ray sources, each source shall be described with a separate instance of this template.
Row 9 | Include the filtration effects of all housing and coolant components which are generally unchanged during a scope of accumulation. Multiple instances of the container may be included if there are multiple components of filtration present. The same component shall only be described once, using either the equivalent or actual material.
Row 10 and 11 | Use Row 10 and 11 when the actual material is used to describe the filtration.
Row 13 and 14 | Use Row 13 and 14 when an equivalent material is used to describe the filtration.

### TID 10045 Radiation Technique

This template describes the technique parameters (e.g., X-Ray tube potential, X-Ray tube current, pulse rate, etc.) of the radiation exposure during a period of time.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10045. Radiation Technique

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130511, DCM, "Radiation Technique") | 1 | M |  |
2 | > | CONTAINS | DATETIME | DT (111526, DCM, "DateTime Started") | 1 | M |  |
3 | > | CONTAINS | DATETIME | DT (111527, DCM, "DateTime Ended") | 1 | M |  |
4 | > | CONTAINS | TEXT | EV (113832, DCM, "Identification of the X-Ray Source") | 1 | M |  |
5 | > | CONTAINS | NUM | EV (111634, DCM, "Half Value Layer") | 1 | UC | XOR Row 7 | UNITS = EV (mm, UCUM, "mm")
6 | >> | HAS PROPERTIES | CODE | EV (130510, DCM, "Reported Value Type") | 1 | U |  | DCID 10072 “Reported Value Types”
7 | > | CONTAINS | TABLE | EV (111634, DCM, "Half Value Layer") | 1 | UC | XOR Row 5 | NCOLUMNS = 2 COLUMN 1 = EV (111526, DCM, "DateTime Started") COLUMN 2 = EV (111634, DCM, "Half Value Layer") COLUMN 2 UNITS = EV (mm, UCUM, "mm") COLUMN 1 VR = DT COLUMN 2 VR = FL
8 | >> | HAS PROPERTIES | CODE | EV (130510, DCM, "Reported Value Type") | 1 | U |  | DCID 10072 “Reported Value Types”
9 | > | CONTAINS | NUM | EV (113733, DCM, "KVP") | 1 | MC | XOR Row 11 | UNITS = EV (kV, UCUM, "kV")
10 | >> | HAS PROPERTIES | CODE | EV (130510, DCM, "Reported Value Type") | 1 | U |  | DCID 10072 “Reported Value Types”
11 | > | CONTAINS | TABLE | EV (113733, DCM, "KVP") | 1 | MC | XOR Row 9 | NCOLUMNS = 2 COLUMN 1 = EV (111526, DCM, "DateTime Started") COLUMN 2 = EV (113733, DCM, "KVP") COLUMN 2 UNITS = EV (kV, UCUM, "kV") COLUMN 1 VR = DT COLUMN 2 VR = FL
12 | >> | HAS PROPERTIES | CODE | EV (130510, DCM, "Reported Value Type") | 1 | U |  | DCID 10072 “Reported Value Types”
13 | > | CONTAINS | NUM | EV (113734, DCM, "X-Ray Tube Current") | 1 | MC | XOR Row 15 | UNITS = EV (mA, UCUM, "mA")
14 | >> | HAS PROPERTIES | CODE | EV (130510, DCM, "Reported Value Type") | 1 | U |  | DCID 10072 “Reported Value Types”
15 | > | CONTAINS | TABLE | EV (113734, DCM, "X-Ray Tube Current") | 1 | MC | XOR Row 13 | NCOLUMNS = 2 COLUMN 1 = EV (111526, DCM, "DateTime Started") COLUMN 2 = EV (113734, DCM, "X-Ray Tube Current") COLUMN 2 UNITS = EV (mA, UCUM, "mA") COLUMN 1 VR = DT COLUMN 2 VR = FL
16 | >> | HAS PROPERTIES | CODE | EV (130510, DCM, "Reported Value Type") | 1 | U |  | DCID 10072 “Reported Value Types”
17 | > | CONTAINS | NUM | EV (113791, DCM, "Pulse Rate") | 1 | UC | XOR Row 19 | UNITS = EV ({pulse}/s, UCUM, "pulse/s")
18 | >> | HAS PROPERTIES | CODE | EV (130510, DCM, "Reported Value Type") | 1 | U |  | DCID 10072 “Reported Value Types”
19 | > | CONTAINS | TABLE | EV (113791, DCM, "Pulse Rate") | 1 | UC | XOR Row 17 | NCOLUMNS = 2 COLUMN 1 = EV (111526, DCM, "DateTime Started") COLUMN 2 = EV (113791, DCM, "Pulse Rate") COLUMN 2 UNITS = EV ({pulse}/s, UCUM, "pulse/s") COLUMN 1 VR = DT COLUMN 2 VR = FL
20 | >> | HAS PROPERTIES | CODE | EV (130510, DCM, "Reported Value Type") | 1 | U |  | DCID 10072 “Reported Value Types”
21 | > | CONTAINS | NUM | EV (113793, DCM, "Pulse Width") | 1 | UC | XOR Row 23 | UNITS = EV (ms, UCUM, "ms")
22 | >> | HAS PROPERTIES | CODE | EV (130510, DCM, "Reported Value Type") | 1 | U |  | DCID 10072 “Reported Value Types”
23 | > | CONTAINS | TABLE | EV (113793, DCM, "Pulse Width") | 1 | UC | XOR Row 21 | NCOLUMNS = 2 COLUMN 1 = EV (111526, DCM, "DateTime Started") COLUMN 2 = EV (113793, DCM, "Pulse Width") COLUMN 2 UNITS = EV (ms, UCUM, "ms") COLUMN 1 VR = DT COLUMN 2 VR = FL
24 | >> | HAS PROPERTIES | CODE | EV (130510, DCM, "Reported Value Type") | 1 | U |  | DCID 10072 “Reported Value Types”

Content Item Descriptions

Row 2 | The DateTime of the beginning of the time period over which the content items are applicable.
Row 3 | The DateTime of the end of the time period over which the content items are applicable.
Row 4 | Identification the X-Ray source. This designation shall not change for a given source throughout the entire RDSR. For systems with multiple X-Ray sources, each source shall be described with a separate instance of this template.

### TID 10046 Filtration

This template describes the filtration applied to a radiation beam after it has exited the X-Ray tube. It does not include inherent filtration associated with the X-Ray tube itself.

Filters move with the associated X-Ray source (within an X-Ray tube). Attenuating material that does not move with an X-Ray source is referred to as an Attenuator and is described in TID 10047.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10046. Filtration

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130512, DCM, "Filtration") | 1 | M |  |
2 | > | CONTAINS | DATETIME | DT (111526, DCM, "DateTime Started") | 1 | M |  |
3 | > | CONTAINS | DATETIME | DT (111527, DCM, "DateTime Ended") | 1 | M |  |
4 | > | CONTAINS | TEXT | EV (113832, DCM, "Identification of the X-Ray Source") | 1 | M |  |
5 | > | CONTAINS | INCLUDE | DTID 10055 “Attenuator Characteristics” | 1-n | M |  |

Content Item Descriptions

Row 2 | The DateTime of the beginning of the time period over which the content items are applicable.
Row 3 | The DateTime of the end of the time period over which the content items are applicable.
Row 4 | Identification the X-Ray source. This designation shall not change for a given source throughout the entire RDSR. It identifies the X-Ray source whose beam is being filtered. For systems with multiple X-Ray sources, each source shall be described with a separate instance of this template.
Row 5 | Include for each X-Ray filter, excluding inherent filtration. Multiple instances may be included if there are multiple components of filtration present. The same component shall only be described once, using either equivalent or actual material.

### TID 10047 Attenuators

This template describes the attenuators present during an exam. The attenuators are different from the filters in that filters are intended to modify the radiation (e.g., bowtie filters, spectral filters, etc.) while attenuators may modify the radiation, but this is not the intended function (e.g., patient support, table pad, etc.).

Attenuators do not move with the associated X-Ray source (within an X-Ray tube). Attenuating material that moves with an X-Ray source is referred to as a Filter and is described in TID 10046.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10047. Attenuators

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130513, DCM, "Attenuators") | 1 | M |  |
2 | > | CONTAINS | DATETIME | DT (111526, DCM, "DateTime Started") | 1 | M |  |
3 | > | CONTAINS | DATETIME | DT (111527, DCM, "DateTime Ended") | 1 | M |  |
4 | > | CONTAINS | INCLUDE | DTID 10055 “Attenuator Characteristics” | 1-n | M |  |

Content Item Descriptions

Row 2 | The DateTime of the beginning of the time period over which the content items are applicable.
Row 3 | The DateTime of the end of the time period over which the content items are applicable.
Row 4 | Include for each attenuator that is present during the specified period of time. Multiple instances may be included if there are multiple layers in an attenuator. The same component shall only be described once, using either equivalent or actual materials.

### TID 10048 Radiation Output

The description of the radiation output at the output measurement point. If the output measurement point position (TID 10051 Row 5), X-Ray source transformation matrix (TID 10051 Row 5), or X-Ray source rotation angle (TID 10051 Row 8) are updated, this TID must also be updated. The TID may also be updated following changes to other machine characteristics (e.g., tube potential).

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10048. Radiation Output

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130514, DCM, "Radiation Output") | 1 | M |  |
2 | > | CONTAINS | DATETIME | DT (111526, DCM, "DateTime Started") | 1 | M |  |
3 | > | CONTAINS | DATETIME | DT (111527, DCM, "DateTime Ended") | 1 | M |  |
4 | > | CONTAINS | TEXT | EV (113832, DCM, "Identification of the X-Ray Source") | 1 | M |  |
5 | > | CONTAINS | NUM | EV (130515, DCM, "Air Kerma at Output Measurement Point") | 1 | MC | XOR Row 6 | UNITS = EV (mGy, UCUM, "mGy")
6 | > | CONTAINS | TABLE | EV (130515, DCM, "Air Kerma at Output Measurement Point") | 1 | MC | XOR Row 5 | NCOLUMNS = 2 COLUMN 1 = EV (111527, DCM, "DateTime Ended") COLUMN 2 = EV (130515, DCM, "Air Kerma at Output Measurement Point") COLUMN 2 UNITS = EV (mGy, UCUM, "mGy") COLUMN 1 VR = DT COLUMN 2 VR = FL

Content Item Descriptions

Rows 2, 3 | The DateTime of the start and end of the radiation output measurement or calculation. This radiation output measurement window shall not overlap with the radiation output measurement window of any other instance of this template within the same RDSR.
Row 4 | Identification the X-Ray source. This designation shall not change for a given source throughout the entire RDSR. For systems with multiple X-Ray sources, each source shall be described with a separate instance of this template.
Row 5 | The accumulated air kerma over the period of time specified by Row 2 and 3.
Row 6 | The table is encoded as a two-column table, consisting of multiple rows describing corresponding values of DateTime and accumulated air kerma over the period of time specified by Row 2 and 3. The number of rows in the table is not constrained. The DateTime value in the first row of the table shall not be before the DateTime value in Row 2, and the corresponding air kerma value shall indicate the accumulated air kerma between the DateTime in Row 2 and the specified DateTime of the first row. Each subsequent row describes the accumulated air kerma between the DateTime in the previous row and the current row. The final DateTime value shall not be after the end DateTime value specified in Row 3.

### TID 10049 Radiation Field Area

This template contains a description of the radiation field area for a given X-Ray source, which accounts for collimation.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10049. Radiation Field Area

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130516, DCM, "Radiation Field Area") | 1 | M |  |
2 | > | CONTAINS | DATETIME | DT (111526, DCM, "DateTime Started") | 1 | M |  |
3 | > | CONTAINS | DATETIME | DT (111527, DCM, "DateTime Ended") | 1 | M |  |
4 | > | CONTAINS | TEXT | EV (113832, DCM, "Identification of the X-Ray Source") | 1 | M |  |
5 | > | CONTAINS | SCOORD3D | EV (130517, DCM, "Radiation Field Outline") | 1-n | M |  | GRAPHIC TYPE = {POLYGON, ELLIPSE}
6 | >> | HAS PROPERTIES | CODE | EV (130518, DCM, "Value Timing") | 1 | U |  | DCID 10073 “Value Timings”

Content Item Descriptions

Row 2 | The DateTime of the beginning of the time period over which the content items are applicable.
Row 3 | The DateTime of the end of the time period over which the content items are applicable.
Row 4 | Identification the X-Ray source. This designation shall not change for a given source throughout the entire RDSR.
Row 5 | The Radiation Field Outline describes the area and shape of the radiation field. The points shall be coplanar and are defined in the X-Ray source reference coordinate system.

### TID 10050 X-Ray Source Reference Coordinate System

This template describes the transformation between the X-Ray-source-related coordinate positions and the RDSR reference coordinate system.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10050. X-Ray Source Reference Coordinate System

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130519, DCM, "X-Ray Source Reference Coordinate System") | 1 | M |  |
2 | > | CONTAINS | DATETIME | DT (111526, DCM, "DateTime Started") | 1 | M |  |
3 | > | CONTAINS | DATETIME | DT (111527, DCM, "DateTime Ended") | 1 | M |  |
4 | > | CONTAINS | TEXT | EV (113832, DCM, "Identification of the X-Ray Source") | 1 | M |  |
5 | > | CONTAINS | TABLE | EV (130520, DCM, "Transformation Matrix") | 1 | M |  | NCOLUMNS = 4 NROWS= 4 CELL VR = FD
6 | > | CONTAINS | SCOORD3D | EV (130521, DCM, "Center of Rotation") | 1 | MC | IFF Row 8 is present | GRAPHIC TYPE = {POINT}
7 | > | CONTAINS | SCOORD3D | EV (130522, DCM, "Rotation Plane Normal Point") | 1 | MC | IFF Row 8 is present | GRAPHIC TYPE = {POINT}
8 | > | CONTAINS | TABLE | EV (130523, DCM, "Rotation Angle") | 1 | U |  | NCOLUMNS = 2 COLUMN 1 = EV (111526, DCM, "DateTime Started") COLUMN 2 = EV (130523, DCM, "Rotation Angle") COLUMN 2 UNITS = EV (deg, UCUM, "deg") COLUMN 1 VR = DT COLUMN 2 VR = FD

Content Item Descriptions

Row 2 | The DateTime of the beginning of the time period over which the content items are applicable.
Row 3 | The DateTime of the end of the time period over which the content items are applicable.
Row 4 | Identification the X-Ray source. This designation shall not change for a given source throughout the entire RDSR. For systems with multiple X-Ray sources, each source shall be described with a separate instance of this template.
Row 5 | A 4-by-4 matrix of dimensionless numbers of the form defined in Section C.20.2.1.1 “Frame of Reference Transformation Matrix” in PS3.3 . The matrix describes the rigid transformation matrix (including translation and rotation) that transforms the X-Ray source reference coordinate system to the RDSR reference coordinate system. The translation described by this matrix indicates the position and orientation of the X-Ray source within the RDSR reference coordinate system. Like the RDSR RCS, the X-Ray source reference coordinate system shall be a right-handed Cartesian coordinate system. In the specific case of a source rotating about a fixed point within a plane, Row 6-8 may be specified to describe the rotation of a moving source without the need to encode multiple transformation matrices. For an RDSR that describes only a rotating source in a single plane, the source transformation matrix may be described only once, with all subsequent movements described by the values in Row 6-8. If Row 6-8 are used, the transformation matrix described in Row 5 corresponds to the position and orientation of the source at the beginning of the rotation.
Row 6 | Position of the center of rotation of the X-Ray source in the X-Ray source reference coordinate system. Since the X-Ray source RCS uses the source as the origin, this value defines the vector from the source to the center of rotation. Its value shall be assumed to be the position at the initial angle of rotation. Zero degrees in Row 8 is the angle of the source about the center of rotation at its initial position.
Row 7 | Row 6 is combined with Row 7 to define the normal vector to the rotational plane. The Center of Rotation SCOORD3D value from Row 6 defines the origin of the vector. Row 7 defines the distal end of the vector. The orientation of the vector assumes the same x, y, and z axis orientations as the X-Ray source reference coordinate system. The positive rotation angle is clockwise as viewed from the center of rotation along this normal vector. This vector may or may not be a unit vector.
Row 8 | Two-column table specifying DateTime values and X-Ray source rotation angles. This table shall only be populated in the specific case when the X-Ray source is rotating about a fixed center of rotation within a plane. It allows encoding of a single value, i.e., angle, of a source in a specific motion (rotating around a fixed point), along with an accompanying DateTime value. The position of the source at the beginning of the rotation is defined as zero degrees. The first DateTime value shall not be before the start DateTime value in Row 2 of the template, and the final DateTime value shall not be after the end DateTime value specified in Row 3.

### TID 10051 Beam Position

This template describes the positions of objects and locations that are defined in the X-Ray source reference coordinate system (e.g., output measurement point, filter position, etc.).

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10051. Beam Position

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130524, DCM, "Beam Position") | 1 | M |  |
2 | > | CONTAINS | DATETIME | DT (111526, DCM, "DateTime Started") | 1 | M |  |
3 | > | CONTAINS | DATETIME | DT (111527, DCM, "DateTime Ended") | 1 | M |  |
4 | > | CONTAINS | TEXT | EV (113832, DCM, "Identification of the X-Ray Source") | 1 | M |  |
5 | > | CONTAINS | SCOORD3D | EV (130525, DCM, "Output Measurement Point Position") | 1 | M |  | GRAPHIC TYPE = {POINT}
6 | >> | HAS PROPERTIES | CODE | EV (130518, DCM, "Value Timing") | 1 | U |  | DCID 10073 “Value Timings”
7 | > | CONTAINS | SCOORD3D | EV (130526, DCM, "Reference Point Position") | 1 | MC | IF Reference Point Definition is provided in TID 10041 | GRAPHIC TYPE = {POINT}
8 | >> | HAS PROPERTIES | CODE | EV (130518, DCM, "Value Timing") | 1 | U |  | DCID 10073 “Value Timings”
9 | > | CONTAINS | CONTAINER | EV (128472, DCM, "X-Ray Beam Attenuator Model") | 1-n | MC | IF an X-Ray Filter is described in TID 10046 AND the position is known |
10 | >> | CONTAINS | TEXT | EV (130527, DCM, "Identification of the Attenuator") | 1 | M |  |
11 | >> | CONTAINS | IMAGE | EV (128470, DCM, "X-Ray Attenuator Model Data") | 1 | MC | XOR Row 12, 13 |
12 | >> | CONTAINS | COMPOSITE | EV (128470, DCM, "X-Ray Attenuator Model Data") | 1 | MC | XOR Row 11, 13 |
13 | >> | CONTAINS | UIDREF | EV (128470, DCM, "X-Ray Attenuator Model Data") | 1 | MC | XOR Row 11, 12 |
14 | >> | CONTAINS | TABLE | EV (130520, DCM, "Transformation Matrix") | 1 | M |  | NCOLUMNS = 4 NROWS= 4 CELL VR = FD

Content Item Descriptions

Row 2 | The DateTime of the beginning of the time period over which the content items are applicable.
Row 3 | The DateTime of the end of the time period over which the content items are applicable.
Row 4 | Identification the X-Ray source. This designation shall not change for a given source throughout the entire RDSR. For systems with multiple X-Ray sources, each source shall be described with a separate instance of this template.
Row 5 | The Output Measurement Point Position describes the position where the measure or machine estimate of radiation output occurs. It is described in the X-Ray source reference coordinate system. It may be the same position as the reference point position (the reference point may be defined in TID 10041).
Row 7 | If a reference point is defined in TID 10041, its position in the X-Ray source reference coordinate system shall be described here.
Row 9 | Provide the model and position of each X-Ray filter described in TID 10046, if known.
Row 10 | Each X-Ray filter model and position description includes the identification of the X-Ray filter, which shall match the identification used in TID 10046.
Row 11, 12, 13 | Reference to a three-dimensional model of the X-Ray filter
Row 14 | A 4-by-4 matrix of dimensionless numbers of the form defined in Section C.20.2.1.1 “Frame of Reference Transformation Matrix” in PS3.3 . The matrix describes the rigid transformation matrix (including translation and rotation) that transforms the reference coordinate system for the X-Ray filter to the X-Ray source reference coordinate system. The translation described by this matrix indicates the position and orientation of the X-Ray filter within the X-Ray source reference coordinate system. The RCS for the X-Ray filter shall be a right-handed Cartesian coordinate system. If the model data in Row 11, 12, or 13 was not originally in a right-handed Cartesian coordinate system, it must transformed prior to inclusion in this template.

### TID 10052 Attenuator Position

This template describes the details of the attenuator positions.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10052. Attenuator Position

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130528, DCM, "Attenuator Position") | 1 | M |  |
2 | > | CONTAINS | DATETIME | DT (111526, DCM, "DateTime Started") | 1 | M |  |
3 | > | CONTAINS | DATETIME | DT (111527, DCM, "DateTime Ended") | 1 | M |  |
4 | > | CONTAINS | CONTAINER | EV (128472, DCM, "X-Ray Beam Attenuator Model") | 1-n | MC | IF an X-Ray Attenuator is described in TID 10047 AND the position is known |
5 | >> | CONTAINS | TEXT | EV (130527, DCM, "Identification of the Attenuator") | 1 | M |  |
6 | >> | CONTAINS | IMAGE | EV (128470, DCM, "X-Ray Attenuator Model Data") | 1 | MC | XOR Row 7, 8 |
7 | >> | CONTAINS | COMPOSITE | EV (128470, DCM, "X-Ray Attenuator Model Data") | 1 | MC | XOR Row 6, 8 |
8 | >> | CONTAINS | UIDREF | EV (128470, DCM, "X-Ray Attenuator Model Data") | 1 | MC | XOR Row 6, 7 |
9 | >> | CONTAINS | TABLE | EV (130520, DCM, "Transformation Matrix") | 1 | M |  | NCOLUMNS = 4 NROWS= 4 CELL VR = FD

Content Item Descriptions

Row 2 | The DateTime of the beginning of the time period over which the content items are applicable.
Row 3 | The DateTime of the end of the time period over which the content items are applicable.
Row 4 | Provide the model and position of each X-Ray attenuator described in TID 10047, if known.
Row 5 | Each X-Ray attenuator model and position description includes the identification of the X-Ray attenuator, which shall match the identification used in TID 10047.
Row 6, 7, 8 | Reference to a three-dimensional model of the X-Ray attenuator
Row 9 | A 4-by-4 matrix of dimensionless numbers of the form defined in Section C.20.2.1.1 “Frame of Reference Transformation Matrix” in PS3.3 . The matrix describes the rigid transformation matrix (including translation and rotation) that transforms the reference coordinate system for the X-Ray attenuator to the RDSR reference coordinate system. The translation described by this matrix indicates the position and orientation of the X-Ray attenuator within the RDSR reference coordinate system. The RCS for the X-Ray attenuator shall be a right-handed Cartesian coordinate system. If the model data in Row 6, 7, 8 was not originally in a right-handed Cartesian coordinate system, it must transformed prior to inclusion in this template.

### TID 10053 Patient Attenuation Characteristics

This template describes the details of the patient attenuation characteristics that may be determined/used by the system (e.g., patient equivalent thickness, water equivalent diameter, etc.).

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10053. Patient Attenuation Characteristics

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130529, DCM, "Patient Attenuation Characteristics") | 1 | M |  |
2 | > | CONTAINS | DATETIME | DT (111526, DCM, "DateTime Started") | 1 | M |  |
3 | > | CONTAINS | DATETIME | DT (111527, DCM, "DateTime Ended") | 1 | M |  |
4 | > | CONTAINS | TEXT | EV (113832, DCM, "Identification of the X-Ray Source") | 1 | M |  |
5 | > | CONTAINS | NUM | EV (111638, DCM, "Patient Equivalent Thickness") | 1 | UC | XOR Row 6 | UNITS = EV (mm, UCUM, "mm")
6 | > | CONTAINS | TABLE | EV (111638, DCM, "Patient Equivalent Thickness") | 1 | UC | XOR Row 5 | NCOLUMNS = 2 COLUMN 1 = EV (111526, DCM, "DateTime Started") COLUMN 2 = EV (111638, DCM, "Patient Equivalent Thickness") COLUMN 2 UNITS = EV (mm, UCUM, "mm") COLUMN 1 VR = DT COLUMN 2 VR = FL
7 | > | CONTAINS | NUM | EV (113980, DCM, "Water Equivalent Diameter") | 1 | UC | XOR Row 8 | UNITS = EV (mm, UCUM, "mm")
8 | > | CONTAINS | TABLE | EV (113980, DCM, "Water Equivalent Diameter") | 1 | UC | XOR Row 7 | NCOLUMNS = 2 COLUMN 1 = EV (111526, DCM, "DateTime Started") COLUMN 2 = EV (113980, DCM, "Water Equivalent Diameter") COLUMN 2 UNITS = EV (mm, UCUM, "mm") COLUMN 1 VR = DT COLUMN 2 VR = FL
9 | > | CONTAINS | NUM | EV (113931, DCM, "Measured Lateral Dimension") | 1 | UC | XOR Row 10 | UNITS = EV (mm, UCUM, "mm")
10 | > | CONTAINS | TABLE | EV (113931, DCM, "Measured Lateral Dimension") | 1 | UC | XOR Row 9 | NCOLUMNS = 2 COLUMN 1 = EV (111526, DCM, "DateTime Started") COLUMN 2 = EV (113931, DCM, "Measured Lateral Dimension") COLUMN 2 UNITS = EV (mm, UCUM, "mm") COLUMN 1 VR = DT COLUMN 2 VR = FL
11 | > | CONTAINS | NUM | EV (113932, DCM, "Measured AP Dimension") | 1 | UC | XOR Row 12 | UNITS = EV (mm, UCUM, "mm")
12 | > | CONTAINS | TABLE | EV (113932, DCM, "Measured AP Dimension") | 1 | UC | XOR Row 11 | NCOLUMNS = 2 COLUMN 1 = EV (111526, DCM, "DateTime Started") COLUMN 2 = EV (113932, DCM, "Measured AP Dimension") COLUMN 2 UNITS = EV (mm, UCUM, "mm") COLUMN 1 VR = DT COLUMN 2 VR = FL
13 | > | CONTAINS | NUM | EV (113933, DCM, "Derived Effective Diameter") | 1 | UC | XOR Row 14 | UNITS = EV (mm, UCUM, "mm")
14 | > | CONTAINS | TABLE | EV (113933, DCM, "Derived Effective Diameter") | 1 | UC | XOR Row 13 | NCOLUMNS = 2 COLUMN 1 = EV (111526, DCM, "DateTime Started") COLUMN 2 = EV (113933, DCM, "Derived Effective Diameter") COLUMN 2 UNITS = EV (mm, UCUM, "mm") COLUMN 1 VR = DT COLUMN 2 VR = FL
15 | > | CONTAINS | CODE | EV (129715009, SCT, "Breast composition") | 1 | UC | XOR Row 16 | DCID 6000 “Overall Breast Composition”
16 | > | CONTAINS | TABLE | EV (129715009, SCT, "Breast composition") | 1 | UC | XOR Row 15 | NCOLUMNS = 2 COLUMN 1 = EV (111526, DCM, "DateTime Started") COLUMN 2 = EV (129715009, SCT, "Breast composition") COLUMN 2 VALUES = DCID 6000 “Overall Breast Composition” COLUMN 1 VR = DT COLUMN 2 VR = SQ

Content Item Descriptions

Row 2 | The DateTime of the beginning of the time period over which the content items are applicable.
Row 3 | The DateTime of the end of the time period over which the content items are applicable.
Row 4 | Identification the X-Ray source. This designation shall not change for a given source throughout the entire RDSR. For systems with multiple X-Ray sources, each source shall be described with a separate instance of this template.
Row 5-16 | Patient-specific measurements which may be determined by the imaging equipment during the scope of accumulation. If they are known, they may be reported here.

### TID 10054 Procedure Characteristics

This template describes the details of the procedure characteristics (e.g., patient orientation, SID, etc.).

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10054. Procedure Characteristics

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130530, DCM, "Procedure Characteristics") | 1 | M |  |
2 | > | CONTAINS | DATETIME | DT (111526, DCM, "DateTime Started") | 1 | M |  |
3 | > | CONTAINS | DATETIME | DT (111527, DCM, "DateTime Ended") | 1 | M |  |
4 | > | CONTAINS | NUM | EV (113832, DCM, "Identification of the X-Ray Source") | 1 | M |  | UNITS = EV (1, UCUM, "no units")
5 | > | CONTAINS | TEXT | EV (125203, DCM, "Acquisition Protocol") | 1 | U |  |
6 | > | CONTAINS | CODE | EV (113745, DCM, "Patient Table Relationship") | 1 | U |  | DCID 21 “Patient Equipment Relationship”
7 | > | CONTAINS | CODE | EV (113743, DCM, "Patient Orientation") | 1 | U |  | DCID 19 “Patient Orientation”
8 | >> | HAS CONCEPT MOD | CODE | EV (113744, DCM, "Patient Orientation Modifier") | 1 | M |  | DCID 20 “Patient Orientation Modifier”
9 | > | CONTAINS | CODE | EV (123014, DCM, "Target Region") | 1 | U |  | DCID 4016 “Anatomic Region for Intra-oral Radiography” DCID 4026 “Primary Anatomic Structure for Intra-oral and Craniofacial Radiography - Teeth” DCID 4028 “Craniofacial Anatomic Regions” DCID 4030 “CT, MR and PET Anatomy Imaged” DCID 4031 “Common Anatomic Regions”
10 | >> | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | UC | IF target region is bilateral | DCID 244 “Laterality”
11 | > | CONTAINS | CODE | EV (111635, DCM, "X-Ray Grid") | 1-n | U |  | DCID 10017 “X-Ray Grid”
12 | > | CONTAINS | NUM | EV (113750, DCM, "Distance Source to Detector") | 1 | UC | XOR Row 13 | UNITS = EV (mm, UCUM, "mm")
13 | > | CONTAINS | TABLE | EV (113750, DCM, "Distance Source to Detector") | 1 | UC | XOR Row 12 | NCOLUMNS = 2 COLUMN 1 = EV (111526, DCM, "DateTime Started") EV (113750, DCM, "Distance Source to Detector") COLUMN 2 UNITS = EV (mm, UCUM, "mm") COLUMN 1 VR = DT COLUMN 2 VR = FL

Content Item Descriptions

Row 2 | The DateTime of the beginning of the time period over which the content items are applicable.
Row 3 | The DateTime of the end of the time period over which the content items are applicable.
Row 4 | Identification the X-Ray source. This designation shall not change for a given source throughout the entire RDSR. For systems with multiple X-Ray sources, each source shall be described with a separate instance of this template.

### TID 10055 Attenuator Characteristics

This template describes an attenuator's characteristics (e.g., material, thickness, shape, etc.). An attenuator may be either an X-Ray filter (e.g., a device used to modify the spectral or geometric characteristics of the x-ray beam) or a piece of equipment (e.g., a patient support)

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 10055. Attenuator Characteristics

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  | CONTAINS | CONTAINER | EV (130531, DCM, "Attenuator Characteristics") | 1 | M |  |
2 | > | CONTAINS | TEXT | EV (130527, DCM, "Identification of the Attenuator") | 1 | M |  |
3 | > | CONTAINS | CODE | EV (128458, DCM, "Attenuator Category") | 1 | M |  | DCID 10066 “Attenuator Category”
4 | > | CONTAINS | CODE | EV (113757, DCM, "X-Ray Filter Material") | 1 | MC | XOR Row 5 | DCID 10067 “Radiation Attenuator Materials”
5 | > | CONTAINS | CODE | EV (128465, DCM, "Equivalent Attenuator Material") | 1 | MC | XOR Row 4 | DCID 10067 “Radiation Attenuator Materials”
6 | > | CONTAINS | CODE | EV (113772, DCM, "X-Ray Filter Type") | 1 | M |  | DCID 10007 “X-Ray Filter Types”
7 | > | CONTAINS | NUM | EV (113758, DCM, "X-Ray Filter Thickness Minimum") | 1 | MC | XOR Row 9 | UNITS = EV (mm, UCUM, "mm")
8 | > | CONTAINS | NUM | EV (113773, DCM, "X-Ray Filter Thickness Maximum") | 1 | MC | IFF Row 7 is present | UNITS = EV (mm, UCUM, "mm")
9 | > | CONTAINS | NUM | EV (130509, DCM, "X-Ray Filter Thickness") | 1 | MC | XOR Row 7 | UNITS = EV (mm, UCUM, "mm")

Content Item Descriptions

Row 2 | An identifier for the attenuator to track the properties of the attenuators throughout the scope of accumulation. The identifier shall not change during the scope of accumulation and shall not be reused for multiple attenuators or filters.
Row 3 | The coded description of the attenuator category
Row 4 | The material used to construct the attenuator, which may or may not be a filter. This shall be the actual material, and not an equivalent material.
Row 5 | An equivalent material used to describe the composition of the attenuator, which may or may not be a filter.
Row 6 | The type of filter present in the beam, based on its physical shape. For an attenuator, choose a filter model that most closely matches the shape of the attenuator.
Row 7 | The minimum thickness of the attenuator. For attenuators that are not uniformly thick, provide both the minimum and maximum thicknesses.
Row 8 | The maximum thickness of the attenuator. For attenuators that are not uniformly thick, provide both the minimum and maximum thicknesses.
Row 9 | The nominal thickness of the attenuator. For attenuators that are uniformly thick, a single value may be provided, rather than a minimum and maximum.

## Imaging Agent Administration SR IOD Templates

### Planned Imaging Agent Administration SR IOD Templates

The templates that comprise the Planned Imaging Agent Administration are interconnected as in Figure A-19.

Figure A-19. Planned Imaging Agent Administration SR IOD Template Structure

#### TID 11001 Planned Imaging Agent Administration

This template describes single administration plan.

This template defines a container (the root) with subsidiary content items, each of which corresponds to a single Imaging Agent Administration that is planned.

### Note

If a planned SR is a modification of a previous planned SR, it can reference the previous plan using the Predecessor Documents Sequence (0040,A360).

Type:

  Extensible

Order:

  Non-Significant

Root:

  Yes

Table TID 11001. Planned Imaging Agent Administration

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130226, DCM, "Planned Imaging Agent Administration") | 1 | M |  |
2 | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | U |  |
3 | > | HAS OBS CONTEXT | INCLUDE | DTID 1002 “Observer Context” | 1-n | M |  |
4 | > | HAS OBS CONTEXT | INCLUDE | DTID 1005 “Procedure Context” | 1 | M |  |
5 | > | CONTAINS | INCLUDE | DTID 8131 “Medications and Mixture Medications” | 1-n | U |  | $DrugAdministered = DCID 65 “Pre-medication For Imaging Agent Administration”
6 | > | CONTAINS | INCLUDE | DTID 10024 “Imaging Agent Administration Patient Characteristics” | 1 | U |  |
7 | > | CONTAINS | INCLUDE | DTID 11002 “Imaging Agent Information” | 1-n | M |  |
8 | > | CONTAINS | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |
9 | > | CONTAINS | INCLUDE | DTID 11005 “Imaging Agent Administration Consumable” | 1-n | U |  |
10 | > | CONTAINS | INCLUDE | DTID 11006 “Imaging Agent Administration Steps” | 1 | M |  |

Content Item Descriptions

Row 3 | Author of the plan.
Row 5 | Describes medications administered prior to the procedure. E.g., for contrast reaction prophylaxis. Not intended for pharmaceutical stress agents.
Row 8 | General comments about the planned Imaging Agent administration. It is intended for such things as a summary of the content of the plan, additional instructions related to administration of the plan, and concepts that cannot be expressed by structured features of the plan.
Row 9 | The consumables that would be needed to execute the plan. e.g., a catheter of a particular size.

#### TID 11002 Imaging Agent Information

This template describes an Imaging Agent which may be a single component or a mix of multiple components used in a single administration.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 11002. Imaging Agent Information

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130183, DCM, "Imaging Agent Information") | 1 | M |  |
2 | > | CONTAINS | TEXT | EV (130254, DCM, "Imaging Agent Identifier") | 1 | M |  |
3 | > | CONTAINS | CODE | EV (130187, DCM, "Imaging Agent Warmed") | 1 | M |  | DCID 230 “Yes-No”
4 | > | CONTAINS | CONTAINER | EV (130191, DCM, "Imaging Agent Component Usage") | 1-n | M |  |
5 | >> | CONTAINS | INCLUDE | DTID 11004 “Imaging Agent Component” | 1 | M |  |
6 | >> | CONTAINS | NUM | EV (130239, DCM, "Component Volume") | 1 | MC | IF 2 or more items of Row 4 are present | UNITS (ml, UCUM, "ml")
7 | > | CONTAINS | NUM | EV (130228, DCM, "Contrast Volume Limit") | 1 | UC | IFF root Concept Name Code Sequence (130226, DCM, "Planned Imaging Agent Administration") | UNITS EV (ml, UCUM, "ml")

Content Item Descriptions

Row 2 | Uniquely, within the scope of the root container, identifies the Imaging Agent contained in a syringe or pump.
Row 4 | A single Imaging Agent component, or a mixture of multiple Imaging Agent components, used to build a custom mixture of contrast agent, filled in a single syringe or pump. For Imaging Agents that are not a mixture, a single instance of this row defines the Imaging Agent component.
Row 6 | Estimated volume of the Imaging Agent component.

#### TID 11003 Imaging Agent Administration Activity

This template describes a single activity as part of the single imaging administration phase. A phase activity is the lowest level of the Imaging Agent delivery model.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 11003. Imaging Agent Administration Activity

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130237, DCM, "Imaging Agent Administration Activity") | 1 | M |  |
2 | > | CONTAINS | TEXT | EV (130255, DCM, "Referenced Imaging Agent Identifier") | 1 | M |  | Shall be a value of Row 2 in TID 11002.
3 | > | CONTAINS | NUM | EV (122091, DCM, "Volume Administered") | 1 | M |  | UNITS = EV (ml, UCUM, "ml")
4 | > | CONTAINS | NUM | EV (130208, DCM, "Starting Flow Rate of Administration") | 1 | MC | IF TID 11007 Row 4 = (130173, DCM, "Automated Administration") | UNITS = EV (ml/s, UCUM "ml/s")
5 | > | CONTAINS | NUM | EV (130209, DCM, "Ending Flow Rate of administration") | 1 | MC | IF Row 7 = (130253, DCM, "Linear Curve") | UNITS = EV (ml/s, UCUM "ml/s")
6 | > | CONTAINS | NUM | EV (130207, DCM, "Rise Time") | 1 | UC | IF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration") | UNITS = EV (s, UCUM, "s")
7 | > | CONTAINS | CODE | EV (130210, DCM, "Bolus Shaping Curve") | 1 | U |  | DCID 73 “Bolus Shaping Curves”
8 | >> | HAS PROPERTIES | TEXT | EV (111002, DCM, "Algorithm Parameters") | 1-n | U |  |
9 | > | CONTAINS | NUM | EV (130244, DCM, "Peak Flow Rate in Phase Activity") | 1 | MC | IF TID 11007 Row 4 = (130173, DCM, "Automated Administration") AND IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration") | UNITS = EV (ml/s, UCUM "ml/s")
10 | > | CONTAINS | NUM | EV (130245, DCM, "Peak Pressure in Phase Activity") | 1 | MC | IF Row 4 = (130173, DCM, "Automated Administration") AND IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration") | UNITS = EV (kPa, UCUM "kPa")
11 | > | CONTAINS | NUM | EV (130205, DCM, "Initial Volume of Imaging Agent in Container") | 1 | UC | IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration") | UNITS = EV (ml, UCUM, "ml")
12 | > | CONTAINS | NUM | EV (130206, DCM, "Residual Volume of Imaging Agent in Container") | 1 | UC | IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration") | UNITS = EV (ml, UCUM, "ml")
13 | > | CONTAINS | DATETIME | EV (111526, DCM, "DateTime Started" | 1 | MC | IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration") |
14 | > | CONTAINS | NUM | EV (C0449238, UMLS, "Duration") | 1 | MC | IF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration") | UNITS = EV (s, UCUM, "s")

Content Item Descriptions

Row 3 | Volume administered by this activity.
Row 7 | Shape of the flow rate from the beginning rate to the end rate of the administration. This will typically be a vendor specific code. The code meaning of the concept name should describe the type and intent of the curve.
Row 8 | Any parameters used to generate the curve defined in Row 7.
Row 9 | Peak value of the flow rate of this syringe or pump activity.
Row 10 | Peak value of the pressure of this syringe or pump activity.
Row 13 | Datetime this individual activity actually started.
Row 14 | Duration of this individual activity.

#### TID 11004 Imaging Agent Component

This template describes the Imaging Agent component. The brand and packaging information can be referenced under Section TID 11005 Imaging Agent Administration Consumable.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 11004. Imaging Agent Component

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130238, DCM, "Imaging Agent Component") | 1 | M |  |
2 | > | CONTAINS | CODE | EV (122083, DCM, "Drug administered") | 1 | M |  | DCID 12 “Radiographic Contrast Agent” DCID 3204 “Stress Agents” DCID 70 “Flush” DCID 66 “Medication For Imaging Agent Administration”
3 | > | CONTAINS | CODE | EV (127489000, SCT, "Active Ingredient") | 1 | U |  | DCID 13 “Radiographic Contrast Agent Ingredient”
4 | > | CONTAINS | CODE | EV (113510, DCM, "Drug Product Identifier") | 1 | U |  |
5 | > | CONTAINS | NUM | EV (122093, "DCM", "Concentration") | 1 | U |  |
6 | > | CONTAINS | NUM | EV (282258000, SCT, "Molarity") | 1 | U |  | UNITS = EV (mmol/l, UCUM, "mmol/l")
7 | > | CONTAINS | CODE | EV (56953008, SCT, "Osmolality") | 1 | U |  | DCID 75 “Low-high-equal”
8 | > | CONTAINS | NUM | EV (126380, DCM, "Contrast Longitudinal Relaxivity") | 1 | U |  | UNITS = EV (l/mmol/s, UCUM, "l/mmol/s")
9 | > | CONTAINS | NUM | EV (130188, DCM, "Contrast Transverse Relaxivity") | 1 | U |  | UNITS = EV (l/mmol/s, UCUM, "l/mmol/s")
10 | > | CONTAINS | NUM | EV (130184, DCM, "Osmolality at 37C") | 1 | U |  | UNITS = EV (mosm/kg, UCUM, "mosm/kg")
11 | > | CONTAINS | NUM | EV (130185, DCM, "Osmolarity at 37C") | 1 | U |  | UNITS = EV (mmol/l UCUM, "mmol/l")
12 | > | CONTAINS | NUM | EV (130186, DCM, "Viscosity at 37C") | 1 | U |  |
13 | > | CONTAINS | CODE | EV (130189, DCM, "Is Ionic") | 1 | U |  | DCID 231 “Yes-No Only”
14 | > | CONTAINS | NUM | EV (130190, DCM, "Dosing Factor") | 1 | U |  |
15 | > | CONTAINS | CODE | EV (732935002, SCT, "Unit of Presentation") | 1 | U |  | DCID 68 “Imaging Agent Administration Pharmaceutical Unit of Presentation”
16 | > | CONTAINS | NUM | EV (130221, DCM, "Imaging Agent Volume Per Unit of Presentation") | 1 | U |  | UNITS = EV (ml, UCUM, "ml")
17 | > | CONTAINS | TEXT | EV (121147, DCM, "Billing Code") | 1 | U |  |
18 | > | CONTAINS | TEXT | EV (121145, DCM, "Description of Material") | 1 | U |  |
19 | > | CONTAINS | DATE | EV (C70854, NCIt, "Medical Product Expiration Date") | 1 | U |  |
20 | > | CONTAINS | TEXT | EV (C0947322, UMLS, "Manufacturer Name") | 1 | U |  |
21 | > | CONTAINS | TEXT | EV (111529, DCM, "Brand Name") | 1 | U |  |
22 | > | CONTAINS | TEXT | EV (130231, DCM, "Barcode Value") | 1-n | UC | IFF root Concept Name Code Sequence = (130226, DCM, "Planned Imaging Agent Administration") |
23 | > | CONTAINS | TEXT | EV (130231, DCM, "Barcode Value") | 1 | UC | IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration") |
24 | > | CONTAINS | TEXT | EV (121148, DCM, "Unit Serial Identifier") | 1 | U |  |
25 | > | CONTAINS | TEXT | EV (121149, DCM, "Lot Identifier") | 1 | U |  |
26 | > | CONTAINS | CODE | EV (128739, DCM, "UDI") | 1 | U |  |

Content Item Descriptions

Row 3 | The drug administered includes contrast agents, stress agents, flush and medication agents.
Row 5 | Concentration of the active ingredient (Row 3). The units are not constrained but shall be represented as usual using UCUM.
Row 7 | Osmolality relative to blood.
Row 8 | Relaxivity at 37°C at B0 field strength.
Row 9 | Relaxivity at 37°C at B0 field strength.
Row 12 | The units are not constrained but shall be represented using UCUM.
Row 17 | The billing codes for material used for Imaging Agent administration procedure. It does not include performance and interpretation of the imaging.
Row 20 | Name of the manufacturer of the pharmaceutical.
Row 22, 23 | The number from the barcode associated with the unit of presentation e.g., the individual bottle. Some examples for type of codes are UPC, EAN, GTIN, PZN, PPN. Multiple items are permitted for planned Imaging Agent administration since multiple container sizes may be allowed.

#### TID 11005 Imaging Agent Administration Consumable

This template describes a material or supply used in the course of an Imaging Agent administration procedure, other than the Imaging Agents themselves and the unit of presentation of the Imaging Agents if pre-filled. This includes such supplies as needles, tubing, cannulas, catheters, empty syringes. This template may describe reusable or disposable materials.

For the planned administration, these are the expected consumables. For the performed administration, this template describes what was actually used.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 11005. Imaging Agent Administration Consumable

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130222, DCM, "Imaging Agent Administration Consumable") | 1 | M |  |
2 | > | CONTAINS | CODE | EV (130223, DCM, "Imaging Agent Administration Consumable Type") | 1 | M |  | DCID 69 “Imaging Agent Administration Consumables”
3 | > | CONTAINS | NUM | EV (121146, DCM, "Quantity of Material") | 1 | U |  |
4 | >> | HAS PROPERTIES | CODE | EV (130224, DCM, "Consumable is New") | 1 | M |  | DCID 231 “Yes-No Only”
5 | > | CONTAINS | TEXT | EV (121147, DCM, "Billing Code") | 1 | U |  |
6 | > | CONTAINS | TEXT | EV (121145, DCM, "Description of Material") | 1 | U |  |
7 | > | CONTAINS | DATE | EV (C70854, NCIt, "Medical Product Expiration Date") | 1 | U |  |
8 | > | CONTAINS | NUM | EV (111467, DCM, "Needle Length") | 1 | U | IF Row 2 = (19923001, SCT, "Catheter") | UNITS = EV (mm, UCUM, "mm")
9 | > | CONTAINS | NUM | EV (122319, DCM, "Catheter Size") | 1 | MC | IF Row 2 = (19923001, SCT, "Catheter") AND If Row 10 = (82449006, SCT, "Peripheral intravenous catheter") | UNITS = DCID 3510 “Catheter Size Units”
10 | > | CONTAINS | CODE | EV (130257, DCM, "Consumable Catheter Type") | 1 | MC | IF Row 2 = (19923001, SCT, "Catheter") | DCID 74 “Imaging Agent Administration Consumable Catheter Type”
11 | > | CONTAINS | TEXT | EV (C0947322, UMLS, "Manufacturer Name") | 1 | U |  |
12 | > | CONTAINS | TEXT | EV (111529, DCM, "Brand Name") | 1 | U |  |
13 | > | CONTAINS | TEXT | EV (130231, DCM, "Barcode Value") | 1-n | UC | IFF root Concept Name Code Sequence = (130226, DCM, "Planned Imaging Agent Administration") |
14 | > | CONTAINS | TEXT | EV (130231, DCM, "Barcode Value") | 1 | UC | IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration") |
15 | > | CONTAINS | TEXT | EV (121148, DCM, "Unit Serial Identifier") | 1 | U |  |
16 | > | CONTAINS | TEXT | EV (121149, DCM, "Lot Identifier") | 1 | U |  |
17 | > | CONTAINS | CODE | EV (128739, DCM, "UDI") | 1 | U |  |

Content Item Descriptions

Row 3 | Quantity of the Imaging Agent consumed or quantity of accessories or other consumables used.
Row 4 | When included in TID 11020 “Performed Imaging Agent Administration”, this value indicates whether the consumable was changed (i.e., newly installed) during preparation for this administration. When included in TID 11001 “Planned Imaging Agent Administration”, this value indicates whether the consumable must be changed during preparation for this administration or whether it need not be.
Row 5 | The billing codes for material used for Imaging Agent administration procedure. It does not include performance and interpretation of the imaging.
Row 11 | Name of the manufacturer of the consumable.
Row 13,14 | The number from the barcode associated with the unit of presentation e.g., the individual blister package. Some examples for type of codes are UPC, EAN, GTIN. Multiple items are permitted for planned Imaging Agent administration since multiple container sizes may be allowed.

#### TID 11006 Imaging Agent Administration Steps

This template provides detailed information on Imaging Agent Administration Steps. It consists of multiple administration steps; a step in turn consists of multiple administration phases.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 11006. Imaging Agent Administration Steps

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130192, DCM, "Imaging Agent Administration Steps") | 1 | M |  |
2 | > | CONTAINS | TEXT | EV (130200, DCM, "Imaging Agent Administration Steps Name") | 1 | M |  |
3 | > | CONTAINS | TEXT | EV (130199, DCM, "Imaging Agent Administration Steps Description") | 1 | U |  |
4 | > | CONTAINS | INCLUDE | DTID 11007 “Imaging Agent Administration Step” | 1-n | U |  |

#### TID 11007 Imaging Agent Administration Step

This template provides detailed information on an Imaging Agent Administration step. A step is part of a plan. Steps are usually distinguished from other steps because an operator's intervention is required between steps. Steps are also distinguished when they have different routes of administration. A step may consist of multiple phases.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 11007. Imaging Agent Administration Step

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130195, DCM, "Imaging Agent Administration Step") | 1 | M |  |
2 | > | CONTAINS | TEXT | EV (130196, DCM, "Imaging Agent Administration Step Identifier") | 1 | M |  |
3 | > | CONTAINS | UIDREF | EV (130246, DCM, "Imaging Agent Administration Performed Step UID") | 1 | MC | IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration") |
4 | > | CONTAINS | CODE | EV (130181, DCM, "Administration Mode") | 1 | M |  | DCID 63 “Imaging Agent Administration Mode”
5 | > | CONTAINS | CODE | EV (113874, DCM, "Person Role in Organization") | 1-n | MC | IF Row 4 = (130174, DCM, "Manual Administration" | DCID 7450 “Person Roles”
6 | > | CONTAINS | CODE | EV (130250, DCM, "Administration Step Type") | 1 | M |  | DCID 72 “Imaging Agent Administration Step Type”
7 | > | CONTAINS | NUM | EV (130197, DCM, "Administration Delay") | 1 | U |  | UNITS = EV (s, UCUM, "s")
8 | > | CONTAINS | NUM | EV (130198, DCM, "Scan Delay") | 1 | U |  | UNITS = EV (s, UCUM, "s")
9 | > | CONTAINS | NUM | EV (130193, DCM, "Pressure Limit") | 1 | UC | IFF Row 4 = (130173, DCM, "Automated Administration") | UNITS = EV (kPa, UCUM, "kPa")
10 | > | CONTAINS | CODE | EV (410675002, SCT, "Route of Administration") | 1 | M |  | DCID 11 “Route of Administration”
11 | >> | HAS PROPERTIES | CODE | EV (272737002, SCT, "Site of") | 1 | UC | IF Row 10 equals(47625008, SCT, "Intravenous route") OR (12130007, SCT, "Intra-articular route") | DCID 3746 “Percutaneous Entry Site”
12 | >>> | HAS CONCEPT MOD | CODE | EV (272741003, SCT, "Laterality") | 1 | UC | IF Row 11 has laterality | DCID 247 “Laterality Left-Right Only”
13 | > | CONTAINS | INCLUDE | DTID 11008 “Imaging Agent Administration Phase” | 1-n | M |  |
14 | > | CONTAINS | INCLUDE | DTID 11023 “Imaging Agent Administration Graph” | 1-n | UC | IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration") |
15 | > | CONTAINS | NUM | EV (130219, DCM, "Number of Injector Heads") | 1 | UC | IF Row 4 = (130173, DCM, "Automated Administration”) |
16 | > | CONTAINS | CODE | EV (130218, DCM, "Programmable Injector Device") | 1 | UC | IF Row 4 = (130173, DCM, "Automated Administration”) | DCID 231 “Yes-No Only”
17 | > | CONTAINS | CONTAINER | EV (130172, DCM, "Manually triggered injection information") | 1 | UC | IFF Row 4 = (130173, DCM, "Automated Administration") AND root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration") |
18 | >> | CONTAINS | NUM | EV (130241, DCM, "Total Step Volume Administered") | 1 | M |  | UNITS = EV (ml, UCUM, "ml")
19 | >> | CONTAINS | NUM | EV (130242, DCM, "Total number of manually triggered injections") | 1 | M |  |
20 | > | CONTAINS | NUM | EV (130445, DCM, "Imaging Agent Administration Step Sequence Number") | 1 | MC | IF root Concept Name Code Sequence = (130226, DCM, "Planned Imaging Agent Administration") | UNITS = EV (1, UCUM, "no units")

Content Item Descriptions

Row 14 | For a multi-syringe/pump injector there will be one graph per syringe/pump system. This is only included in the performed administration because it is descriptive not prescriptive.
Row 17 | The condition applies for a manual triggering of an automated injection (as distinct from a manual administration).
Row 20 | The order in which the administration steps are planned to be performed, monotonically increasing by 1, starting from 1. This is not necessarily the order in which the children of the Row 1 CONTAINER are encoded, which is not significant.

#### TID 11008 Imaging Agent Administration Phase

This template provides detailed information on Imaging Agent Administration Phase. A phase is part of the administration step and is not interrupted except under abnormal conditions.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 11008. Imaging Agent Administration Phase

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130202, DCM, "Imaging Agent Administration Phase") | 1 | M |  |
2 | > | CONTAINS | TEXT | EV (130203, DCM, "Imaging Agent Administration Phase Identifier") | 1 | M |  |
3 | > | CONTAINS | UIDREF | EV (130261, DCM, "Imaging Agent Administration Performed Phase UID") | 1 | MC | IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration") |
4 | > | CONTAINS | CODE | EV (130204, DCM, "Imaging Agent Administration Phase Type") | 1 | MC | IF TID 11007 Row 4 = (130173, DCM, "Automated Administration") | DCID 62 “Imaging Agent Administration Phase Type”
4a | > | CONTAINS | CODE | EV (130265, DCM, "Imaging Agent Administration Phase with Manual Hold") | 1 | UC | IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration") AND TID 11007 Row 4 = (130173, DCM, “Automated Administration”) | DCID 231 “Yes-No Only”
5 | > | CONTAINS | INCLUDE | DTID 11003 “Imaging Agent Administration Activity” | 1-n | MC | IF TID 11007 Row 4 = (130173, DCM, "Automated Administration") |
6 | > | CONTAINS | NUM | EV (130240, DCM, "Total Phase Volume Administered") | 1 | M |  | UNITS = EV (ml, UCUM, "ml")
7 | > | CONTAINS | DATETIME | EV (111526, DCM, "DateTime Started" | 1 | MC | IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration") |
8 | > | CONTAINS | NUM | EV (C0449238, UMLS, "Duration") | 1 | MC | IF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration") AND TID 11007 row 4 = (130173, DCM, "Automated Administration") | UNITS = EV (s, UCUM, "s")
9 | > | CONTAINS | TEXT | EV (130264, DCM, "IImaging Agent Administration Injector Phase Identifier") | 1 | MC | IFF root Concept Name Code Sequence = (130227, DCM, "Performed Imaging Agent Administration") AND TID 11007 Row 4 = (130173, DCM, “Automated Administration”) |

Content Item Descriptions

Row 2 | Imaging Agent Administration Phase Identifier is specified as numeric text string, and shall be treated as the ordinal of the recorded administration phase within an administration step (i.e., "1" for the first phase, "2" for the second, etc.).
Row 4a | Indicates any occurrence of a manual suspend/resume of administration during the phase as it is understood by the CiA 425 CANopen standard [CiA 425 CANopen]. Exact timing of suspend/resume events can be documented in TID 11022 Imaging Agent Administration Injector Events.
Row 5 | There will be one item for each activity that is administering an agent during this phase. The value multiplicity of row 5 shall be the same between the phases of a multiphase administration and shall not exceed the value of TID 11007 (Imaging Agent Administration Step) row 15 (EV (130219, DCM, "Number of Injector Heads")), if present.
Row 7 | Datetime that the earliest syringe/pump starts administering.
Row 8 | Total duration of this phase starting from where the earliest syringe/pump starts administering until the last syringe/pump ends administering.
Row 9 | Imaging Agent Administration Injector Phase Identifier is the injector phase identifier presented to the user during administration. There are no definitions/restrictions made for being ordinal numberings, but it may be "1" for the first phase, etc.

### Performed Imaging Agent Administration SR IOD Templates

The templates that comprise the Performed Imaging Agent Administration are interconnected as in Figure A-20.

Figure A-20. Performed Imaging Agent Administration SR IOD Template Structure

#### TID 11020 Performed Imaging Agent Administration

Figure A-20: Performed Imaging Agent Administration SR IOD Template Structure

This template defines a container (the root) with subsidiary content items, each of which corresponds to a single Imaging Agent Administration delivered. There is a defined recording observer (the system or person responsible for performing the plan).

### Note

A performed SR may document a whole planned SR or only a single part of it. A planned SR can be documented by several performed SRs. It is allowed to aggregate several performed SRs of different performing devices on one patient with the same Study Instance UID for a total description of the administration. The aggregated performed SR should reference the previous Performed Imaging Agent Administrations using the Predecessor Documents Sequence (0040,A360). The individual Performed Administrations can be identified by the (130246, DCM, "Imaging Agent Administration Performed Step UID") of TID 11007 “Imaging Agent Administration Step”.

Type:

  Extensible

Order:

  Non-Significant

Root:

  Yes

Table TID 11020. Performed Imaging Agent Administration

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130227, DCM, "Performed Imaging Agent Administration") | 1 | M |  |
2 | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | U |  |
3 | > | HAS OBS CONTEXT | INCLUDE | DTID 1002 “Observer Context” | 1-n | M |  |
4 | > | HAS OBS CONTEXT | INCLUDE | DTID 1005 “Procedure Context” | 1 | U |  |
5 | > | CONTAINS | INCLUDE | DTID 8131 “Medications and Mixture Medications” | 1-n | U |  | $DrugAdministered = DCID 65 “Pre-medication For Imaging Agent Administration”
6 | > | CONTAINS | INCLUDE | DTID 10024 “Imaging Agent Administration Patient Characteristics” | 1 | U |  |
7 | > | CONTAINS | INCLUDE | DTID 11002 “Imaging Agent Information” | 1-n | M |  |
8 | > | CONTAINS | TEXT | EV (55112-7, LN, "Summary") | 1 | U |  |
9 | > | CONTAINS | INCLUDE | DTID 11005 “Imaging Agent Administration Consumable” | 1-n | U |  |
10 | > | CONTAINS | INCLUDE | DTID 11006 “Imaging Agent Administration Steps” | 1 | M |  |
11 | > | CONTAINS | COMPOSITE | EV (130236, DCM, "Planned Imaging Agent Administration SOP Instance") | 1 | MC | IFF this administration was based on a Planned Imaging Agent Administration SOP Instance. |
12 | > | CONTAINS | CODE | EV (130211, DCM, "Imaging Agent Administration Completion Status") | 1 | M |  | DCID 67 “Imaging Agent Administration Completion Status”
13 | > | CONTAINS | INCLUDE | DTID 11021 “Imaging Agent Administration Adverse Events” | 1 | U |  |
14 | > | CONTAINS | INCLUDE | DTID 11022 “Imaging Agent Administration Injector Events” | 1 | U |  |
15 | > | CONTAINS | NUM | EV (130165, DCM, "Total Keep Vein Open Volume Administered" | 1 | U |  | UNITS = EV (ml, UCUM, "ml")

Content Item Descriptions

Row 3 | Persons and devices responsible for administering the Imaging Agent. If an automated injector was used, it is recorded here.
Row 7 | Describes all Imaging Agents used.
Row 8 | Summary of individual performed injections. e.g., "Administered 30ml of Ultravist using guage22 via LeftAC."
Row 10 | Describes what was delivered.
Row 11 | This reference will be to the plan that was actually used. ### Note If the operator modified a previously stored plan before use, then the modified plan shall be referenced. Stored plans may reference their predecessors using the Predecessor Documents Sequence (0040,A360).

#### TID 11021 Imaging Agent Administration Adverse Events

This template provides information on adverse events occurring to a patient as a result of administration of an Imaging Agent.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 11021. Imaging Agent Administration Adverse Events

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130212, DCM, "Imaging Agent Administration Adverse Events") | 1 | M |  |
2 | > | CONTAINS | CODE | EV (130220, DCM, "Administration discontinued") | 1 | U |  | DCID 231 “Yes-No Only”
3 | > | CONTAINS | CODE | EV (C41331, NCIt, "Adverse Event") | 1-n | M |  | DCID 60 “Imaging Agent Administration Adverse Events”
4 | >> | HAS PROPERTIES | CODE | EV (246112005, SCT, "Severity") | 1 | U |  | BCID 3716 “Severity”
5 | >> | HAS PROPERTIES | CODE | EV (118578006, SCT, "Relative Time") | 1 | U |  | DCID 61 “Time Relative to Procedure”
6 | >> | HAS PROPERTIES | DATETIME | EV (130215, DCM, "Adverse Event Detection DateTime") | 1 | M |  |
7 | >> | HAS PROPERTIES | NUM | EV (130214, DCM, "Estimated Extravasation Volume") | 1 | UC | IF Row 3 is EV (95384003, SCT, "Injection Site Extravasation") | Units = EV (ml, UCUM, "ml")
8 | >> | HAS OBS CONTEXT | UIDREF | EV (130216, DCM, "Referenced Imaging Agent Administration Step UID") | 1 | U |  |
9 | >> | HAS OBS CONTEXT | UIDREF | EV (130262, DCM, "Referenced Imaging Agent Administration Phase UID") | 1 | U |  |
10 | >> | HAS PROPERTIES | TEXT | EV (121106, DCM, "Comment") | 1 | U |  |

Content Item Descriptions

Row 2 | Indicates whether the administration is discontinued due to the adverse event. There is no indication of which adverse event if any contributed to the decision to discontinue the administration.
Row 3 | Note that presence of this row means the injector was informed about the adverse event by the operating clinician.
Row 6 | Date and time when the adverse event was noted by the observer.
Row 8 | UID of the performed step (as recorded in Row 3 of TID 11007) in which the adverse event occurred.
Row 9 | UID of the performed phase (as recorded in Row 3 of TID 11008) in which the adverse event occurred.

#### TID 11022 Imaging Agent Administration Injector Events

This template describes events occurring during the administration that are detected by an automated power injector.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 11022. Imaging Agent Administration Injector Events

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130233, DCM, "Imaging Agent Administration Injector Events") | 1 | M |  |
2 | > | CONTAINS | CODE | EV (130220, DCM, "Administration discontinued") | 1 | U |  | DCID 231 “Yes-No Only”
3 | > | CONTAINS | CODE | EV (130234, DCM, "Imaging Agent Administration Injector Event Type") | 1-n | M |  | DCID 71 “Imaging Agent Administration Injector Event Type”
4 | >> | HAS PROPERTIES | DATETIME | EV (130235, DCM, "Injector Event Detection DateTime") | 1 | M |  |
5 | >> | HAS OBS CONTEXT | UIDREF | EV (130216, DCM, "Referenced Imaging Agent Administration Step UID") | 1 | U |  |
6 | >> | HAS OBS CONTEXT | UIDREF | EV (130262, DCM, "Referenced Imaging Agent Administration Phase UID") | 1 | U |  |
7 | >> | HAS OBS CONTEXT | TEXT | EV (130255, DCM, "Referenced Imaging Agent Identifier") | 1 | U |  | Shall be as defined in (130254, DCM, "Imaging Agent Identifier") Row 2 of TID 11002 “Imaging Agent Information”

Content Item Descriptions

Row 4 | Date and time of occurrence of the injector event.
Row 5 | UID of the performed step (as recorded in Row 3 of TID 11007) in which the injector event occurred.
Row 6 | UID of the performed phase (as recorded in Row 3 of TID 11008) in which the injector event occurred.
Row 7 | The Imaging Agent being administered when the event was detected.

#### TID 11023 Imaging Agent Administration Graph

This template describes two-dimensional graph data for a syringe or pump.

Type:

  Extensible

Order:

  Non-Significant

Root:

  No

Table TID 11023. Imaging Agent Administration Graph

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (130232, DCM, "Imaging Agent Administration Graph") | 1 | M |  |
2 | > | CONTAINS | TEXT | EV (130255, DCM, "Referenced Imaging Agent Identifier") | 1 | M |  | EV (130254, DCM, "Imaging Agent Identifier")
3 | > | CONTAINS | INCLUDE | DTID 3990 “Two Dimensional Measurement Graph” | 1 | M |  | $MeasurementGraph = EV (130229, DCM, "Flow Rate vs time") $X-Concept = EV (130194, DCM, "Time after the start of injection") $Y-Concept = EV (122094, DCM, "Rate of administration") $X-AxisUnit = DT (ms, UCUM,"ms") $Y-AxisUnit = DT (ml/s, UCUM,"ml/s")
4 | > | CONTAINS | INCLUDE | DTID 3990 “Two Dimensional Measurement Graph” | 1 | U |  | $MeasurementGraph = EV (130230, DCM, "Pressure vs Time") $X-Concept = EV (130194, DCM, "Time after the start of injection") $Y-Concept = EV (279046003, SCT, "Pressure") $X-AxisUnit = DT (ms, UCUM,"ms") $Y-AxisUnit = DT (kPa, UCUM,"kPa")

Content Item Descriptions

Row 2 | Identifies the Imaging Agent represented in the graph. Will be as defined in TID 11002.

# B DCMR Context Groups (Normative)

## B.1 Context Groups

This Annex specifies the content of Context Groups required by DICOM IODs.

### Note

Section 7.1 of this Part defines the fields of Context Group tables.

## CID 2 Anatomic Modifier

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20190118

UID:

  1.2.840.10008.6.1.1

Table CID 2. Anatomic Modifier

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 24028007 | Right | G-A100 | C0205090
SCT | 7771000 | Left | G-A101 | C0205091
SCT | 51440002 | Bilateral | G-A102 | C0238767
SCT | 66459002 | Unilateral | G-A103 | C0205092
SCT | 49370004 | Lateral | G-A104 | C0205093
DCM | 130290 | Median |  |
SCT | 255549009 | Anterior | R-404CC | C1704448
SCT | 255551008 | Posterior | R-404CE | C0205095
SCT | 66787007 | Cephalic | G-A107 | C0205096
SCT | 3583002 | Caudal | G-A108 | C0205097
SCT | 255561001 | Medial | R-404D5 | C0205098
SCT | 26216008 | Central | G-A110 | C0205099
SCT | 14414005 | Peripheral | G-A111 | C0205100
SCT | 261074009 | External | R-40941 | C0205101
SCT | 260521003 | Internal | R-40819 | C0205102
SCT | 11896004 | Intermediate | G-A114 | C0205103
SCT | 261089000 | Inferior | R-4094A | C0542339
SCT | 264217000 | Superior | R-42191 | C1282910
SCT | 62824007 | Transverse | G-A117 | C0205106
SCT | 40415009 | Proximal | G-A118 | C0205107
SCT | 46053002 | Distal | G-A119 | C0205108
SCT | 60583000 | Postaxial | G-A120 | C0205109
SCT | 32400000 | Preaxial | G-A121 | C0205110
SCT | 43674008 | Apical | G-A122 | C0205111
SCT | 57195005 | Basal | G-A123 | C0205112
SCT | 49530007 | Afferent | G-A127 | C0205115
SCT | 33843005 | Efferent | G-A128 | C0205116
SCT | 81654009 | Coronal | G-A138 | C0205123
SCT | 26283006 | Superficial | G-A139 | C0205124
SCT | 795002 | Deep | G-A140 | C0205125
SCT | 24020000 | Horizontal | G-A142 | C0205126
SCT | 38717003 | Longitudinal | G-A143 | C0205127
SCT | 33096000 | Vertical | G-A144 | C0205128
SCT | 30730003 | Sagittal | G-A145 | C0205129
SCT | 24422004 | Axial | G-A147 | C0205131
SCT | 87687004 | Extra-articular | G-A151 | C0205135
SCT | 410679008 | Surface | G-A206 | C0205148
SCT | 68493006 | Gutter | G-A169 | C0205149
SCT | 32381004 | Hilar | G-A170 | C0205150
SCT | 11070000 | Capsular | G-A171 | C0205151
SCT | 61397002 | Subcapsular | G-A172 | C0205152
SCT | 57183005 | Edge | G-A174 | C0205154
SCT | 37197008 | Anterolateral | G-A180 | C0332194
SCT | 90069004 | Posterolateral | G-A182 | C0332195
SCT | 131183008 | Intra-articular | G-A15A | C0442108
SCT | 112233002 | Marginal | G-A428 | C0205284

## CID 4 Anatomic Region

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Table CID 4. Anatomic Region

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 4030 “CT, MR and PET Anatomy Imaged” |  |
Include CID 4040 “Endoscopy Anatomic Regions” |  |
Include CID 4042 “XA/XRF Anatomy Imaged” |  |
SCT | 59652004 | Atrium | T-32100 | C0018792
SCT | 91470000 | Axilla | T-D8104 | C0004454
SCT | 77568009 | Back | T-D2100 | C0004600
SCT | 34411009 | Broad ligament | T-D6500 | C0006205
SCT | 46862004 | Buttock | T-D2600 | C0006497
SCT | 2334006 | Calyx | T-72100 | C0022651
SCT | 60819002 | Cheek | T-D1206 | C0007966
SCT | 28726007 | Cornea | T-AA200 | C0010031
SCT | 117590005 | Ear | T-AB001 | C0013443
SCT | 51114001 | Endo-arterial | T-41000 | C0003842
SCT | 80891009 | Endo-cardiac | T-32000 | C0018787
SCT | 32849002 | Endo-esophageal | T-56000 | C0014876
SCT | 53342003 | Endo-nasal | T-21300 | C0225425
SCT | 18962004 | Endo-nasopharyngeal | T-23050 | C0225497
SCT | 34402009 | Endo-rectal | T-59600 | C0034896
SCT | 64033007 | Endo-renal | T-71000 | C0022646
SCT | 87953007 | Endo-ureteric | T-73000 | C0041951
SCT | 13648007 | Endo-urethral | T-75000 | C0041967
SCT | 76784001 | Endo-vaginal | T-82000 | C0042232
SCT | 59820001 | Endo-vascular | T-40000 | C0005847
SCT | 29092000 | Endo-venous | T-48000 | C0042449
SCT | 48367006 | Endo-vesical | T-74250 | C0227710
SCT | 27947004 | Epigastric region | T-D4200 | C0230185
SCT | 80243003 | Eyelid | T-AA810 | C0015426
SCT | 89545001 | Face | T-D1200 | C0015450
SCT | 58602004 | Flank | T-D2310 | C0230171
SCT | 79361005 | Fontanel of skull | T-15200 | C0224548
SCT | 46862004 | Gluteal region | T-D2600 | C0006497
SCT | 24136001 | Hip joint | T-15710 | C0019558
SCT | 11708003 | Hypogastric region | T-D4240 | C0230189
SCT | 170887008 | Submental | T-D161E | C0931905
SCT | 81502006 | Hypopharynx | T-55300 | C0020629
SCT | 131183008 | Intra-articular | G-A15A | C0442108
SCT | 1101003 | Intracranial | T-D1400 | C0230041
SCT | 32849002 | Intra-esophageal | T-56000 | C0014876
SCT | 133945003 | Left hypochondriac region | T-D4211 | C0738591
SCT | 85119005 | Left inguinal region | T-D7020 | C0230321
SCT | 68505006 | Left lower quadrant of abdomen | T-D4140 | C0230180
SCT | 133943005 | Left lumbar region | T-D2340 | C1297910
SCT | 86367003 | Left upper quadrant of abdomen | T-D4130 | C0230179
SCT | 19100000 | Lower inner quadrant of breast | T-04003 | C0222597
SCT | 33564002 | Lower outer quadrant of breast | T-04005 | C0222599
SCT | 52612000 | Lumbar region | T-D2300 | C0024090
SCT | 39607008 | Lung | T-28000 | C0024109
SCT | 123851003 | Mouth | T-D0662 | C0230028
SCT | 45206002 | Nose | T-21000 | C0028429
SCT | 113346000 | Omental bursa | T-D4450 | C0230212
SCT | 27398004 | Omentum | T-D4600 | C0028977
SCT | 15497006 | Ovary | T-87000 | C0029939
SCT | 91691001 | Parasternal | T-D3136 | C0458345
SCT | 18911002 | Penis | T-91000 | C0030851
SCT | 38864007 | Perineum | T-D2700 | C0031066
SCT | 32361000 | Popliteal fossa | T-D9310 | C0230436
SCT | 25990002 | Renal pelvis | T-72000 | C0227666
SCT | 82849001 | Retroperitoneum | T-D4900 | C0035359
SCT | 133946002 | Right hypochondriac region | T-D4212 | C0738590
SCT | 37117007 | Right inguinal region | T-D7010 | C0230318
SCT | 48544008 | Right lower quadrant of abdomen | T-D4120 | C0230178
SCT | 133944004 | Right lumbar region | T-D2342 | C1297911
SCT | 50519007 | Right upper quadrant of abdomen | T-D4110 | C0230177
SCT | 41695006 | Scalp | T-D1160 | C0036270
SCT | 18619003 | Sclera | T-AA110 | C0036410
SCT | 20233005 | Scrotum | T-98000 | C0036471
SCT | 2748008 | Spinal cord | T-A7010 | C0037925
SCT | 19695001 | Subcostal | T-D4210 | C0442184
SCT | 5713008 | Submandibular area | T-D1603 | C0230070
SCT | 5076001 | Subxiphoid | T-D3213 | C0230144
SCT | 77621008 | Supraclavicular region of neck | T-D1620 | C0230078
SCT | 11708003 | Suprapubic region | T-D4240 | C0230189
SCT | 26493002 | Suprasternal notch | T-11218 | C0222769
SCT | 68367000 | Thigh | T-D9100 | C0039866
SCT | 816094009 | Thorax |  |
SCT | 21974007 | Tongue | T-53000 | C0040408
SCT | 90290004 | Umbilical region | T-D4230 | C0041638
SCT | 77831004 | Upper inner quadrant of breast | T-04002 | C0222596
SCT | 76365002 | Upper outer quadrant of breast | T-04004 | C0222598
SCT | 76784001 | Vagina | T-82000 | C0042232
SCT | 118375008 | Vascular graft | A-04140 | C1289794
SCT | 21814001 | Ventricle | T-32400 | C0018827
SCT | 45292006 | Vulva | T-81000 | C0042993
SCT | 74670003 | Wrist joint | T-15460 | C1322271

## CID 5 Transducer Approach

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Table CID 5. Transducer Approach

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 24028007 | Right | G-A100 | C0205090
SCT | 7771000 | Left | G-A101 | C0205091
SCT | 49370004 | Lateral | G-A104 | C0205093
SCT | 255549009 | Anterior | R-404CC | C1704448
SCT | 255551008 | Posterior | R-404CE | C0205095
SCT | 3583002 | Caudal | G-A108 | C0205097
SCT | 255561001 | Medial | R-404D5 | C0205098
SCT | 26216008 | Central | G-A110 | C0205099
SCT | 14414005 | Peripheral | G-A111 | C0205100
SCT | 261074009 | External | R-40941 | C0205101
SCT | 260521003 | Internal | R-40819 | C0205102
SCT | 261089000 | Inferior | R-4094A | C0542339
SCT | 264217000 | Superior | R-42191 | C1282910
SCT | 62824007 | Transverse | G-A117 | C0205106
SCT | 40415009 | Proximal | G-A118 | C0205107
SCT | 46053002 | Distal | G-A119 | C0205108
SCT | 43674008 | Apical | G-A122 | C0205111
SCT | 410679008 | Surface | G-A206 | C0205148
SCT | 79458005 | Ascending | G-A599 | C0205385
SCT | 75294000 | Descending | G-A600 | C0205386
SCT | 71966008 | Subcutaneous tissue | T-03000 | C0278403
SCT | 18545000 | Dura mater | T-A1120 | C0013313
SCT | 23180006 | Pia mater | T-A1280 | C0031869
SCT | 102322008 | External prosthesis for sonographic procedure [Stand-off] | A-2C600 | C0522650
SCT | 102323003 | Water bag prosthesis for imaging procedure | A-2C602 | C0522651
SCT | 102324009 | Saline bag prosthesis for imaging procedure | A-2C604 | C0522652
SCT | 102325005 | Gel prosthesis for imaging procedure | A-2C606 | C0522653
SCT | 66787007 | Cranial | G-A107 | C0205096
SCT | 261129000 | Midline | G-A10A | C0441992
SCT | 103342007 | Mid-longitudinal | G-A188 | C0522490
SCT | 103343002 | Parasagittal | G-A189 | C0522491
SCT | 264045001 | Intraluminal | R-42142 | C0442115
SCT | 11070000 | Capsular | G-A171 | C0205151
SCT | 113342003 | Lumen | T-D0048 | C0524461
SCT | 11723008 | Contact with | G-4022 | C0332158
SCT | 91772007 | Parenchyma | T-D0062 | C0524464

### Note

In a prior version of this Context Group, the codes G-A11A, G-A11B, G-A12A, G-A16A, G-A16B, G-A16C, and G-A16D were specified for various concepts. The use of some of those codes conflicts with their assignment to other concepts in SNOMED, and their use in this context is deprecated. Although there is minimal possibility of misinterpretation with SOP Instances that may include the deprecated use, receiving applications should be aware of this change; see Annex J.

## CID 6 Transducer Orientation

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Table CID 6. Transducer Orientation

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 81654009 | Coronal | G-A138 | C0205123
SCT | 38717003 | Longitudinal | G-A143 | C0205127
SCT | 30730003 | Sagittal | G-A145 | C0205129
SCT | 103343002 | Parasagittal | G-A189 | C0522491
SCT | 21114003 | Oblique | G-A472 | C0205315
SCT | 103339001 | Long axis | G-A185 | C0522487
SCT | 103341000 | Off axis | G-A187 | C0522489
SCT | 103340004 | Short axis | G-A186 | C0522488
SCT | 398994001 | Five chamber | G-A191 | C1302157
SCT | 399232001 | Two chamber | G-A19B | C1302267
SCT | 399214001 | Four chamber | G-A19C | C1302256
SCT | 62824007 | Transverse | G-A117 | C0205106

### Note

1. In a prior version of this table, the code G-A11B was specified for the concept Parasagittal. The use of this code conflicts with its assignment to another concept in SNOMED, and its use in this context is deprecated. Although there is minimal possibility of misinterpretation with SOP Instances that may include the deprecated use, receiving applications should be aware of this change; see Annex J.

2. In a prior version of this table, the code G-A13B was specified for the concept of "Off axis", whereas that code actually means "Unilateral left (qualifier value)".

## CID 7 Ultrasound Beam Path

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Table CID 7. Ultrasound Beam Path

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 103381007 | Trans-hepatic | G-D027 | C0522516
SCT | 103353001 | Trans-gastric | G-A1B2 | C0442355
SCT | 103348006 | Trans-pleural | G-A1A5 | C0522494
SCT | 103354007 | Trans-mural | G-A1B3 | C0522497
SCT | 129226004 | Trans-orbital | G-D065 | C0442367
SCT | 103349003 | Trans-pancreatic | G-A1A6 | C0522495
SCT | 6706003 | Trans-rectal | G-D028 | C0205518
SCT | 103347001 | Trans-renal | G-A1A4 | C0522493
SCT | 103382000 | Trans-temporal | G-D032 | C0522517
SCT | 103345009 | Trans-thecal | G-A1A2 | C0522492
SCT | 57257006 | Trans-urethral | G-D003 | C0205497
SCT | 103344008 | Trans-vesical | G-A1A1 | C0442393
SCT | 103346005 | Trans-splenic | G-A1A3 | C0589466
SCT | 103383005 | Trans-esophageal | G-D033 | C0522518
SCT | 66739002 | Trans-abdominal | G-D001 | C0205496
SCT | 54300008 | Trans-vaginal | G-D002 | C0175672

## CID 8 Angiographic Interventional Devices

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Table CID 8. Angiographic Interventional Devices

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 65818007 | Stent | A-25500 | C0038257
SCT | 19923001 | Catheter | A-26800 | C0085590
SCT | 38586004 | Laser | A-81080 | C0458142
SCT | 57126000 | Glue | C-20005 | C0017780
SCT | 102312002 | Atherectomy device | A-25600 | C0522642
SCT | 102315000 | Embolization ball | A-25614 | C0522645
SCT | 102319006 | Percutaneous transluminal angioplasty balloon | A-26912 | C0522648
SCT | 102314001 | Embolization coil | A-25612 | C0522644
SCT | 102314001 | Gianturco coil | A-25612 | C0522644
SCT | 102320000 | Detachable balloon | A-27322 | C0522649
SCT | 102317008 | Guiding catheter | A-26802 | C0221799
SCT | 102316004 | Embolization particulate | A-25616 | C0522646
SCT | 102313007 | Rotational atherectomy device | A-25610 | C0522643
SCT | 102304005 | Measuring ruler | A-10141 | C0522637
DCM | 122485 | Sphere |  |

## CID 9 Image Guided Therapeutic Procedures

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Table CID 9. Image Guided Therapeutic Procedures

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 32318003 | Vasoconstriction | F-39780 | C0042396
SCT | 30017007 | Vasodilatation | F-39800 | C0042401
SCT | 86273004 | Biopsy | P1-03100 | C0005558
SCT | 10849003 | Removal of foreign body | P1-03176 | C0184937
SCT | 69245005 | Intra-arterial infusion of thrombolytic agent | P1-05035 | C0184952
SCT | 8592001 | Irrigation following insertion of catheter | P1-05052 | C0022101
SCT | 45211000 | Catheterization | P1-05535 | C0007430
SCT | 6832004 | Atherectomy | P1-30350 | C0162513
SCT | 65659003 | Atherectomy by rotary cutter | P1-30351 | C0162655
SCT | 76611008 | Atherectomy by laser | P1-30352 | C0521229
SCT | 57238002 | Selective embolization of artery | P1-30530 | C0189632
SCT | 68457009 | Percutaneous transluminal balloon angioplasty | P5-31500 | C0411287
SCT | 16736007 | Transcatheter therapy for embolization | P5-39010 | C0203006
SCT | 240946003 | Percutaneous removal of intravascular foreign body | P0-05AFA | C0411305
SCT | 103709008 | Failed attempted procedure | P1-00018 | C0522770
SCT | 103716009 | Stent placement | P1-05550 | C0522776
SCT | 103712006 | Catheter manipulation | P1-05536 | C0522773
SCT | 103713001 | Catheter replacement | P1-05537 | C0522774
SCT | 103714007 | Occlusion of catheter | P1-05538 | C0522775
SCT | 103715008 | Removal of catheter | P1-05539 | C0394884
SCT | 105372003 | Transcatheter deployment of detachable balloon | P5-39015 | C0524313
SCT | 105373008 | Percutaneous insertion of intravascular filter | P5-39191 | C0524314
SCT | 34536000 | Amniocentesis | P1-86100 | C0002627
SCT | 65388005 | Ultrasonic guidance for amniocentesis | P5-B8310 | C0203432
SCT | 15415002 | Amnioinfusion [injection of amnion] | P1-86520 | C0521272
SCT | 6708002 | Intrauterine cordocentesis | P1-86180 | C0162650
SCT | 91602002 | Thoracentesis | P1-28160 | C0189477
SCT | 65240009 | Breech Version [Obstetrical Version] | P1-86E70 | C0195731
SCT | 45460008 | Intrauterine transfusion | P2-68060 | C0005843
SCT | 133874006 | Fetocide (selective reduction) | P1-86C50 | C1297889
SCT | 133875007 | Prostaglandin injection | P1-93506 | C1297890

## CID 10 Interventional Drug

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Table CID 10. Interventional Drug

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 419442005 | Ethanol | C-21047 | C0001962
SCT | 6725000 | Methylene blue | C-22947 | C0025746
SCT | 6425004 | Antihistamine | C-51000 | C0003360
SCT | 73949004 | Atropine | C-67770 | C0004259
SCT | 30492008 | Diuretic | C-72000 | C0012798
SCT | 67507000 | Antiarrhythmic drug | C-80110 | C0003195
SCT | 111139005 | Inotropic agent | C-80120 | C0304509
NCIt | C78322 | Cardiotonic agent |  | C0007209
SCT | 373263004 | Cardiac adrenergic blocking agent | F-6181D | C1277070
SCT | 67440007 | Alpha-adrenergic blocking agent | C-80131 | C0001641
SCT | 33252009 | beta-Adrenergic blocking agent | C-80135 | C0001645
SCT | 796001 | Digoxin | C-80330 | C0012265
SCT | 82573000 | Lidocaine | C-80400 | C0023660
SCT | 61773008 | Lidocaine hydrochloride | C-80401 | C0546869
SCT | 85272000 | Nifedipine | C-80430 | C0028066
SCT | 55745002 | Propranolol | C-80450 | C0033497
SCT | 31306009 | Quinidine | C-80460 | C0034414
SCT | 47898004 | Verapamil | C-80490 | C0042523
SCT | 1182007 | Hypotensive agent | C-81100 | C0003364
SCT | 4382004 | Centrally acting hypotensive agent | C-81120 | C0304523
SCT | 71759000 | Nitroglycerin | C-81560 | C0017887
SCT | 10712001 | Glucagon preparation | C-A2010 | C0017687
SCT | 81839001 | Anticoagulant | C-A6500 | C0003280
SCT | 48603004 | Warfarin | C-A6530 | C0043031
SCT | 84812008 | Heparin | C-A6540 | C0019134
SCT | 3361000 | Anti-heparin agent | C-A6700 | C0304941
SCT | 64520006 | Protamine sulfate | C-A6710 | C0033602
SCT | 373746004 | Coagulant | F-61642 | C0009117
SCT | 418326009 | Human fibrinogen | F-D7011 | C2587184
SCT | 26370007 | Hemostatic agent | C-A7000 | C0019120
SCT | 60533005 | Astringent drug | C-A7001 | C0004110
SCT | 59057006 | Antihemophilic factor preparation | C-A7021 | C0301494
SCT | 36176003 | Thrombin preparation | F-6ACA0 | C0040018
SCT | 387124009 | Thromboplastin | F-61C97 | C0040048
SCT | 13132007 | Dextran | C-A7220 | C0086140
SCT | 303960004 | Thrombolytic agent | C-50434 | C0016018
SCT | 395889004 | Streptokinase | F-66005 | C0038418
SCT | 59082006 | Urokinase preparation | C-A7430 | C0042071
SCT | 764170006 | Fibrinolysin |  | C0016016
SCT | 19041007 | Tolazoline hydrocholoride | C-815E1 | C0770500
SCT | 387362001 | Epinephrine | F-B2135 | C0014563
SCT | 372787008 | Vasodilator | F-61957 | C0042402
SCT | 372784001 | Papaverine | F-61955 | C0030350
SCT | 372863003 | Phentolamine | F-6199B | C0031448
SCT | 48988008 | Prostaglandin E1 | F-BA070 | C0002335

## CID 11 Route of Administration

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  1.2.840.10008.6.1.9

Table CID 11. Route of Administration

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 47625008 | Intravenous route | G-D101 | C1522726
SCT | 58100008 | Intra-arterial route | G-D102 | C1561451
SCT | 78421000 | Intramuscular route | G-D103 | C1556154
SCT | 34206005 | Subcutaneous route | G-D104 | C1522438
SCT | 372464004 | Intracutaneous route | G-D17D | C1522475
SCT | 38239002 | Intraperitoneal route | G-D106 | C1522583
SCT | 60213007 | Intramedullary route | G-D107 | C1512957
SCT | 72607000 | Intrathecal route | G-D108 | C0677897
SCT | 12130007 | Intra-articular route | G-D109 | C0205528
NCIt | C38244 | Intraepithelial route |  | C1512943
SCT | 6064005 | Topical route | G-D112 | C1522168
SCT | 26643006 | Oral route | G-D140 | C1527415
NCIt | C38306 | Transluminal route |  | C1522231
SCT | 37737002 | Intraluminal route | G-D144 | C1522217
NCIt | C38213 | Extraluminal route |  | C1517059
SCT | 446406008 | By inhalation | R-40B32 | C1998547
SCT | 37161004 | Per rectum | G-D160 | C1527425
SCT | 16857009 | Vaginal route | G-D164 | C1522570
SCT | 372463005 | Intracoronary route | G-D17C | C0595454
SCT | 372460008 | Intracardiac route | G-D173 | C1522207
SCT | 420287000 | Intraventricular route - cardiac | R-F2C86 | C1720462
DCM | 127070 | Retro-orbital route |  |
SCT | 46713006 | Nasal route | G-D172 | C1522019
SCT | 372464004 | Intradermal route | G-D17D | C1522475
SCT | 447122006 | Intratumor route | R-F2CD4 | C2960749
SCT | 445769006 | Intracorpus cavernosum route | R-F2CB6 | C2959571

## CID 12 Radiographic Contrast Agent

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  20210714

UID:

  1.2.840.10008.6.1.10

Table CID 12. Radiographic Contrast Agent

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | Trade Name (Informative)
--- | --- | --- | --- | --- | ---
SCT | 15158005 | Air | A-80230 | C0001861 |
SCT | 25419009 | Barium Sulfate | C-12217 | C0004754 |
SCT | 90745007 | Bunamiodyl | C-B0315 | C0623554 |
SCT | 31811003 | Carbon dioxide | C-10520 | C0007012 |
SCT | 62442005 | Chloriodized oil | C-B0316 | C0301444 |
SCT | 7140000 | Contrast agent | C-B0300 | C2930749 |
SCT | 12335007 | Diatrizoate | C-B0317 | C0012004 | Angiovist™(Berlex), Cardiografin™(Bracco), Cystografin™(Bracco), Gastrografin™(Bracco), Gastrovist™(Berlex), Hypaque™(GE), MD-nn™(Mallinckrodt), Reno-nn™(Bracco), Renografin™(Bracco), Renovist™(Bracco), Sinografin™(Bracco), Urovist™(Berlex)
SCT | 407976008 | Gadobutrol | C-B0415 | C0291216 | Gadavist®
SCT | 354088005 | Gadodiamide | C-B03C3 | C0082646 | Omniscan™(GE)
SCT | 58281002 | Gadolinium | C-17800 | C0016911 |
SCT | 109216000 | Gadopentetate dimeglumine | C-B0321 | C0060934 | Magnevist™(Berlex)
SCT | 12801003 | Iodamide meglumine | C-B0326 | C0065884 | Renovue™(Bracco)
SCT | 73212002 | Iodipamide | C-B0318 | C0021971 | Cholographin™(Bracco), Sinografin™(Bracco)
SCT | 353962003 | Iodixanol | C-B03BC | C0063757 | Visipaque™(GE)
SCT | 89595000 | Iodized oil | C-B0319 | C0021972 |
SCT | 86584005 | Iodoalphionic acid | C-B0323 | C0063766 |
SCT | 74554008 | Iodophthalein | C-B0341 | C0163095 |
SCT | 40710000 | Iodopyracet | C-B0327 | C0021990 |
SCT | 109218004 | Iohexol | C-B0322 | C0022005 | Omnipaque™(GE)
RADLEX | RID11585 | Ionic iodinated contrast agent |  | C0361904 |
SCT | 109219007 | Iopamidol | C-B0329 | C0022026 | Isovue™(Bracco)
SCT | 76155001 | Iopanoic acid | C-B0328 | C0022028 | Telepaque™(GE)
SCT | 28121005 | Iophendylate | C-B0331 | C0022029 | Pantopaque™(Alcon)
SCT | 23053002 | Iophenoxic acid | C-B0333 | C0063816 |
SCT | 353903006 | Iopromide | C-B0382 | C0063817 | Ultravist or Imeron
SCT | 353912008 | Iothalamate | C-B038B | C0022032 | Conray™(Mallinckrodt), Cysto-Conray™(Mallinckrodt), Vascoray™(Mallinckrodt)
SCT | 109222009 | Ioversol | C-B0332 | C0063828 | Optiray™(Mallinckrodt)
SCT | 412228003 | Ioxaglate | F-61E1C | C0205807 | Hexbrix™(Mallinckrodt)
SCT | 409484007 | Ioxilan | C-B0303 | C0063829 | Imagenil
SCT | 87445005 | Ipodate | C-B0335 | C0022049 | Bilivist™(Berlex), Oragrafin™(Bracco)
RXNORM | 236987 | Mangafodipir trisodium |  | C0772321 | Teslascan™(GE)
SCT | 47192000 | Meglumine diatrizoate | C-B0345 | C0012005 | Angiovist™(Berlex), Cardiografin™(Bracco), Cystografin™(Bracco), Gastrografin™(Bracco), Gastrovist™(Berlex), MD-nn™(Mallinckrodt), Reno-nn™(Bracco), Renografin™(Bracco), Renovist™(Bracco), Sinografin™(Bracco), Urovist™(Berlex)
SCT | 69783005 | Meglumine iodipamide | C-B0324 | C0065885 | Cholographin Meglumine™(Bracco)
SCT | 90733003 | Metrizamide | C-B0348 | C0025869 | Amipaque™(GE)
SCT | 354094002 | Metrizoate | C-B03C9 | C0025870 | Isopaque™(GE)
RADLEX | RID38696 | Non-ionic iodinated contrast agent |  | C0521968 |
SCT | 43538006 | Non radiopaque medium | C-B0312 | C0301446 |
SCT | 24099007 | Oxygen | C-10110 | C0030054 |
SCT | 111158001 | Propyliodone | C-B0337 | C0033509 | Dionosil™(GSK)
SCT | 7140000 | Radiopaque medium | C-B0300 | C2930749 |
SCT | 32836007 | Sodium acetrizoate | C-B0338 | C0546847 | Salpix™(Ortho)
SCT | 83423008 | Sodium diprotrizoate | C-B0342 | C0301447 |
SCT | 925002 | Sodium iodipamide | C-B0325 | C0301445 | Cholographin Sodium™(Bracco)
SCT | 38344006 | Sodium iodomethamate | C-B0344 | C0301448 |
SCT | 109212003 | Sodium tyropanoate | C-B0314 | C0936260 |
SCT | 11713004 | Water | C-10120 | C0043047 |

### Note

- The codes drawn from SNOMED are recommended to be those from the concept hierarchy of "radiographic contrast media" in the hierarchy "pharmaceutical/biological product", and secondarily from the hierarchy "substance".

- Trade names are from http://www.accessdata.fda.gov/scripts/cder/drugsatfda/index.cfm.

## CID 13 Radiographic Contrast Agent Ingredient

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Version:

  20190817

UID:

  1.2.840.10008.6.1.11

Table CID 13. Radiographic Contrast Agent Ingredient

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 44588005 | Iodine | C-11400 | C0021968
SCT | 58281002 | Gadolinium | C-17800 | C0016911
SCT | 31811003 | Carbon Dioxide | C-10520 | C0007012
SCT | 39290007 | Barium | C-12200 | C0004749
SCT | 83598005 | Xenon | C-17200 | C0043339
SCT | 15158005 | Air | A-80230 | C0001861
SCT | 24099007 | Oxygen | C-10110 | C0030054
SCT | 11713004 | Water | C-10120 | C0043047
SCT | 3829006 | Iron | C-13000 | C0302583

## CID 18 Isotopes in Radiopharmaceuticals

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  20201116

UID:

  1.2.840.10008.6.1.12

Table CID 18. Isotopes in Radiopharmaceuticals

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 71647005 | ^14^Carbon | C-105A2 | C0302945
SCT | 77004003 | ^18^Fluorine | C-111A1 | C0302995
SCT | 71633006 | ^22^Sodium | C-155A1 | C0303511
SCT | 58541008 | ^24^Sodium | C-155A2 | C0303512
SCT | 32505007 | ^32^Phosphorus | C-106A1 | C0851287
SCT | 59844004 | ^42^Potassium | C-135A2 | C0303277
SCT | 8202008 | ^43^Potassium | C-135A3 | C0303278
SCT | 52745005 | ^51^Chromium | C-129A2 | C0303212
SCT | 27054007 | ^57^Cobalt | C-144A3 | C0303392
SCT | 89272005 | ^58^Cobalt | C-144A4 | C0303393
SCT | 68580003 | ^59^Iron | C-130A3 | C0303220
SCT | 5405008 | ^60^Cobalt | C-144A6 | C0303395
SCT | 3932008 | ^64^Copper | C-127A2 | C0303190
SCT | 53700003 | ^67^Copper | C-127A3 | C0303191
SCT | 2008008 | ^67^Gallium | C-131A2 | C0303225
SCT | 43239002 | ^75^Selenium | C-116A3 | C0303048
SCT | 61716009 | ^81m^Krypton | C-173A5 | C0303689
SCT | 34127007 | ^85^Krypton | C-173A7 | C0303691
SCT | 111084009 | ^85^Strontium | C-158A3 | C0303544
SCT | 78023008 | ^87m^Strontium | C-158A5 | C0303546
SCT | 7770004 | ^89^Strontium | C-158A6 | C0281385
SCT | 14691008 | ^90^Yttrium | C-162A7 | C0303596
SCT | 23788009 | ^97^Ruthenium | C-180A2 | C0303730
SCT | 72454006 | ^99m^Technetium | C-163A8 | C0303611
SCT | 56609000 | ^111^Indium | C-145A4 | C0303403
SCT | 48895003 | ^113m^Indium | C-145A5 | C0303404
SCT | 21572004 | ^123^Iodine | C-114A4 | C0303023
SCT | 68630002 | ^125^Iodine | C-114A6 | C0796396
SCT | 27081007 | ^127^Xenon | C-172A5 | C0303677
SCT | 1368003 | ^131^Iodine | C-114B1 | C0303029
SCT | 3027009 | ^133^Barium | C-122A5 | C0303126
SCT | 80751004 | ^133^Xenon | C-172A8 | C0872916
SCT | 14529005 | ^153^Gadolinium | C-178A8 | C0303714
SCT | 419804008 | ^153^Samarium | C-B1134 | C0677942
NCIt | C1943 | ^166^Holmium |  | C1512482
SCT | 41758004 | ^169^Ytterbium | C-181A3 | C0303739
SCT | 447553000 | ^177^Lutetium | C-101ED | C2959378
SCT | 6301006 | ^178^Tantalum | C-156A6 | C0303521
SCT | 395865006 | ^186^Rhenium | C-11906 | C1273039
SCT | 423578007 | ^188^Rhenium | C-1018D | C1828331
DCM | 126604 | ^191m^Iridium |  |
SCT | 24301009 | ^198^Gold | C-146A9 | C0303420
SCT | 70544003 | ^199^Gold | C-146B1 | C0303421
SCT | 60057003 | ^201^Thallium | C-138A9 | C0303322
SCT | 47588004 | ^203^Lead | C-132A8 | C0303240
SCT | 24853006 | ^223^Radium | C-136A2 | C0303282

## CID 19 Patient Orientation

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Version:

  20160314

UID:

  1.2.840.10008.6.1.13

Table CID 19. Patient Orientation

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
NCIt | C86043 | erect |  | C0522015
SCT | 102538003 | recumbent | F-10450 | C0444334
SCT | 102539006 | semi-erect | F-10460 | C0522018

In a prior version of this Context Group (102537008, SCT, "Upright body position (finding)") was specified for the concept "erect" but has been inactivated as being ambiguous, with no suitable replacement. Accordingly the NCIt concept of "upright" defined as "in a vertical position or posture" is used as a replacement.

## CID 20 Patient Orientation Modifier

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Version:

  20070524

UID:

  1.2.840.10008.6.1.14

Table CID 20. Patient Orientation Modifier

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 1240000 | prone | F-10310 | C0033422
SCT | 34026001 | semi-prone | F-10316 | C0150435
SCT | 32185000 | lateral decubitus | F-10318 | C0444379
SCT | 10904000 | standing | F-10320 | C0231472
SCT | 51845000 | anatomical | F-10326 | C0277809
SCT | 55864004 | kneeling | F-10330 | C1260920
SCT | 23242002 | knee-chest | F-10336 | C0277810
SCT | 40199007 | supine | F-10340 | C0038846
SCT | 14205002 | lithotomy | F-10346 | C0150665
SCT | 34106002 | Trendelenburg | F-10348 | C0277812
SCT | 26527006 | inverse Trendelenburg | F-10349 | C0277813
SCT | 34296003 | frog | F-10380 | C0426962
SCT | 87068006 | stooped-over | F-10390 | C0231478
SCT | 33586001 | sitting | F-103A0 | C0277814
SCT | 34108001 | curled-up | F-10410 | C0277815
SCT | 102535000 | right lateral decubitus | F-10317 | C0559228
SCT | 102536004 | left lateral decubitus | F-10319 | C0559227
SCT | 260450008 | lordotic | R-40799 | C0442217

## CID 21 Patient Equipment Relationship

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  20151110

UID:

  1.2.840.10008.6.1.15

Table CID 21. Patient Equipment Relationship

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 399366008 | oblique | R-10516 | C1302343
SCT | 102540008 | headfirst | F-10470 | C0522020
SCT | 102541007 | feet-first | F-10480 | C0522022
SCT | 399220000 | transverse | R-10515 | C1302259
DCM | 126830 | left first |  |
DCM | 126831 | right first |  |
DCM | 126832 | posterior first |  |
DCM | 126833 | anterior first |  |

### Note

1. In a prior version of this Context Group, the codes G-5190 and G-5191 were specified for the concepts "headfirst" and "feet-first". The use of these codes is deprecated as they are not actually in SNOMED. Although there is minimal possibility of misinterpretation with SOP Instances that may include the deprecated use, receiving applications should be aware of this change; see Annex J.

2. For devices that do not have a conventional gantry geometry, the vendor of that device may describe in the Conformance Statement how the codes are interpreted with respect to the device geometry.

3. (126830, DCM, "left first"), (126831, DCM, "right first), (126832, DCM, "posterior first) and (126833, DCM, "anterior first) are more specific than (399220000, SCT, "transverse") in that they specify which side of the patient is towards the front of the equipment.

4. For quadrupeds, separate concepts for ventral and dorsal are not introduced, rather it is expected that anterior and posterior will be considered synonymous as they are when applied to the trunk.

## CID 23 Cranio-Caudad Angulation

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  20020904

UID:

  1.2.840.10008.6.1.16

Table CID 23. Cranio-Caudad Angulation

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 66787007 | Cephalic | G-A107 | C0205096
SCT | 3583002 | Caudal | G-A108 | C0205097

## CID 25 Radiopharmaceuticals

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Version:

  20201116

UID:

  1.2.840.10008.6.1.17

Table CID 25. Radiopharmaceuticals

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | Trade name (Informative)
--- | --- | --- | --- | --- | ---
SCT | 2942001 | Carbon^14^ D-xylose | C-B1302 | C0305043 |
SCT | 42417005 | Carbon^14^ triolein | C-B1300 | C0305042 |
SCT | 17069007 | Chromic phosphate P^32^ | C-B1140 | C0392428 |
SCT | 4693006 | Chromium^51^ albumin | C-B1012 | C0304956 |
SCT | 6973004 | Chromium^51^ chloride | C-B1013 | C0304957 |
SCT | 78686003 | Copper^64^ acetate | C-B1017 | C0304959 |
SCT | 88166005 | Copper^64^ versenate | C-B1016 | C0304958 |
SCT | 29460005 | Copper^67^ ceruloplasmin | C-B1018 | C0304960 |
SCT | 187006 | Cyanocobalamin Co^57^ | C-B1021 | C0304961 |
SCT | 5692007 | Cyanocobalamin Co^58^ | C-B1022 | C0304962 |
SCT | 72159005 | Cyanocobalamin Co^60^ | C-B1023 | C0304963 |
SCT | 17600005 | Diagnostic radioisotope | C-B1000 | C0360048 |
SCT | 31192007 | Ferrous chloride Fe^59^ | C-B1122 | C0305004 |
SCT | 87958003 | Ferrous citrate Fe^59^ | C-B1121 | C0305003 |
SCT | 125001 | Ferrous sulfate Fe^59^ | C-B1123 | C0305005 |
SCT | 71636003 | Fibrinogen I^123^ | C-B1082 | C0304978 |
SCT | 35321007 | Fluorodeoxyglucose F^18^ | C-B1031 | C0046056 |
SCT | 73065000 | Gallium^67^ citrate | C-B1041 | C0893383 |
SCT | 6516008 | Indium^111^-Fe(OH) >3< | C-B1065 | C0304970 |
SCT | 424570009 | Indium^111^oxyquinoline | C-B1135 | C1827660 |
SCT | 29218008 | Indium^111^ pentetate | C-B1061 | C0304967 |
SCT | 81621007 | Indium^111^ red cell label | C-B1066 | C0304971 |
SCT | 78570003 | Indium^111^ transferrin | C-B1067 | C0936259 |
SCT | 446871009 | Indium^111 Capromab Pendetide | C-145AB | C2959379 | Prostascint
SCT | 395742005 | Indium^111 Chloride | C-14512 | C0087296 | Zevalin
SCT | 446800006 | Indium^111 Pentetreotide | C-145AA | C0379955 | Octreoscan
SCT | 90617008 | Indium^113m^ bleomycin | C-B1068 | C0304972 |
SCT | 767418009 | Indium^113m^ chloride |  | C0361440 |
SCT | 42728008 | Indium^113m^ pentetate | C-B1070 | C0304973 |
SCT | 72015003 | Iodinated I^125^ albumin | C-B1084 | C0304980 |
DCM | 126764 | Iodinated I^125^ DPA-713 |  |  |
SCT | 64488003 | Iodinated I^125^ human serum albumin | C-B1100 | C0304997 |
SCT | 69839009 | Iodinated I^125^ povidone | C-B1096 | C0304993 |
SCT | 70154008 | Iodinated I^125^ sodium iodine | C-B1099 | C0304996 |
SCT | 55814006 | Iodinated I^131^ aggregated albumin | C-B1090 | C0304986 |
SCT | 39200002 | Iodinated I^131^ albumin | C-B1089 | C0304985 |
SCT | 52408003 | Iodinated I^131^ gamma globulin | C-B1111 | C0305002 |
SCT | 447134003 | Iodine^123 15-(4-Iodophenyl)-3(R,S)-Methylpentadecanoic Acid | C-114AB | C2959625 | Cardiodine
SCT | 395787009 | Iodine^123 3-Iodobenzylguanidine MIBG | C-B110E | C0887719 |
SCT | 35884005 | Iodine^131^ polyvinylpyrrolidone | C-B1109 | C0305001 |
SCT | 395789007 | Iodine^131 3-Iodobenzylguanidine MIBG | C-B112D | C0524959 |
SCT | 68967007 | Iodocholesterol I^131^ | C-B1087 | C0304983 |
SCT | 33785000 | Iodohippurate I^123^ sodium | C-B1095 | C0304992 |
SCT | 36900006 | Iodohippurate I^125^ sodium | C-B1105 | C0304998 |
SCT | 33271006 | Iodohippurate I^131^ sodium | C-B1091 | C0304987 |
SCT | 78481003 | Iofetamine I^123^ hydrochloride | C-B1108 | C0305000 |
SCT | 429296007 | Ioflupane I^123^ | C-B07EC | C2980484 | DaTSCAN
SCT | 55673009 | Iothalamate sodium I^125^ | C-B1088 | C0304984 |
SCT | 60459006 | Iron Fe^59^ labeled dextran | C-B1124 | C0305006 |
SCT | 61716009 | Krypton^81m | C-173A5 | C0303689 |
SCT | 781259000 | Lutetium^177^ DOTATATE |  | C3272344 |
DCM | 126509 | Lutetium^177^ n-acetylaspartylglutamate |  |  |
SCT | 22979004 | Oleic acid I^125^ | C-B1083 | C0304979 |
SCT | 29348008 | Pentetate calcium trisodium Yb^169^ | C-B1251 | C0305041 |
SCT | 111161000 | Potassium carbonate K^42^ | C-B1151 | C0305009 |
SCT | 36641004 | Potassium chloride K^42^ | C-B1152 | C0305010 |
SCT | 47729008 | Potassium chloride K^43^ | C-B1150 | C0305008 |
SCT | 724024003 | Radium^223^ dichloride |  | C3541342 |
SCT | 111159009 | Rose Bengal sodium I^131^ | C-B1085 | C0282340 |
SCT | 395894004 | Selenium^75^ HCAT | C-B10FB | C0046666 |
SCT | 88473009 | Selenomethionione Se^75^ | C-B1171 | C0034616 |
SCT | 6257000 | Sodium chloride Na^22^ | C-B1176 | C0205951 |
SCT | 31527000 | Sodium chloride Na^24^ | C-B1175 | C0305013 |
SCT | 62517004 | Sodium chromate Cr^51^ | C-B1011 | C0304955 |
SCT | 129501009 | Sodium fluoride F^18^ | C-B1032 | C0304965 |
SCT | 67690002 | Sodium iodide I^123^ | C-B1081 | C0304977 |
SCT | 111160004 | Sodium iodide I^131^ | C-B1086 | C0304982 |
SCT | 19495007 | Sodium pertechnetate Tc^99m^ | C-B1206 | C0039418 |
SCT | 10781003 | Sodium phosphate P^32^ | C-B1142 | C0305007 |
SCT | 69076006 | Strontium chloride Sr^85^ | C-B1180 | C0305015 |
SCT | 38424001 | Strontium chloride Sr^87^ | C-B1181 | C0305016 |
SCT | 125701003 | Strontium chloride Sr^89^ | C-B1184 | C0919292 |
SCT | 8858006 | Strontium nitrate Sr^85^ | C-B1182 | C0305017 |
SCT | 31953001 | Strontium nitrate Sr^87^ | C-B1183 | C0305018 |
MSH | C104196 | Technetium^99m^ TRODAT-1 |  | C0535449 |
SCT | 446534003 | Technetium^99m Galactosyl Human Serum Albumin Diethylenetriamine | C-163B6 | C2960066 | Asialoscinti
SCT | 447125008 | Technetium^99m labeled carbon | C-163B9 | C2960082 | Technegas
SCT | 446536001 | Technetium^99m Mercaptoacetyl triglycine MAG3 | C-163B8 | C2960081 | MAGscinti
SCT | 447126009 | Technetium^99m N-pyridoxyl-5-methyltryptophan | C-163BA | C2960810 | Hepatimage
SCT | 447127000 | Technetium^99m Phytate | C-163BB | C2960676 |
SCT | 447128005 | Technetium^99m Stannous Colloid | C-163BC | C2960677 |
NCIt | C116887 | Technetium^99m Trofolastat |  | C3899042 | MIP 1404
SCT | 55494003 | Technetium Tc^99c^ albumin microspheres | C-B1205 | C0305022 |
SCT | 85693008 | Technetium Tc^99m^ aggregated albumin | C-B1200 | C0039415 |
SCT | 415704007 | Technetium Tc^99m^ depreotide | C-B1133 | C1100674 |
SCT | 3040004 | Technetium Tc^99m^ disofenin | C-B1207 | C0075932 |
SCT | 766886003 | Technetium Tc^99m^ bicisate |  | C0378335 | Neurolite
SCT | 77313009 | Technetium Tc^99m^ exametazime | C-B1223 | C0145055 |
SCT | 87853006 | Technetium Tc^99m^ iron ascorbate | C-B1210 | C0305027 |
SCT | 7281000 | Technetium Tc^99m^ lidofenin | C-B1209 | C0075958 |
SCT | 4832001 | Technetium Tc^99m^ mebrofenin | C-B1208 | C0075962 |
SCT | 96390006 | Technetium Tc^99m^ medronate | C-B1218 | C0039416 |
SCT | 81761004 | Technetium Tc^99m^ microaggregated albumin | C-B1203 | C0305020 |
SCT | 87410002 | Technetium Tc^99m^ N-substituted iminodiacetate | C-B1225 | C0305039 |
SCT | 53951001 | Technetium Tc^99m^ oxidronate | C-B1213 | C0305030 |
SCT | 430276001 | Technetium Tc^99m^ pentetate | C-163B0 | C0080212 |
SCT | 764821009 | Technetium Tc^99m^ pyrophosphate |  | C0085250 |
SCT | 79610008 | Technetium Tc^99m^ serum albumin | C-B1216 | C0665175 |
SCT | 424299003 | Technetium Tc^99m^ sestamibi | C-163AB | C0162680 |
SCT | 45849009 | Technetium Tc^99m^ sodium glucoheptonate | C-B1220 | C0305034 |
SCT | 111162007 | Technetium Tc^99m^ stannous etidronate | C-B1211 | C0305028 |
SCT | 24511001 | Technetium Tc^99m^ succimer | C-B1221 | C0075928 |
SCT | 5931004 | Technetium Tc^99m^ sulfur colloid | C-B1222 | C0039419 |
SCT | 89818005 | Technetium Tc^99m^ tagged red cells | C-B1224 | C0305038 |
SCT | 424318009 | Technetium Tc^99m^Teboroxime | C-163AC | C0076030 |
SCT | 424118002 | Technetium Tc^99m^Tetrofosmin | C-163AD | C1828125 |
SCT | 73685002 | Thallous chloride Tl^201^ | C-B1231 | C0305040 |
SCT | 439007 | Therapeutic radioisotope | C-B1010 | C0358509 |
SCT | 780783002 | Xenon^133^ gas |  |  | Xeneisol
SCT | 29348008 | Yb^169^-DTPA - pentetate | C-B1251 | C0305041 |
SCT | 764678003 | Yttrium^90^ microspheres |  | C4707051 |

## CID 26 Nuclear Medicine Projections

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Table CID 26. Nuclear Medicine Projections

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 81654009 | Coronal | G-A138 | C0205123
SCT | 30730003 | Sagittal | G-A145 | C0205129
SCT | 24422004 | Axial | G-A147 | C0205131
SCT | 399108003 | Right anterior oblique | G-5206 | C1275818
SCT | 399074003 | Left anterior oblique | G-5207 | C1275814
SCT | 399075002 | Right posterior oblique | G-5208 | C1275815
SCT | 399136008 | Left posterior oblique | G-5209 | C1275824
SCT | 399089007 | Oblique axial | G-5210 | C1275817
SCT | 399273000 | Sagittal-oblique axial | G-5212 | C1275844
SCT | 399012007 | Medial-lateral | G-5220 | C1275804
SCT | 399300004 | Lateral-medial | G-5221 | C1275847
SCT | 399297009 | Right lateral projection | G-5222 | C1261185
SCT | 399118008 | Left lateral projection | G-5223 | C1306031
SCT | 399268006 | Medio-lateral oblique | G-5224 | C1275843
SCT | 399159002 | Latero-medial oblique | G-5225 | C1275827
SCT | 62824007 | Transverse | G-A117 | C0205106
SCT | 49370004 | Lateral | G-A104 | C0205093
Include CID 27 “Basic Cardiac Views” |  |
SCT | 399321004 | Anterior projection | G-5215 | C1275849
SCT | 399001007 | Posterior projection | G-5216 | C1275801

### Note

1. In a prior version of this table, the code G-A117 was specified for the concept Transaxial, and R-11300 was specified for the concept Transverse. Since these concepts are synonymous in nuclear projections, and since SNOMED assigns G-A117 to the concept Transverse, the use of R-11300 is deprecated. Although there is minimal possibility of misinterpretation with SOP Instances that may include the deprecated use, receiving applications should be aware of this change; see Annex J.

2. The following Code Values were formerly included in CID 26 “Nuclear Medicine Projections” and are retired:

   SRT | G-5200 | Antero-posterior
   SRT | G-5201 | Postero-anterior
   SRT | G-5203 | Frontal oblique
   SRT | G-5204 | Antero-posterior Oblique
   SRT | G-5205 | Postero-anterior Oblique
   SRT | G-5211 | Frontal-oblique axial
   SRT | G-5213 | Submento-vertex axial
   SRT | G-5214 | Oblique submento-vertex
   SRT | G-5226 | Right to left oblique
   SRT | G-5227 | Left to right oblique

## CID 27 Basic Cardiac Views

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Table CID 27. Basic Cardiac Views

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 103340004 | Short Axis | G-A186 | C0522488
SCT | 131185001 | Vertical Long Axis | G-A18A | C1295721
SCT | 131186000 | Horizontal Long Axis | G-A18B | C1295722

## CID 29 Acquisition Modality

This Context Group includes codes that may be used to identify the type of diagnostic equipment, or function or technique of that equipment, that originally acquired, through interaction with a patient or specimen, the data used to create the instance. These codes are used in Attribute Modality (0008,0060) of a Modality Worklist Scheduled Procedure Step or a Composite SOP Instance (see PS3.3). It generally corresponds to a class of diagnostic equipment, or to a specific acquisition function or technique in a device. his Context Group may be used as the value set for HL7 v2 Table 0259 (see HL7 v2.6 Chapter 8 Section 8.8.8.47).

### Note

This Context Group is not the complete set of codes that may appear in the Attribute Modality (0008,0060); these are only the codes associated with orderable acquisition processes (not pre-acquisition activities or post-processing).

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  1.2.840.10008.6.1.19

Table CID 29. Acquisition Modality

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | AR | Autorefraction
DCM | BI | Biomagnetic Imaging
DCM | BMD | Bone Mineral Densitometry
DCM | EPS | Cardiac Electrophysiology
DCM | CR | Computed Radiography
DCM | CT | Computed Tomography
DCM | DMS | Dermoscopy
DCM | DG | Diaphanography
DCM | DX | Digital Radiography
DCM | ECG | Electrocardiography
DCM | EEG | Electroencephalography
DCM | EMG | Electromyography
DCM | EOG | Electrooculography
DCM | ES | Endoscopy
DCM | XC | External-camera Photography
DCM | GM | General Microscopy
DCM | HD | Hemodynamic Waveform
DCM | IO | Intra-oral Radiography
DCM | IVOCT | Intravascular Optical Coherence Tomography
DCM | IVUS | Intravascular Ultrasound
DCM | KER | Keratometry
DCM | LS | Laser Scan
DCM | LEN | Lensometry
DCM | MR | Magnetic Resonance
DCM | MG | Mammography
DCM | NM | Nuclear Medicine
DCM | OAM | Ophthalmic Axial Measurements
DCM | OPM | Ophthalmic Mapping
DCM | OP | Ophthalmic Photography
DCM | OPT | Ophthalmic Tomography
DCM | OPTBSV | Ophthalmic Tomography B-scan Volume Analysis
DCM | OPTENF | Ophthalmic Tomography En Face
DCM | OPV | Ophthalmic Visual Field
DCM | OCT | Optical Coherence Tomography
DCM | OSS | Optical Surface Scanner
DCM | PX | Panoramic X-Ray
DCM | POS | Position Sensor
DCM | PT | Positron emission tomography
DCM | RF | Radiofluoroscopy
DCM | RG | Radiographic imaging
DCM | RESP | Respiratory Waveform
DCM | RTIMAGE | RT Image
DCM | SM | Slide Microscopy
DCM | SRF | Subjective Refraction
DCM | TG | Thermography
DCM | US | Ultrasound
DCM | BDUS | Ultrasound Bone Densitometry
DCM | VA | Visual Acuity
DCM | XA | X-Ray Angiography

## CID 30 DICOM Devices

This Context Group includes codes that may be used to identify a class of equipment that uses DICOM.

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  1.2.840.10008.6.1.20

Table CID 30. DICOM Devices

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 29 “Acquisition Modality”
DCM | ARCHIVE | Archive
DCM | CAD | Computer Assisted Detection/Diagnosis
DCM | CAPTURE | Image Capture
DCM | COMP | Computation Server
DCM | DSS | Department System Scheduler
DCM | FILMD | Film Digitizer
DCM | LOG | Procedure Logging
DCM | M3D | 3D Manufacturing Modeling System
DCM | MCD | Media Creation Device
DCM | PRINT | Hard Copy Print Server
DCM | RT | Radiation Therapy Device
DCM | STAIN | Automated Slide Stainer
DCM | WSD | Workstation

## CID 31 Abstract Priors

This Context Group includes codes that may be used to identify imaging procedures that may be referred to as priors for the purpose of image set selection in Hanging Protocols.

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  1.2.840.10008.6.1.21

Table CID 31. Abstract Priors

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 278307001 | On admission | R-40553 | C0457453
SCT | 277671009 | Intraoperative | R-400B2 | C0456904
SCT | 281379000 | Pre-admission | R-41FD9 | C0559269
SCT | 255235001 | Pre-dose | R-411C0 | C0439565
SCT | 255566006 | Post-dose | R-404DA | C0439568
SCT | 262068006 | Pre-operative | R-413C5 | C0445204
SCT | 262061000 | Post-operative | R-413B7 | C0032790
DCM | 109120 | On admission to unit |  |
DCM | 109121 | On discharge |  |
DCM | 109122 | On discharge from unit |  |
DCM | 109123 | Pre-intervention |  |
DCM | 109124 | Post-intervention |  |
DCM | 109125 | At last appointment |  |

## CID 32 Non-Acquisition Modality

This Context Group includes codes that may be used to identify the type of equipment, or function or technique of that equipment, that created the data used to create an instance, other than by means of acquisition through interaction with a patient or specimen.

### Note

Many Composite SOP Instances with the Attribute Modality (0008,0060) code values from this Context Group are the result of post-processing, and are not directly associated with an orderable acquisition process.

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Table CID 32. Non-Acquisition Modality

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | ASMT | Content Assessment Result
DCM | AU | Basic Voice Audio
DCM | CTPROTOCOL | CT Protocol
DCM | DOC | Document
DCM | FID | Spatial Fiducials
DCM | HC | Hard Copy
DCM | IOL | Intraocular Lens Calculation
DCM | KO | Key Object Selection
DCM | M3D | Model for 3D Manufacturing
DCM | OT | Other
DCM | PLAN | Plan
DCM | PR | Presentation State
DCM | REG | Registration
DCM | RTDOSE | RT Dose
DCM | RTPLAN | RT Plan
DCM | RTRECORD | RT Treatment Record
DCM | RTSTRUCT | RT Structure Set
DCM | RWV | Real World Value Map
DCM | SEG | Segmentation
DCM | SMR | Stereometric Relationship
DCM | SR | Structured Report Document
DCM | STAIN | Automated Slide Stainer
DCM | TEXTUREMAP | Texture Map

## CID 33 Modality

This Context Group includes codes that may be used to identify the type of equipment, or function or technique of that equipment, that created the data used to create an instance.

### Note

This Context Group contains the complete set of defined codes that may appear in the Attribute Modality (0008,0060).

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  1.2.840.10008.6.1.1283

Table CID 33. Modality

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 29 “Acquisition Modality”
Include CID 32 “Non-Acquisition Modality”

## CID 42 Numeric Value Qualifier

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  1.2.840.10008.6.1.22

Table CID 42. Numeric Value Qualifier

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 43 “Numeric Value Failure Qualifier”
Include CID 44 “Numeric Value Unknown Qualifier”

## CID 43 Numeric Value Failure Qualifier

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Table CID 43. Numeric Value Failure Qualifier

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 114000 | Not a number
DCM | 114001 | Negative Infinity
DCM | 114002 | Positive Infinity
DCM | 114003 | Divide by zero
DCM | 114004 | Underflow
DCM | 114005 | Overflow
DCM | 114006 | Measurement failure
DCM | 114008 | Calculation failure
DCM | 114009 | Value out of range

## CID 44 Numeric Value Unknown Qualifier

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Table CID 44. Numeric Value Unknown Qualifier

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 114007 | Measurement not attempted
DCM | 114010 | Value unknown
DCM | 114011 | Value indeterminate

## CID 50 Instance Availability Status

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  1.2.840.10008.6.1.811

Table CID 50. Instance Availability Status

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | NEARLINE | Nearline
DCM | OFFLINE | Offline
DCM | ONLINE | Online
DCM | UNAVAILABLE | Unavailable

## CID 60 Imaging Agent Administration Adverse Events

This Context Group includes contrast reactions listed in the ACR Manual of Contrast Media.

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Table CID 60. Imaging Agent Administration Adverse Events

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 16932000 | Nausea and vomiting | F-52840 | C0027498
SCT | 271801002 | Taste sense altered | F-5005E | C0013378
SCT | 415690000 | Sweating | F-400A9 | C0038990
SCT | 49727002 | Cough | F-24100 | C0010200
SCT | 418363000 | Itching | F-A21A7 | C0033774
SCT | 28926001 | Drug Rash | D0-71000 | C0011609
SCT | 724232004 | Sensation of being warm (finding) |  |
SCT | 398979000 | Pallor (Pale Complexion) | F-037AB | C0030232
SCT | 68235000 | Nasal Congestion | F-24442 | C0027424
SCT | 25064002 | Headache | F-A2700 | C0018681
SCT | 403618004 | Drug induced Flushing | D0-3002F | C1274940
SCT | 278528006 | Facial Swelling | F-017C0 | C0151602
SCT | 473188002 | Drug Induced Dizziness | DF-1147C | C3532678
SCT | 274640006 | Chills and fever | F-03261 | C0085594
SCT | 48694002 | Anxiety | F-0B320 | C0003467
SCT | 26079004 | Shaking | F-A4600 | C0040822
SCT | 74615001 | Tachycardia-bradycardia | D3-31121 | C0221047
SCT | 4386001 | Bronchospasm | F-20250 | C0001999
SCT | 38341003 | Hypertension | D3-02000 | C0020538
SCT | 51599000 | Laryngeal edema | D2-04460 | C0023052
SCT | 402603005 | Diffuse inflammatory erythema | D0-2202B | C1304360
SCT | 234171009 | Drug-induced hypotension | D3-04006 | C0340858
SCT | 267036007 | Dyspnea | F-201B3 | C0013404
SCT | 51599000 | Laryngeal edema (severe or rapidly progressing) | D2-04460 | C0023052
SCT | 84757009 | Epileptic convulsions | DA-30000 | C0014544
SCT | 45007003 | Hypotension | D3-04000 | C0020649
SCT | 298336006 | No motor response to command | F-100EC | C0575112
SCT | 698247007 | Cardiac Arrhythmia | R-FAE6C | C0003811
SCT | 410430005 | Cardiorespiratory arrest | D2-60262 | C0600228
SCT | 95384003 | Injection Site Extravasation | D0-B0330 | C0521500
DCM | 110515 | Patient condition prevented continuing |  |
Include CID 10043 “Intravenous Extravasation Symptoms”

## CID 61 Time Relative to Procedure

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Table CID 61. Time Relative to Procedure

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 303110006 | After Procedure | R-422A4 | C0580203
SCT | 307154001 | During Procedure | R-40FBA | C0585033
SCT | 307153007 | Before Procedure | R-40FB9 | C0585032

## CID 62 Imaging Agent Administration Phase Type

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Table CID 62. Imaging Agent Administration Phase Type

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 130168 | Automatic Programmed Administration Phase
DCM | 130169 | Automatic Programmed Delay Phase
DCM | 130171 | Automated Manual Inject Phase
DCM | 130263 | Automatic Programmed Wait Phase

### Note

In a prior version of this Context Group a code (130170, DCM, "Automatic with Manual Hold Phase") was specified. See PS3.16 2020a. This concept has been inactivated as being ambiguous. According to the CiA 425 CANopen Standard [CiA 425 CANopen] the new concept (130263, DCM, "Automatic Programmed Wait Phase") is introduced. With the exception of (130171, DCM, "Automated Manual Injection Phase"), which is dedicated to cardiac injections, CID 62 codes comply with the CANopen definitions given in section 4.4 of the CANopen standard [CiA 425 CANopen].

## CID 63 Imaging Agent Administration Mode

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Table CID 63. Imaging Agent Administration Mode

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 130173 | Automated Administration
DCM | 130174 | Manual Administration

## CID 64 Imaging Agent Administration Patient State

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  1.2.840.10008.6.1.1254

Table CID 64. Imaging Agent Administration Patient State

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 39539005 | Abnormal Renal Function | F-70102 | C0151746
DCM | 113560 | Acute unilateral renal blockage |  |
DCM | 113561 | Low Thyroid Uptake |  |
DCM | 113562 | High Thyroid Uptake |  |
DCM | 113563 | Severely Jaundiced |  |
SCT | 414417004 | History of renal failure | R-102B6 | C1533077
SCT | 161445009 | History of diabetes mellitus | G-023F | C0455488
SCT | 195967001 | Asthma | D2-00036 | C0004096
SCT | 60573004 | Aortic stenosis | D3-29021 | C0003507
SCT | 194828000 | Angina pectoris | D3-13012 | C0002962
SCT | 161505003 | History of congestive heart failure | G-026D | C0455531
SCT | 161501007 | History of Hypertension | G-0269 | C0455527
SCT | 70995007 | Pulmonary hypertension | D3-40300 | C0020542
SCT | 85898001 | Cardiomyopathy | D3-20000 | C0878544
SCT | 48694002 | Anxiety | F-0B320 | C0003467
SCT | 35601003 | Paraproteinemia | M-97651 | C0026470
SCT | 55921005 | Myeloma | M-97323 | C0026764
SCT | 440935004 | History of Beta-blocking agents therapy | P0-099F5 | C2586054
SCT | 448216007 | Malignant epithelial neoplasm of thyroid | DF-00BEA | C3163939
DCM | 110503 | Patient allergic to media/contrast |  |

## CID 65 Pre-medication For Imaging Agent Administration

The following list of pre-medication agents was obtained from the ACR Manual of Contrast Media.

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  1.2.840.10008.6.1.1255

Table CID 65. Pre-Medication for Imaging Agent Administration

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | Trade Name (Informative)
--- | --- | --- | --- | --- | ---
SCT | 116602009 | Prednisone | C-37138 | C0032952 |
SCT | 372682005 | Diphenhydramine | F-618A6 | C0012522 | Benadryl
SCT | 116593003 | Methylprednisolone | C-37128 | C0025815 |
SCT | 412248005 | Methylprednisolone sodium phosphate | F-B022C | C0700546 | Solu-Medrol
SCT | 109066000 | Hydrocortisone sodium succinate | C-A0173 | C0770560 | Solu-Cortef
SCT | 49992008 | Dexamethasone sodium sulfate | C-913A4 | C0113286 | Decadron
SCT | 373228009 | H-1 Antihistamine | F-617F7 | C0019592 |
SCT | 387358007 | Ephedrine | F-61B05 | C0014479 |
SCT | 372784001 | Papaverine | F-61955 | C0030350 |
Include CID 66 “Medication For Imaging Agent Administration”

## CID 66 Medication For Imaging Agent Administration

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Table CID 66. Medication for Imaging Agent Administration

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 387423006 | Propofol | F-61B48 | C0033487
SCT | 373476007 | Midazolam | F-6183C | C0026056
SCT | 49998007 | Sufentanil | C-60700 | C0143993
SCT | 386839004 | Remifentanil | F-61AC5 | C0246631
SCT | 387560008 | Alfentanil | F-61C65 | C0002026

## CID 67 Imaging Agent Administration Completion Status

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Table CID 67. Imaging Agent Administration Completion Status

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 255594003 | Complete | R-404F1 | C0205197
DCM | 130156 | Terminated due to pressure above termination limit |  |
DCM | 130157 | Terminated due to flow rate above termination limit |  |
DCM | 130176 | Terminated due to air detected |  |
DCM | 130158 | Terminated due to excessive duration pause |  |
DCM | 130154 | Terminated due to request from operator |  |
DCM | 130159 | Terminated due to injector communication loss |  |
DCM | 130160 | Terminated due to unspecified injector failure |  |
DCM | 130177 | Terminated by scanner |  |
DCM | 130178 | Terminated due to critical battery level |  |
DCM | 130179 | Terminated due to consumable removal |  |

## CID 68 Imaging Agent Administration Pharmaceutical Unit of Presentation

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  1.2.840.10008.6.1.1258

Table CID 68. Imaging Agent Administration Pharmaceutical Unit of Presentation

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 733020007 | Syringe |  | C4319671
SCT | 706440002 | Cartridge | R-FEEFF | C0179630
SCT | 464557001 | Parenteral/enteral solution bag | R-FCBB8 | C3878874
SCT | 68276009 | Bottle | A-27500 | C0179376

### Note

The concept for syringe (unit of presentation) is used in this context group as distinct from syringe (physical object), which is used in Section CID 69. This is intended for pre-filled syringes.

## CID 69 Imaging Agent Administration Consumables

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Table CID 69. Imaging Agent Administration Consumables

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 61968008 | Syringe | A-10150 | C0039142
SCT | 19923001 | Catheter | A-26800 | C0085590
SCT | 467354001 | Contrast medium injection system manifold kit | R-FDF5C | C3878326
SCT | 83059008 | Tube, device (physical object) | A-26400 | C0175730
SCT | 79068005 | Needle | A-30360 | C0027551
SCT | 68276009 | Bottle | A-27500 | C0179376

### Note

The concept for syringe (physical object) is used in this context group as distinct from syringe (unit of presentation), which is used in Section CID 68. The concept for bottle is used in the context of consumable used during an oral administration of contrast.

## CID 70 Flush

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  1.2.840.10008.6.1.1260

Table CID 70. Flush

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 13132007 | Dextran | C-A7220 | C0086140
SCT | 373757009 | Saline | F-6165A | C0036082
MSH | D000077325 | Lactated Ringer's |  | C0073385

## CID 71 Imaging Agent Administration Injector Event Type

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  1.2.840.10008.6.1.1261

Table CID 71. Imaging Agent Administration Injector Event Type

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 130150 | Pressure above warning limit
DCM | 130151 | Pressure above adjustment limit
DCM | 130152 | Flow rate above warning limit
DCM | 130153 | Flow rate above adjustment limit
DCM | 130161 | Keep vein open started
DCM | 130162 | Keep vein open ended
DCM | 130175 | Air detected
DCM | 130155 | Fixed duration pause ended
DCM | 130163 | Syringe attached
DCM | 130164 | Syringe detached
DCM | 110501 | Equipment failure
DCM | 110527 | Resource inadequate
DCM | 130156 | Terminated due to pressure above termination limit
DCM | 130157 | Terminated due to flow rate above termination limit
DCM | 130176 | Terminated due to air detected
DCM | 130158 | Terminated due to excessive duration pause
DCM | 130154 | Terminated due to request from operator
DCM | 130159 | Terminated due to injector communication loss
DCM | 130160 | Terminated due to unspecified injector failure
DCM | 130177 | Terminated by scanner
DCM | 130178 | Terminated due to critical battery level
DCM | 130179 | Terminated due to consumable removal
DCM | 130266 | Programmed hold started
DCM | 130267 | Manual hold started
DCM | 130268 | Manual resume from hold
DCM | 130269 | Terminated hold due to timeout

## CID 72 Imaging Agent Administration Step Type

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  1.2.840.10008.6.1.1262

Table CID 72. Imaging Agent Administration Step Type

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 130247 | Patency Test Injection
DCM | 130248 | Transit Time Test Injection
DCM | 130249 | Diagnostic Administration
DCM | 130251 | Flush Administration

## CID 73 Bolus Shaping Curves

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  1.2.840.10008.6.1.1263

Table CID 73. Bolus Shaping Curves

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 130252 | Negative exponential
DCM | 130253 | Linear Curve

## CID 74 Imaging Agent Administration Consumable Catheter Type

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Table CID 74. Imaging Agent Administration Consumable Catheter Type

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 82449006 | Peripheral intravenous catheter | A-26836 | C0179768
SCT | 52124006 | Central venous catheter | A-26810 | C1145640
SCT | 398013009 | Implantable venous access port | A-1450B | C1275732
SCT | 52124006 | Peripherally inserted central catheter | A-26810 | C1145640
SCT | 705541005 | Rectal Catheter | R-FEAEC | C0179784

## CID 75 Low-high-equal

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  1.2.840.10008.6.1.1265

Table CID 75. Low-High-Equal

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 62482003 | Low | G-A374 | C0205251
SCT | 75540009 | High | G-A373 | C3163633
SCT | 9726003 | Equal | G-A214 | C0205163

## CID 76 Type of Pre-medication

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  1.2.840.10008.6.1.1266

Table CID 76. Type of Pre-Medication

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 123012 | Pre-Medication |  |
DCM | 130259 | Contrast Reaction Prophylactic Agent |  |
SCT | 372614000 | Sedative | F-6171D | C0036557
SCT | 52017007 | Antiemetic | C-85800 | C0003297

## CID 82 Units of Measurement

Context Group ID 82 comprises the case-sensitive codes of UCUM. See Section 7.2.2.

### Note

Equivalent to the HL7 Value Set "Units of Measure case sensitive" 2.16.840.1.113883.11.12839.

## CID 83 Units for Real World Value Mapping

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  20080123

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  1.2.840.10008.6.1.24

Table CID 83. Units for Real World Value Mapping

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 84 “PET Units”
UCUM | [hnsf'U] | Hounsfield unit

## CID 84 PET Units

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  20170914

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  1.2.840.10008.6.1.1030

Table CID 84. PET Units

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 85 “SUV Units”
UCUM | {counts} | Counts
UCUM | {counts}/s | Counts per second
UCUM | {propcounts} | Proportional to counts
UCUM | {propcounts}/s | Proportional to counts per second
UCUM | cm2 | Centimeter**2
UCUM | cm2/ml | Centimeter**2/milliliter
UCUM | % | Percent
UCUM | Bq/ml | Becquerels/milliliter
UCUM | mg/min/ml | Milligrams/minute/milliliter
UCUM | umol/min/ml | Micromole/minute/milliliter
UCUM | ml/min/g | Milliliter/minute/gram
UCUM | ml/g | Milliliter/gram
UCUM | /cm | /Centimeter
UCUM | umol/ml | Micromole/milliliter

## CID 85 SUV Units

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  20161106

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  1.2.840.10008.6.1.984

Table CID 85. SUV Units

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
UCUM | g/ml{SUVbw} | Standardized Uptake Value body weight
UCUM | g/ml{SUVlbm} | Standardized Uptake Value lean body mass (James)
UCUM | g/ml{SUVlbm(James128)} | Standardized Uptake Value lean body mass (James 128 multiplier)
UCUM | g/ml{SUVlbm(Janma)} | Standardized Uptake Value lean body mass (Janma)
UCUM | cm2/ml{SUVbsa} | Standardized Uptake Value body surface area
UCUM | g/ml{SUVibw} | Standardized Uptake Value ideal body weight

### Note

The formulas for the determination of SUVbw, SUVbsa, SUVlbm (James) and SUVibw are defined in Sugawara et al. Reevaluation of the Standardized Uptake Value for FDG: Variations with Body Weight and Methods for Correction.Radiology, 1999 at http://radiology.rsna.org/content/213/2/521.

Unfortunately, Sugawara used a parameter of 120 rather than 128 for males, propagating an error in Morgan DJ, Bray KM. Lean Body Mass as a Predictor of Drug Dosage: Implications for Drug Therapy. Clinical Pharmacokinetics. 1994;26(4):292-307, which misquoted the original LBM definition that used 128 in James WPT, Waterlow JC. Research on Obesity: A Report of the DHSS/MRC Group. London: Her Majesty’s Stationery Office; 1976. Implementations differ in whether they have used 120 or 128 for ({SUVlbm}g/ml{SUVlbm}, UCUM, "Standardized Uptake Value lean body mass (James)"). See Kelly M. SUV: Advancing Comparability and Accuracy. Siemens; 2009. Available from: http://www.mpcphysics.com/documents/SUV_Whitepaper_Final_11.17.09_59807428_2.pdf.

The Janmahasatian LBM formula is defined in Janmahasatian et al. Quantification of Lean Bodyweight. Clin Pharmacokinet. 2005 Oct 1;44(10):1051-65. at http://dx.doi.org/10.2165/00003088-200544100-00004 and its role in SUVlbm(Janma) calculation is discussed in Tahari et al. Optimum Lean Body Formulation for Correction of Standardized Uptake Value in PET Imaging. Journal of Nuclear Medicine. 2014 Sep 1;55(9):1481-4. at http://jnm.snmjournals.org/content/55/9/1481. The patient size correction factors are summarized here, where weight is in kg and height is in cm:

SUVbw: males & females: weight

SUVlbm (James): males : 1.10 * weight - 120 * (weight/height) ^2

SUVlbm (James): females: 1.07 * weight - 148 * (weight/height) ^2

SUVlbm(Janma): males: 9.27E3 * weight / (6.68E3 + 216 * weight / (height^2))

SUVlbm(Janma): females: 9.27E3 * weight / (8.78E3 + 244 * weight / (height^2))

SUVbsa: males & females: weight^ 0.425 * height^0.725 * 0.007184

SUVibw: males: 48.0 + 1.06 * (height - 152)

females: 45.5 + 0.91 * (height - 152)

## CID 91 Functional Condition Present During Acquisition

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  1.2.840.10008.6.1.891

Table CID 91. Functional Condition Present During Acquisition

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 3271 “Hemodynamic Physiological Challenges” |  |
SCT | 43914001 | Phonation | F-F7100 | C0031577
SCT | 87731000 | Weight bearing | F-12300 | C0231573
DCM | 109137 | During voiding |  |
DCM | 109134 | Prior to voiding |  |
DCM | 109135 | Post voiding |  |

## CID 92 Joint Position During Acquisition

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  20100625

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  1.2.840.10008.6.1.892

Table CID 92. Joint Position During Acquisition

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 109136 | Neutral musculoskeletal position |  |
SCT | 9964006 | Flexion | F-10110 | C0231452
SCT | 24154002 | Extension | F-10100 | C0522009
SCT | 60074003 | Abduction | F-10120 | C0231456
SCT | 11554009 | Adduction | F-10130 | C0231457
SCT | 12852001 | Internal rotation | F-10210 | C0231459
SCT | 52019005 | External rotation | F-10220 | C0231462
SCT | 14502000 | Supination | F-10226 | C0038845
SCT | 88241000 | Pronation | F-10216 | C0033421
SCT | 51795009 | Torsion | F-10240 | C0040480

## CID 93 Joint Positioning Method

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  1.2.840.10008.6.1.893

Table CID 93. Joint Positioning Method

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 21278004 | Passive movement | F-13060 | C0079991
SCT | 118745001 | Manipulation of joint | P0-05083 | C1292923

## CID 94 Physical Force Applied During Acquisition

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  1.2.840.10008.6.1.894

Table CID 94. Physical Force Applied During Acquisition

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 129411004 | Traction - action | P0-02160 | C0040597
SCT | 263720003 | Compression - action | P0-021B2 | C0565514
SCT | 257912008 | Rotation - action | P0-021AB | C0677597

## CID 100 Quantitative Diagnostic Imaging Procedures

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  20210905

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  1.2.840.10008.6.1.998

Table CID 100. Quantitative Diagnostic Imaging Procedures

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 363679005 | Imaging procedure | P0-0099A | C0011923
SCT | 258177008 | Magnetic resonance imaging guidance | P5-09051 | C0442974
DCM | 126020 | Multiparametric MRI |  |
SCT | 719178004 | Multiparametric MRI of prostate |  |
DCM | 126022 | Multiparametric MRI of whole body |  |
SCT | 433139009 | Dynamic magnetic resonance imaging of knee | P5-0907F | C2315346
SCT | 446315002 | Dynamic magnetic resonance imaging of pelvis | P5-70694 | C2960816
LN | 25045-6 | CT unspecified body region |  | C0882201
LN | 25056-3 | MRI unspecified body region |  | C0882563
LN | 49118-3 | NM unspecified body region |  | C1954874
LN | 44136-0 | PET unspecified body region |  | C1715406
LN | 44139-4 | PET whole body |  | C1715409
SCT | 443271005 | PET/CT FDG imaging of whole body | P5-080FF | C2732676
SCT | 764704008 | PET/CT MET imaging of whole body |  | C4707066
LN | 39142-5 | CT perfusion head with contrast IV |  | C1543263
LN | 39632-5 | SPECT brain |  | C1543694
RADLEX | RPID5427 | NM head perfusion brain PET-CT AV-45 |  |

## CID 210 Qualitative Evaluation Modifier Types

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  1.2.840.10008.6.1.1285

Table CID 210. Qualitative Evaluation Modifier Types

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 272741003 | Laterality | G-C171 | C0332304
SCT | 106233006 | Topographical modifier | G-A1F8 | C0205089

## CID 211 Qualitative Evaluation Modifier Values

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  1.2.840.10008.6.1.1286

Table CID 211. Qualitative Evaluation Modifier Values

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 245 “Laterality with Median”
Include CID 212 “Generic Anatomic Location Modifiers”

## CID 212 Generic Anatomic Location Modifiers

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  20190524

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  1.2.840.10008.6.1287

Table CID 212. Generic Anatomic Location Modifiers

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 255549009 | Anterior | R-404CC | C0205094
SCT | 26216008 | Central | G-A110 | C0205099
SCT | 46053002 | Distal | G-A119 | C0205108
SCT | 261089000 | Inferior | R-4094A | C0205104
SCT | 49370004 | Lateral | G-A104 | C0205093
DCM | 130290 | Median |  |
NCIt | C25569 | Middle |  | C0444598
SCT | 103342007 | Mid-longitudinal | G-A188 | C0522490
SCT | 255551008 | Posterior | R-404CE | C0205095
SCT | 40415009 | Proximal | G-A118 | C0205107
SCT | 264217000 | Superior | R-42191 | C1282910

## CID 217 Visual Explanation

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  Extensible

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  20191108

UID:

  1.2.840.10008.6.1.1305

Table CID 217. Visual Explanation

Coding Scheme Designator | Code Value | Code Meaning | Units
--- | --- | --- | ---
DCM | 130402 | Class activation | (1, UCUM, "no units")
DCM | 130403 | Gradient-weighted class activation | (1, UCUM, "no units")
DCM | 130404 | Saliency | (1, UCUM, "no units")

## CID 218 Quantitative Image Features

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  Extensible

Version:

  20200920

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  1.2.840.10008.6.1.1269

Table CID 218. Quantitative Image Features

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 7468 “Texture Measurements”
Include CID 7469 “Generic Intensity and Size Measurements”
Include CID 7477 “Global Shape Descriptors”
Include CID 7550 “Angle Measurements”

## CID 219 Geometry Graphical Representation

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Version:

  20210121

UID:

  1.2.840.10008.6.1.1304

Table CID 219. Geometry Graphical Representation

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 75958009 | Bounded by | G-C020 | C0332297
DCM | 111010 | Center |  |
DCM | 111041 | Outline |  |
DCM | 130490 | Centerline |  |

## CID 220 Level of Significance

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  1.2.840.10008.6.1.25

Table CID 220. Level of Significance

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 371925005 | Most significant | R-00333 | C1299394
SCT | 371926006 | Highly significant | R-0030C | C1299395
SCT | 386134007 | Significant | R-10045 | C0750502
SCT | 371928007 | Not significant | R-00345 | C1273937
SCT | 386135008 | Significance Undetermined | R-10046 | C1272585

## CID 221 Measurement Range Concepts

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  1.2.840.10008.6.1.26

Table CID 221. Measurement Range Concepts

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 226 “Population Statistical Descriptors”
Include CID 227 “Sample Statistical Descriptors”

## CID 222 Normality Codes

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  1.2.840.10008.6.1.27

Table CID 222. Normality Codes

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 17621005 | Normal | G-A460 | C0205307
SCT | 263654008 | Abnormal | R-42037 | C0205161
SCT | 371879000 | Abnormally High | R-002C4 | C1299351
SCT | 371880002 | Abnormally Low | R-002C5 | C1299352
SCT | 371934000 | Normality Undetermined | R-0039B | C1299401

## CID 223 Normal Range Values

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  1.2.840.10008.6.1.28

Table CID 223. Normal Range Values

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 371933006 | Normal Range Upper Limit | R-0038B | C1299400
SCT | 385524004 | Normal Range Lower Limit | R-41F90 | C1272773

## CID 224 Selection Method

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  1.2.840.10008.6.1.29

Table CID 224. Selection Method

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 121410 | User chosen value
DCM | 121411 | Most recent value chosen
DCM | 121412 | Mean value chosen

## CID 225 Measurement Uncertainty Concepts

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  1.2.840.10008.6.1.30

Table CID 225. Measurement Uncertainty Concepts

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 371884006 | +/-, range of measurement uncertainty | R-00363 | C1299354
SCT | 371886008 | +, range of upper measurement uncertainty | R-00364 | C1299356
SCT | 371885007 | -, range of lower measurement uncertainty | R-00362 | C1299355

## CID 226 Population Statistical Descriptors

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  Extensible

Version:

  20210903

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  1.2.840.10008.6.1.31

Table CID 226. Population Statistical Descriptors

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 371889001 | 95th Percentile Value of population | R-00337 | C1299358
SCT | 371887004 | 90th Percentile Value of population | R-00338 | C1276309
SCT | 371917008 | 1 Sigma Upper Value of population | R-00346 | C1299386
SCT | 371920000 | 2 Sigma Upper Value of population | R-00387 | C1299389
SCT | 373098007 | Mean Value of population | R-00317 | C1298794
SCT | 373099004 | Median Value of population | R-00319 | C1298795
SCT | 371890005 | 10th Percentile Value of population | R-00377 | C1299359
SCT | 371888009 | 5th Percentile Value of population | R-00397 | C1299357
SCT | 371919006 | 1 Sigma Lower Value of population | R-00347 | C1299388
SCT | 371918003 | 2 Sigma Lower Value of population | R-00388 | C1299387
DCM | 121414 | Standard deviation of population |  |
DCM | 121417 | 2 Sigma deviation of population |  |
DCM | 130614 | Interquartile Range of population |  |
DCM | 130615 | Interquartile Range to Median ratio of population |  |

### Note

The SNOMED meaning for R-00317 is "Mean - numeric estimation technique", but in the context of its use here, a more specific meaning has been used.

## CID 227 Sample Statistical Descriptors

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UID:

  1.2.840.10008.6.1.32

Table CID 227. Sample Statistical Descriptors

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 121415 | Percentile Ranking of measurement
DCM | 121416 | Z-Score of measurement

## CID 228 Equation or Table

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  Extensible

Version:

  20030327

UID:

  1.2.840.10008.6.1.33

Table CID 228. Equation or Table

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 121420 | Equation
DCM | 121421 | Equation Citation
DCM | 121424 | Table of Values
DCM | 121422 | Table of Values Citation
DCM | 121423 | Method Citation

## CID 230 Yes-No

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Version:

  20060613

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  1.2.840.10008.6.1.34

Table CID 230. Yes-No

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 373066001 | Yes | R-0038D | C1298907
SCT | 373067005 | No | R-00339 | C1298908
SCT | 373068000 | Undetermined | R-0038A | C3536725

## CID 231 Yes-No Only

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Version:

  20151110

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  1.2.840.10008.6.1.1064

Table CID 231. Yes-No Only

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 373066001 | Yes | R-0038D | C1298907
SCT | 373067005 | No | R-00339 | C1298908

### Note

This context group is intended for use rather than CID 230 "Yes-No" when the value (373068000, SCT, "Undetermined") is not permissible.

## CID 240 Present-Absent

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Type:

  Non-Extensible

Version:

  20170914

UID:

  1.2.840.10008.6.1.35

Table CID 240. Present-Absent

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 52101004 | Present | G-A203 | C0150312
SCT | 272519000 | Absent | R-4089B | C0442733
SCT | 373068000 | Undetermined | R-0038A | C3536725

### Note

In a previous version of this Context Group (260245000, SCT, "Findings values") was used incorrectly to mean "Presence Undetermined"; there is no SNOMED CT concept that specifically means that the "presence" (of a finding) is undetermined, so the more general "undetermined" concept is used.

## CID 241 Present-Absent Only

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Type:

  Non-Extensible

Version:

  20151110

UID:

  1.2.840.10008.6.1.1113

Table CID 241. Present-Absent Only

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 52101004 | Present | G-A203 | C0150312
SCT | 272519000 | Absent | R-4089B | C0442733

### Note

This context group is intended for use rather than CID 240 "Normal-Abnormal" when the value (373068000, SCT, "Undetermined") is not permissible.

## CID 242 Normal-Abnormal

This Context Group is a subset of CID 222 “Normality Codes”.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Non-Extensible

Version:

  20170914

UID:

  1.2.840.10008.6.1.36

Table CID 242. Normal-Abnormal

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 17621005 | Normal | G-A460 | C0205307
SCT | 263654008 | Abnormal | R-42037 | C0205161
SCT | 371934000 | Normality Undetermined | R-0039B | C1299401

## CID 244 Laterality

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Non-Extensible

Version:

  20030108

UID:

  1.2.840.10008.6.1.37

Table CID 244. Laterality

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 247 “Laterality Left-Right Only”
SCT | 51440002 | Bilateral | G-A102 | C0238767
SCT | 66459002 | Unilateral | G-A103 | C0205092

## CID 245 Laterality with Median

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Non-Extensible

Version:

  20190524

UID:

  1.2.840.10008.6.1.1267

Table CID 245. Laterality with Median

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 244 “Laterality”
DCM | 130290 | Median |  |

## CID 246 Relative Laterality

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Non-Extensible

Version:

  20190326

UID:

  1.2.840.10008.6.1.1279

Table CID 246. Relative Laterality

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 255208005 | Ipsilateral | R-40356 | C0441989
SCT | 255209002 | Contralateral | R-40357 | C0441988

## CID 247 Laterality Left-Right Only

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Non-Extensible

Version:

  20190524

UID:

  1.2.840.10008.6.1.1284

Table CID 247. Laterality Left-Right Only

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 24028007 | Right | G-A100 | C0205090
SCT | 7771000 | Left | G-A101 | C0205091

## CID 250 Positive-Negative

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Non-Extensible

Version:

  20040112

UID:

  1.2.840.10008.6.1.38

Table CID 250. Positive-Negative

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 10828004 | Positive | G-A200 | C1446409
SCT | 260385009 | Negative | R-40759 | C0205160

## CID 251 Severity of Complication

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  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20040112

UID:

  1.2.840.10008.6.1.39

Table CID 251. Severity of Complication

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 255603008 | Major | R-404F9 | C0205164
SCT | 255606000 | Minor | R-404FC | C0205165

## CID 252 S-M-L Size Descriptor

Section CID 6118, “Size Descriptor” is a superset of this Context Group.

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Type:

  Extensible

Version:

  20080927

UID:

  1.2.840.10008.6.1.735

Table CID 252. S-M-L Size Descriptor

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 255507004 | Small | R-404A8 | C0700321
SCT | 255508009 | Medium | R-404A9 | C0439536
SCT | 255509001 | Large | R-404AA | C0549177

## CID 270 Observer Type

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Non-Extensible

Version:

  20040920

UID:

  1.2.840.10008.6.1.40

Table CID 270. Observer Type

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 121006 | Person
DCM | 121007 | Device

## CID 271 Observation Subject Class

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Non-Extensible

Version:

  20071102

UID:

  1.2.840.10008.6.1.41

Table CID 271. Observation Subject Class

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 121025 | Patient
DCM | 121026 | Fetus
DCM | 121027 | Specimen
DCM | 121192 | Device Subject

## CID 280 Longitudinal Temporal Event Types

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  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20170914

UID:

  1.2.840.10008.6.1.1184

Table CID 280. Longitudinal Temporal Event Types

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
NCIt | C37948 | Enrollment |  | C1516879
DCM | 121079 | Baseline |  |

## CID 300 Multi-energy Relevant Materials

Concepts for materials relevant to Multi-energy Imaging.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20190817

UID:

  1.2.840.10008.6.1.1208

Table CID 300. Multi-energy Relevant Materials

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 83881004 | Aluminum Oxide | C-12013 | C0002374
SCT | 39290007 | Barium | C-12200 | C0004749
SCT | 23172004 | Bismuth | C-12500 | C0005642
SCT | 5540006 | Calcium | C-14300 | C0006675
SCT | 256579008 | Calcium Hydroxyapatite | C-14314 | C0115137
SCT | 256526003 | Cobalt-chromium alloy | F-6121C | C0008576
SCT | 256674009 | Fat | T-D008A | C0015677
SCT | 58281002 | Gadolinium | C-17800 | C0016911
SCT | 2309006 | Gold | C-14600 | C0018026
SCT | 50672002 | Hafnium | C-14700 | C0018488
SCT | 44588005 | Iodine | C-11400 | C0021968
SCT | 3829006 | Iron | C-13000 | C0302583
SCT | 261249004 | Nickel cobalt chromium | F-61165 | C0439955
SCT | 84847000 | Platinum | C-15300 | C0032207
SCT | 386103008 | Renal stone | T-D048E | C1458136
SCT | 51420009 | Silicon | C-10940 | C0037107
SCT | 13652007 | Silicone | C-22301 | C0037114
SCT | 41967008 | Silver | C-13700 | C0037125
SCT | 45215009 | Tantalum | C-15600 | C0039297
SCT | 1166006 | Titanium | C-16600 | C0040302
SCT | 1710001 | Uric Acid | F-61470 | C0041980
SCT | 11713004 | Water | C-10120 | C0043047
SCT | 63754004 | Yttrium | C-16200 | C0043432

## CID 301 Multi-energy Material Units

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20181109

UID:

  1.2.840.10008.6.1.1209

Table CID 301. Multi-energy Material Units

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
UCUM | mg/cm3 | mg/cm^3
UCUM | [hnsf'U] | Hounsfield Unit
UCUM | 10*23/ml | Electron Density
DCM | 129320 | Effective Atomic Number
DCM | 129321 | Modified Hounsfield Unit
UCUM | mg/ml | mg/ml
UCUM | % | Percent

## CID 400 Audit Event ID

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20170416

UID:

  1.2.840.10008.6.1.903

Table CID 400. Audit Event ID

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 110100 | Application Activity
DCM | 110101 | Audit Log Used
DCM | 110102 | Begin Transferring DICOM Instances
DCM | 110103 | DICOM Instances Accessed
DCM | 110104 | DICOM Instances Transferred
DCM | 110105 | DICOM Study Deleted
DCM | 110106 | Export
DCM | 110107 | Import
DCM | 110108 | Network Entry
DCM | 110109 | Order Record
DCM | 110110 | Patient Record
DCM | 110111 | Procedure Record
DCM | 110112 | Query
DCM | 110113 | Security Alert
DCM | 110114 | User Authentication

## CID 401 Audit Event Type Code

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20170914

UID:

  1.2.840.10008.6.1.904

Table CID 401. Audit Event Type Code

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 110120 | Application Start
DCM | 110121 | Application Stop
DCM | 110122 | Login
DCM | 110123 | Logout
DCM | 110124 | Attach
DCM | 110125 | Detach
DCM | 110126 | Node Authentication
DCM | 110127 | Emergency Override Started
DCM | 110128 | Network Configuration
DCM | 110129 | Security Configuration
DCM | 110130 | Hardware Configuration
DCM | 110131 | Software Configuration
DCM | 110132 | Use of Restricted Function
DCM | 110133 | Audit Recording Stopped
DCM | 110134 | Audit Recording Started
DCM | 110135 | Object Security Attributes Changed
DCM | 110136 | Security Roles Changed
DCM | 110137 | User Security Attributes Changed
DCM | 110138 | Emergency Override Stopped
DCM | 110139 | Remote Service Operation Started
DCM | 110140 | Remote Service Operation Stopped
DCM | 110141 | Local Service Operation Started
DCM | 110142 | Local Service Operation Stopped
DCM | 110143 | Authentication Decision
DCM | 110144 | Authorization Decision
DCM | 110145 | Session start
DCM | 110146 | Session stop
DCM | 110147 | Access Control Decision

## CID 402 Audit Active Participant Role ID Code

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20100826

UID:

  1.2.840.10008.6.1.905

Table CID 402. Audit Active Participant Role ID Code

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 110150 | Application
DCM | 110151 | Application Launcher
DCM | 110152 | Destination Role ID
DCM | 110153 | Source Role ID
DCM | 110154 | Destination Media
DCM | 110155 | Source Media

## CID 403 Security Alert Type Code

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20170914

UID:

  1.2.840.10008.6.1.906

Table CID 403. Security Alert Type Code

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 110120 | Application Start
DCM | 110121 | Application Stop
DCM | 110122 | Login
DCM | 110123 | Logout
DCM | 110124 | Attach
DCM | 110125 | Detach
DCM | 110126 | Node Authentication
DCM | 110127 | Emergency Override Started
DCM | 110128 | Network Configuration
DCM | 110129 | Security Configuration
DCM | 110130 | Hardware Configuration
DCM | 110131 | Software Configuration
DCM | 110132 | Use of Restricted Function
DCM | 110133 | Audit Recording Stopped
DCM | 110134 | Audit Recording Started
DCM | 110135 | Object Security Attributes Changed
DCM | 110136 | Security Roles Changed
DCM | 110137 | User Security Attributes Changed
DCM | 110138 | Emergency Override Stopped
DCM | 110139 | Remote Service Operation Started
DCM | 110140 | Remote Service Operation Stopped
DCM | 110141 | Local Service Operation Started
DCM | 110142 | Local Service Operation Stopped
DCM | 110143 | Authentication Decision
DCM | 110144 | Authorization Decision
DCM | 110145 | Session start
DCM | 110146 | Session stop
DCM | 110147 | Access Control Decision

## CID 404 Audit Participant Object ID Type Code

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20100621

UID:

  1.2.840.10008.6.1.907

Table CID 404. Audit Participant Object ID Type Code

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 110180 | Study Instance UID
DCM | 110181 | SOP Class UID
DCM | 110182 | Node ID

## CID 405 Media Type Code

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20100824

UID:

  1.2.840.10008.6.1.908

Table CID 405. Media Type Code

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 110030 | USB Disk Emulation
DCM | 110031 | Email
DCM | 110032 | CD
DCM | 110033 | DVD
DCM | 110034 | Compact Flash
DCM | 110035 | Multi-media Card
DCM | 110036 | Secure Digital Card
DCM | 110037 | URI
DCM | 110010 | Film
DCM | 110038 | Paper Document

## CID 501 Volumetric View Description

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20150915

UID:

  1.2.840.10008.6.1.1057

Table CID 501. Volumetric View Description

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 6 “Transducer Orientation”
Include CID 26 “Nuclear Medicine Projections”
Include CID 4010 “DX View”
Include CID 12226 “Echocardiography Image View”

## CID 502 Volumetric View Modifier

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20150915

UID:

  1.2.840.10008.6.1.1058

Table CID 502. Volumetric View Modifier

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 6 “Transducer Orientation”
Include CID 23 “Cranio-Caudad Angulation”
Include CID 4011 “DX View Modifier”

## CID 601 Biosafety Levels

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20151110

UID:

  1.2.840.10008.6.1.1065

Table CID 601. Biosafety Levels

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 409600007 | Biosafety level 1 | R-41E4D | C1443934
SCT | 409603009 | Biosafety level 2 | R-41E4E | C1443937
SCT | 409604003 | Biosafety level 3 | R-41E4F | C1443938
SCT | 409605002 | Biosafety level 4 | R-41E50 | C1443939

## CID 602 Biosafety Control Reasons

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20151110

UID:

  1.2.840.10008.6.1.1066

Table CID 602. Biosafety Control Reasons

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 409595003 | Biohazardous material | F-61E79 | C0079021
SCT | 88376000 | Carcinogen | C-29000 | C0007090
SCT | 370388006 | Patient immunocompromised | F-00D5F | C0085393
UMLS | C0003069 | Transgenic animal |  | C0003069

## CID 603 Animal Room Types

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20151110

UID:

  1.2.840.10008.6.1.1068

Table CID 603. Animal Room Types

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 127370 | Animal housing room |  |
DCM | 127371 | Preparation room |  |
DCM | 127372 | Imaging procedure room |  |
SCT | 414485004 | Induction room | R-305D6 | C1532289
SCT | 398161000 | Recovery room | R-305C3 | C0198828
SCT | 409688003 | Isolation room | R-305D3 | C1443994

### Note

1. Only rooms appropriate for animals in the context of in vivo imaging are described (e.g., not necropsy rooms, etc.)

2. (398161000, SCT, "Recovery room" (synonym of "postoperative anesthesia care unit") is reused here even though its parent is "Location within hospital premises (environment)", which is arguably specifically human. The same is true for (414485004, SCT, "Induction room") and (409688003, SCT, "Isolation room").

## CID 604 Device Reuse

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20151110

UID:

  1.2.840.10008.6.1.1069

Table CID 604. Device Reuse

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 127177 | Unused |  |
DCM | 127178 | Reused |  |

## CID 605 Animal Bedding Material

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20151110

UID:

  1.2.840.10008.6.1.1070

Table CID 605. Animal Bedding Material

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 127230 | Aspen chip bedding |  |
DCM | 127231 | Aspen shaving bedding |  |
DCM | 127232 | Corn cob bedding |  |
DCM | 127233 | Paper-based bedding |  |
DCM | 127234 | Pine chip bedding |  |
DCM | 127235 | Pine shaving bedding |  |

## CID 606 Animal Shelter Types

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20151110

UID:

  1.2.840.10008.6.1.1071

Table CID 606. Animal Shelter Types

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 260413007 | None | R-40775 | C0549184
DCM | 127220 | Igloo |  |
DCM | 127221 | Red translucent igloo |  |

## CID 607 Animal Feed Types

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20151110

UID:

  1.2.840.10008.6.1.1072

Table CID 607. Animal Feed Types

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 127271 | NIH07 |  |
DCM | 127270 | NIH31 |  |
DCM | 127272 | AIN76 |  |
DCM | 127273 | AIN93G |  |
DCM | 127274 | AIN93M |  |

### Note

This context group includes the open source diets described in Barnard DE et al. Open- and Closed-Formula Laboratory Animal Diets and Their Importance to Research. Journal of the American Association for Laboratory Animal Science : JAALAS (2009), 48(6), 709-713. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2786923/.

A more extensive list of NIH-specified diets for small animals (not just mice and rats) can be found at http://web.archive.org/web/20100527090853/http://dvrnet.ors.od.nih.gov/diets_info.asp.

## CID 608 Animal Feed Sources

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20151110

UID:

  1.2.840.10008.6.1.1073

Table CID 608. Animal Feed Sources

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
UMLS | C1547887 | Commercial product |  | C1547887
DCM | 127390 | Locally manufactured product |  |

### Note

(C1547887, UMLS, "Commercial product") originates from the HL7 V2.5 Chapter 04 blood products description as an attribute name rather than a value, but in UMLS is not expressly constrained and has as a parent generic semantic type of "Manufactured Object".

## CID 609 Animal Feeding Methods

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20151110

UID:

  1.2.840.10008.6.1.1074

Table CID 609. Animal Feeding Methods

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
NCIt | C64636 | ad libitum |  | C1879743
UMLS | C0425422 | Restricted diet |  | C0425422
DCM | 127391 | Food treat |  |
SCT | 61420007 | Gavage | PA-00620 | C0041281

### Note

(C0425422, UMLS, "Restricted diet") corresponds to the inactive SNOMED concept of "Dietary restriction NOS"; SNOMED currently does not seem to have an active generic concept of a restricted diet, as opposed to many specific types of restricted diet. In this context, the intent is to convey that the diet is controlled and restricted to finite quantities (e.g., as opposed to ad libitum) without requiring a detailed classification of what components are restricted.

## CID 610 Water Types

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20151110

UID:

  1.2.840.10008.6.1.1075

Table CID 610. Water Types

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 444923006 | Tap water | C-101E9 | C2919405
SCT | 444883009 | Distilled water | C-101E8 | C0790233
DCM | 127290 | Reverse osmosis purified water |  |
DCM | 127291 | Reverse osmosis purified, HCl acidified water |  |

## CID 611 Anesthesia Category Code Type for Small Animal Anesthesia

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20151110

UID:

  1.2.840.10008.6.1.1076

Table CID 611. Anesthesia Category Code Type for Small Animal Anesthesia

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 612 “Anesthesia Category Code Type from Anesthesia Quality Initiative (AQI)”

## CID 612 Anesthesia Category Code Type from Anesthesia Quality Initiative (AQI)

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20151110

UID:

  1.2.840.10008.6.1.1077

Table CID 612. Anesthesia Category Code Type from Anesthesia Quality Initiative (AQI)

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 50697003 | General anesthesia | P1-C0010 | C0002915
SCT | 72641008 | Sedation | P1-C0B00 | C0344106
SCT | 231249005 | Spinal anesthesia | P1-C0208 | C0002928
SCT | 18946005 | Epidural anesthesia | P1-C0220 | C0002913
SCT | 27372005 | Regional anesthesia | P1-C0200 | C0002911
SCT | 386760001 | Topical local anesthesia | P1-C0037 | C0472473
SCT | 386761002 | Local anesthesia | P1-C0038 | C0002921
SCT | 398239001 | Monitored Anesthesia Care (MAC) | P1-0512E | C1301902

### Note

This context group contains SNOMED procedure code equivalents of enumerated string concepts for the [AQI Schema] element AnesthesiaCategoryCodeType. See http://www.aqihq.org/aqischdoc/AnesthesiaCategoryCodeType.html.

## CID 613 Anesthesia Induction Code Type for Small Animal Anesthesia

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20151110

UID:

  1.2.840.10008.6.1.1078

Table CID 613. Anesthesia Induction Code Type for Small Animal Anesthesia

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 614 “Anesthesia Induction Code Type from Anesthesia Quality Initiative (AQI)”
SCT | 38239002 | Intraperitoneal route | G-D106 | C1522583

### Note

The intraperitoneal route is added to the AQI value set, since that route is used for small animal imaging.

## CID 614 Anesthesia Induction Code Type from Anesthesia Quality Initiative (AQI)

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Table CID 614. Anesthesia Induction Code Type from Anesthesia Quality Initiative (AQI)

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 446406008 | By inhalation | R-40B32 | C1998547
SCT | 47625008 | Intravenous route | G-D101 | C1522726
SCT | 37161004 | Per rectum | G-D160 | C1527425
SCT | 78421000 | Intramuscular route | G-D103 | C1556154

### Note

This context group contains SNOMED administration route code equivalents of enumerated string concepts for the [AQI Schema] element AnesthesiaInductionCodeType. See http://www.aqihq.org/aqischdoc/AnesthesiaInductionCodeType.html.

## CID 615 Anesthesia Maintenance Code Type for Small Animal Anesthesia

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  1.2.840.10008.6.1.1080

Table CID 615. Anesthesia Maintenance Code Type for Small Animal Anesthesia

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 616 “Anesthesia Maintenance Code Type from Anesthesia Quality Initiative (AQI)”

## CID 616 Anesthesia Maintenance Code Type from Anesthesia Quality Initiative (AQI)

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  1.2.840.10008.6.1.1081

Table CID 616. Anesthesia Maintenance Code Type from Anesthesia Quality Initiative (AQI)

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 112987001 | Inhalation anesthesia system closed rebreathing primary agent | P1-C0020 | C0198795
SCT | 44812007 | Inhalation anesthesia system closed no rebreathing primary agent | P1-C0030 | C0198796

### Note

This context group contains SNOMED procedure code equivalents of enumerated string concepts for the [AQI Schema] element AnesthesiaMaintenanceCodeType. See http://www.aqihq.org/aqischdoc/AnesthesiaMaintenanceCodeType.html.

The AQI value "circle system" corresponds to (112987001, SCT, "Inhalation anesthesia system closed rebreathing primary agent"). The SNOMED code meaning has been abbreviated to fit within the allowed DICOM Value Representation.

The AQI value "non-rebreathing" corresponds to (44812007, SCT, "Inhalation anesthesia system closed no rebreathing primary agent"). The SNOMED code meaning has been abbreviated to fit within the allowed DICOM Value Representation.

## CID 617 Airway Management Method Code Type for Small Animal Anesthesia

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  1.2.840.10008.6.1.1082

Table CID 617. Airway Management Method Code Type for Small Animal Anesthesia

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 618 “Airway Management Method Code Type from Anesthesia Quality Initiative (AQI)”
DCM | 127060 | Nose cone |  |

## CID 618 Airway Management Method Code Type from Anesthesia Quality Initiative (AQI)

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Table CID 618. Airway Management Method Code Type from Anesthesia Quality Initiative (AQI)

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 243147009 | Controlled Ventilation | P2-2290D | C0419011
SCT | 40617009 | Artificial Respiration | P2-22902 | C0035205
SCT | 57485005 | Oxygen Therapy | P2-22500 | C0184633
SCT | 424979004 | Laryngeal Mask Airway (LMA) | P0-05DE2 | C0396618
SCT | 447996002 | Intubation of respiratory tract | P0-06211 | C3164350
SCT | 297120004 | Anesthetic face mask | A-00BA2 | C0573976
SCT | 297120004 | Anesthetic face mask | A-00BA2 | C0573976
DCM | 127061 | Nasal cannula |  | C0179574
SCT | 180640008 | Via tracheostomy | G-D13E | C0393370

### Note

This context group contains SNOMED procedure or physical object or qualifier value code equivalents of enumerated string concepts for the [AQI Schema] element AirwayManagementMethodCodeType. See http://www.aqihq.org/aqischdoc/AirwayManagementMethodCodeType.html. Used by permission of the Anesthesia Quality Institute (AQI) (http://aqihq.org/).

## CID 619 Airway Management Sub-Method Code Type for Small Animal Anesthesia

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  1.2.840.10008.6.1.1084

Table CID 619. Airway Management Sub-Method Code Type for Small Animal Anesthesia

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 620 “Airway Management Sub-Method Code Type from Anesthesia Quality Initiative (AQI)”

## CID 620 Airway Management Sub-Method Code Type from Anesthesia Quality Initiative (AQI)

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Table CID 620. Airway Management Sub-Method Code Type from Anesthesia Quality Initiative (AQI)

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
UMLS | C2223982 | Inverse ratio ventilation |  | C2223982
SCT | 243154003 | High frequency ventilation | P2-22914 | C0019540
SCT | 448442005 | Transtracheal jet ventilation | P2-22933 | C3164603
SCT | 243156001 | Continuous flow ventilation | P2-22916 | C0419018

### Note

This context group contains SNOMED procedure code equivalents of enumerated string concepts for the [AQI Schema] element AirwayManagementSubMethodCodeType. See http://www.aqihq.org/aqischdoc/AirwayManagementSubMethodCodeType.html.

## CID 621 Type of Medication for Small Animal Anesthesia

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Table CID 621. Type of Medication for Small Animal Anesthesia

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 622 “Medication Type Code Type from Anesthesia Quality Initiative (AQI)”
DCM | 127330 | Carrier gas |  |

## CID 622 Medication Type Code Type from Anesthesia Quality Initiative (AQI)

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  1.2.840.10008.6.1.1087

Table CID 622. Medication Type Code Type from Anesthesia Quality Initiative (AQI)

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 86308005 | Adrenergic agent | C-68000 | C0001637
SCT | 14443002 | Aminoglycoside antibiotic | C-52500 | C0002556
SCT | 373265006 | Analgesic | F-6181F | C0002771
SCT | 372813008 | Antiarrhythmic | F-6196E | C0003195
SCT | 255631004 | Antibiotic | C-5008C | C0003232
SCT | 373246003 | Anticholinergic | F-6180B | C0242896
SCT | 373246003 | Anticholinergic agent | F-6180B | C0242896
SCT | 372862008 | Anticoagulant | F-6199A | C0003280
SCT | 255632006 | Anticonvulsant | R-F1216 | C0003286
SCT | 255632006 | Anticonvulsant | R-F1216 | C0003286
SCT | 77671006 | Antidiuretic hormone | F-B1810 | C1705480
SCT | 52017007 | Antiemetic | C-85800 | C0003297
SCT | 373219008 | Antifungal | F-617EF | C0003308
SCT | 3361000 | Anti-heparin agent | C-A6700 | C0304941
SCT | 372806008 | Antihistamine | F-61969 | C0003360
SCT | 1182007 | Antihypertensive | C-81100 | C0003364
UMLS | C1579431 | Antihypoglycemic |  | C1579431
SCT | 372798009 | Barbiturate | R-F2B23 | C0004745
SCT | 372664007 | Benzodiazepine | R-F2B1D | C0005064
SCT | 372906009 | Benzodiazepine antagonist | F-619EF | C0360298
SCT | 373254001 | Beta-blocker | F-61814 | C0001645
SCT | 373297006 | Beta-Lactam antibiotic | C-00231 | C0026458
SCT | 410652009 | Blood product | R-005B3 | C0456388
SCT | 372580007 | Bronchodilator | F-616EB | C0006280
SCT | 5540006 | Calcium | C-14300 | C0006675
SCT | 373304005 | Calcium channel blocker | F-61878 | C0006684
SCT | 373530005 | Caloric agent | F-618D8 | C0280082
SCT | 396345004 | Carbapenem antibiotic | C-002B1 | C0006968
SCT | 764147003 | Cephalosporin antibiotic |  | C4706514
SCT | 421148003 | Cholinergic agent | F-620E8 | C1720711
SCT | 372695000 | Diuretic | F-618AF | C0012798
SCT | 74626007 | Drug diluent | C-50013 | C0304221
SCT | 41598000 | Estrogen | F-B2700 | C0014939
SCT | 116532005 | Gastrointestinal prokinetic | C-84989 | C1268865
SCT | 373288007 | General anesthetic | F-6186A | C0017302
UMLS | C0019593 | H2 antagonist |  | C0019593
SCT | 372681003 | Hemostatic agent | F-618A5 | C0019120
SCT | 312064005 | Hypoglycemic | C-50309 | C0020616
SCT | 111139005 | Inotropic agent | C-80120 | C0304509
SCT | 372677003 | Lincomycin antibiotic | C-0023B | C0023726
SCT | 387056004 | Linezolid antibiotic | C-00286 | C0663241
SCT | 373477003 | Local anesthetic | F-6183D | C0002934
SCT | 373294004 | Low Molecular Weight Heparin | F-6186F | C0019139
SCT | 372480009 | Macrolide antibiotic | C-00211 | C0003240
SCT | 72717003 | Magnesium | C-14800 | C0024467
SCT | 372602008 | Metronidazole antibiotic | F-616FE | C0025872
SCT | 372656001 | Narcotic (opiate) antagonist | F-6188F | C0027410
UMLS | C0027409 | Narcotic analgesic |  | C0027409
SCT | 96328007 | Decongestant | C-97301 | C0282374
SCT | 373250005 | NeuroMuscular Blocking (NMB) - depolarizing | F-6180F | C0027867
SCT | 372790002 | NeuroMuscular Blocking (NMB) - non depolarizing | F-61959 | C0304435
SCT | 372665008 | NSAID | F-61898 | C0003211
SCT | 470091001 | Ocular Lubricant | R-FECEC | C3853691
SCT | 410937004 | Oxytocic | F-61E2A | C0030094
SCT | 373270004 | Penicillin antibiotic | C-0021D | C0030842
SCT | 372578001 | Plasma Expander | F-616E7 | C1268852
SCT | 88480006 | Potassium | C-13500 | C0032821
SCT | 372722000 | Quinolone antibiotic | C-0024C | C1533693
SCT | 418760000 | Respiratory stimulant | F-6205D | C0282685
SCT | 372666009 | Skeletal muscle relaxant | F-61899 | C0037250
SCT | 116566001 | Steroid | C-10098 | C0038317
SCT | 372788003 | Sulfonamide antibiotic | C-00257 | C0599503
SCT | 373206009 | Tetracycline antibiotic | C-00216 | C1744619
SCT | 18220004 | Thyroid hormone | F-B3000 | C0040135
SCT | 372735009 | Vancomycin antibiotic | C-0024E | C0042313
SCT | 870406003 | Vasoconstrictor |  | C0042397
SCT | 372787008 | Vasodilator | F-61957 | C0042402
SCT | 87708000 | Vitamin | F-BB000 | C0042890

### Note

This context group contains SNOMED substance or product code equivalents of enumerated string concepts for the [AQI Schema] element MedicationTypeCodeType. See http://www.aqihq.org/aqischdoc/MedicationTypeCodeType.html and http://www.aqihq.org/aqischdoc/MedicationTypeCodeTypeExampleList.html.

The AQI value "ABX-Miscellaneous" corresponds to (255631004, SCT, "Antibiotic") product, since there is no substance code in SNOMED.

No equivalent concepts are included for MedicationTypeCodeType values of NonFormulary antibiotic, Dye, Indigo Carmine Red, and Non-Formulary.

## CID 623 Medication for Small Animal Anesthesia

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  1.2.840.10008.6.1.1088

Table CID 623. Medication for Small Animal Anesthesia

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 624 “Inhalational Anesthesia Agents for Small Animal Anesthesia”
Include CID 625 “Injectable Anesthesia Agents for Small Animal Anesthesia”
Include CID 626 “Premedication Agents for Small Animal Anesthesia”
Include CID 627 “Neuromuscular Blocking Agents for Small Animal Anesthesia”
Include CID 628 “Ancillary Medications for Small Animal Anesthesia”
Include CID 629 “Carrier Gases for Small Animal Anesthesia”
Include CID 630 “Local Anesthetics for Small Animal Anesthesia”

## CID 624 Inhalational Anesthesia Agents for Small Animal Anesthesia

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Table CID 624. Inhalational Anesthesia Agents for Small Animal Anesthesia

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 31811003 | Carbon dioxide | C-10520 | C0007012
SCT | 259153006 | Chloroform | C-20830 | C0008238
SCT | 386841003 | Desflurane | F-61AC9 | C0063252
SCT | 259170003 | Diethyl ether | C-21216 | C0014994
SCT | 387176008 | Enflurane | F-61A3F | C0014277
SCT | 387351001 | Halothane | F-61AFE | C0018549
SCT | 387368002 | Isoflurane | F-61B0A | C0022180
SCT | 11136004 | Methoxyflurane | C-6A16A | C0025688
SCT | 111132001 | Nitrous oxide | C-6A118 | C0028215
SCT | 386842005 | Sevoflurane | F-61ACA | C0074414

### Note

In this context group, SNOMED substance codes are used in preference to product codes, since there is no need to refer to specific products or preparations. SNOMED codes are used in preference to other potential sources of pharmaceutical related codes, such as from the National Drug Code (NDC) directory.

## CID 625 Injectable Anesthesia Agents for Small Animal Anesthesia

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  1.2.840.10008.6.1.1090

Table CID 625. Injectable Anesthesia Agents for Small Animal Anesthesia

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 277016007 | Alphachloralose | C-23805 | C0008162
SCT | 125707004 | Alphadolone | C-6A161 | C0051481
UMLS | C0051482 | Alphaxalone |  | C0051482
SCT | 96229001 | Azaperone | C-640A0 | C0004477
SCT | 372901004 | Butabarbital | R-F2B27 | C0006464
SCT | 273948005 | Chloral hydrate | R-F6E36 | C0008161
SCT | 387264003 | Diazepam | R-F2B2C | C0012010
SCT | 387146001 | Droperidol | F-61A26 | C0013136
SCT | 387218008 | Etomidate | F-61A66 | C0015131
UMLS | C0060473 | Fluanisone |  | C0060473
SCT | 373464007 | Ketamine | F-6182F | C0022614
SCT | 373488009 | Methohexital | F-61848 | C0025668
UMLS | C0025856 | Metomidate |  | C0025856
SCT | 373476007 | Midazolam | F-6183C | C0026056
SCT | 372703009 | Pentobarbital | R-F2B1F | C0030883
SCT | 387423006 | Propofol | F-61B48 | C0033487
SCT | 40342009 | Thiamylal | C-6A16B | C0039855
SCT | 387448009 | Thiopental | F-61BB2 | C0936073
SCT | 96265006 | Tiletamine | C-6A190 | C0242522
SCT | 84386009 | Tribromoethanol | C-6A16E | C0084847
SCT | 873008 | Urethane (ethyl carbamate) | C-29020 | C0041964
SCT | 96230006 | Xylazine | C-640B0 | C0242544
SCT | 96227004 | Zolazepam | C-64090 | C0917859

### Note

In this context group, SNOMED substance codes are used in preference to product codes, since there is no need to refer to specific products or preparations. SNOMED codes are used in preference to other potential sources of pharmaceutical related codes, such as from the National Drug Code (NDC) directory.

## CID 626 Premedication Agents for Small Animal Anesthesia

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  1.2.840.10008.6.1.1091

Table CID 626. Premedication Agents for Small Animal Anesthesia

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 96218000 | Acepromazine | C-62960 | C0000959
SCT | 387258005 | Chlorpromazine | F-61A7F | C0008286

## CID 627 Neuromuscular Blocking Agents for Small Animal Anesthesia

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  1.2.840.10008.6.1.1092

Table CID 627. Neuromuscular Blocking Agents for Small Animal Anesthesia

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 372724004 | Succinylcholine | F-61916 | C0038627
SCT | 373738000 | Pancuronium | F-61639 | C0030310

### Note

In this context group, SNOMED substance codes are used in preference to product codes, since there is no need to refer to specific products or preparations. SNOMED codes are used in preference to other potential sources of pharmaceutical related codes, such as from the National Drug Code (NDC) directory.

## CID 628 Ancillary Medications for Small Animal Anesthesia

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  1.2.840.10008.6.1.1093

Table CID 628. Ancillary Medications for Small Animal Anesthesia

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---

### Note

This context group is currently empty since no ancillary medications have been identified for this use case yet.

## CID 629 Carrier Gases for Small Animal Anesthesia

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  1.2.840.10008.6.1.1094

Table CID 629. Carrier Gases for Small Animal Anesthesia

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 320917000 | Oxygen gas | C-6A102 | C0350411
SCT | 417696007 | Medical air | C-6A148 | C3536832
UMLS | C3846005 | Room air |  | C3846005

### Note

In this context group, though SNOMED substance codes are normally used in preference to product codes, in the case of (320917000, SCT, "Oxygen gas") there is no corresponding substance that is specifically the gaseous form of oxygen.

## CID 630 Local Anesthetics for Small Animal Anesthesia

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  1.2.840.10008.6.1.1095

Table CID 630. Local Anesthetics for Small Animal Anesthesia

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 387150008 | Bupivacaine | F-61A28 | C0006400
SCT | 346553009 | Lidocaine + Prilocaine | C-80477 | C0617623
SCT | 387480006 | Lidocaine | F-61BD0 | C0023660

### Note

- In this context group, SNOMED substance codes are used in preference to product codes, since there is no need to refer to specific products or preparations. SNOMED codes are used in preference to other potential sources of pharmaceutical related codes, such as from the National Drug Code (NDC) directory.

- For Lidocaine + Prilocaine, since it is a mixture of two substances, the code for the product concept is used. The code for a mixture of unspecified type is used, rather than a more specific code, e.g., for the so-called "Eutectic Mixture of Local Anesthetics (EMLA)", which consists of Lidocaine + Prilocaine. UMLS contains three distinct concepts, (C0059079, UMLS, "EMLA"), (C0617623, UMLS, "Lidocaine/Prilocaine") and (C0950567, UMLS, "Eutectic Lidocaine-Prilocaine").

## CID 631 Phase of Procedure Requiring Anesthesia

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  1.2.840.10008.6.1.1096

Table CID 631. Phase of Procedure Requiring Anesthesia

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 632 “Phase of Surgical Procedure Requiring Anesthesia”
Include CID 633 “Phase of Imaging Procedure Requiring Anesthesia”

## CID 632 Phase of Surgical Procedure Requiring Anesthesia

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Table CID 632. Phase of Surgical Procedure Requiring Anesthesia

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 262068006 | Preoperative | R-413C5 | C0445204
SCT | 277671009 | Intraoperative | R-400B2 | C0456904
SCT | 262061000 | Postoperative | R-413B7 | C0032790

## CID 633 Phase of Imaging Procedure Requiring Anesthesia

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  1.2.840.10008.6.1.1098

Table CID 633. Phase of Imaging Procedure Requiring Anesthesia

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 307153007 | Before procedure | R-40FB9 | C0585032
SCT | 307154001 | During procedure | R-40FBA | C0585033
SCT | 303110006 | After procedure | R-422A4 | C0580203

### Note

The concepts used in this context group are more general than those for a specific procedure, e.g., surgery, radiotherapy, chemotherapy. In SNOMED, the concepts used in this context group are the parent concepts of the surgically-specific concepts used in CID 631 “Phase of Procedure Requiring Anesthesia”. There are no concepts defined specifically for periods related to an imaging procedure so the general concepts suffice (in context).

## CID 634 Phase of Animal Handling

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  1.2.840.10008.6.1.1099

Table CID 634. Phase of Animal Handling

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 127101 | In home cage |  |
DCM | 127102 | During transport |  |
DCM | 127103 | Staging prior to imaging |  |
DCM | 127104 | Preparation for imaging |  |
SCT | 241687005 | Anesthesia induction | P1-C0012 | C0473960
SCT | 363679005 | Imaging procedure | P0-0099A | C0011923
UMLS | C0002908 | Anesthesia recovery period |  | C0002908

## CID 635 Heating Method

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  1.2.840.10008.6.1.1100

Table CID 635. Heating Method

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 468192005 | Air heating pad | R-FDB79 | C3877351
SCT | 79811009 | Electric blanket | A-18041 | C0336614
SCT | 27812008 | Electric heating pad | A-2C140 | C0181157
DCM | 127250 | Forced air heater |  |
SCT | 420572009 | Forced air warming blanket | A-17454 | C1719899
DCM | 127251 | Heated imaging device |  |
DCM | 127252 | Heated patient support |  |
DCM | 127253 | Heated water blanket |  |
UMLS | C0181514 | Heat lamp |  | C0181514
SCT | 39790008 | Non-electric heating pad | A-2C141 | C0521200
DCM | 127254 | Pre-heated pad |  |
DCM | 127255 | Unheated |  |
SCT | 71384000 | Warmer device | A-17450 | C0184348
SCT | 421335007 | Warming blanket | A-17452 | C0184351

## CID 636 Temperature Sensor Device Component Type for Small Animal Procedures

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Table CID 636. Temperature Sensor Device Component Type for Small Animal Procedures

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 307047009 | Rectal temperature | F-00BB8 | C0489749
UMLS | C0039810 | Thermography |  | C0039810
DCM | 127240 | Carrier temperature sensor |  |

### Note

(C0039810, UMLS, "Thermography") is a general concept that also encompasses diagnostic uses of thermography, in addition to simple temperature measurement; only the latter meaning is used here, as is implicit from the context of invocation.

## CID 637 Exogenous Substance Types

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Table CID 637. Exogenous Substance Types

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 246345001 | Graft material | G-C1F9 | C0181074
DCM | 127460 | Tumor Graft |  |
SCT | 88921000 | Fibril | T-1A080 | C0225328
SCT | 49872002 | Virus | L-30000 | C0042776
SCT | 75777003 | Cytokine | F-CB250 | C0079189
SCT | 80917008 | Toxin | C-00224 | C0040549

### Note

The specific concept (C22490, NCIt, "Tumor Cell Graft") (UMLS:C1519674) is not used, since grafts may not be cell suspensions, but rather entire tumors, fragments of tumor tissue, etc. Whether the graft is a xenograft or homograft is not specified, and may be encoded elsewhere (e.g., by encoding the species of origin). The non-tumor specific concept (246345001, SCT, "Graft material") may be used when the graft is not a tumor (though strictly speaking, it is a SNOMED attribute rather than substance; UMLS:C0181074 does not make such a distinction).

## CID 638 Exogenous Substance

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Table CID 638. Exogenous Substance

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 639 “Tumor Graft Histologic Type”
Include CID 640 “Fibrils”
Include CID 641 “Viruses”
Include CID 642 “Cytokines”
Include CID 643 “Toxins”

## CID 639 Tumor Graft Histologic Type

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Table CID 639. Tumor Graft Histologic Type

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 35917007 | Adenocarcinoma | M-81403 | C0001418
SCT | 408645001 | Adenocarcinoma of large intestine | DF-00736 | C1319315
SCT | 254626006 | Adenocarcinoma of lung | D2-F1105 | C0152013
SCT | 700423003 | Adenocarcinoma of pancreas | R-FB79B | C0281361
SCT | 254582000 | Adenocarcinoma of rectum | D5-F1404 | C0149978
SCT | 88195001 | Alveolar soft part sarcoma | M-95813 | C0206657
SCT | 70594002 | Amelanotic melanoma | M-87303 | C0206735
SCT | 38713004 | Astrocytoma | M-94003 | C0004114
SCT | 399326009 | Bladder cancer | D7-10012 | C0005684
NCIt | C2923 | Bronchioloalveolar adenocarcinoma |  | C0007120
SCT | 363354003 | Cancer of cervix | DF-0040E | C4048328
SCT | 363406005 | Cancer of colon | DF-0044A | C0007102
SCT | 255072001 | Cancer of salivary gland | D5-20002 | C0220636
SCT | 68453008 | Carcinoma | M-80103 | C0007097
SCT | 63264007 | Carcinosarcoma | M-89803 | C0007140
SCT | 702369008 | Carcinosarcoma of uterus | R-FB829 | C0280630
SCT | 21008007 | Cystadenocarcinoma | M-84403 | C0010631
SCT | 76909002 | Ewing's sarcoma | M-92603 | C0553580
SCT | 703707001 | Ewing sarcoma / peripheral neuroectodermal tumor | R-FBD63 | C0684337
SCT | 53654007 | Fibrosarcoma | M-88103 | C0016057
SCT | 63634009 | Glioblastoma | M-94403 | C0017636
SCT | 408643008 | Infiltrating ductal carcinoma of breast | D0-F0369 | C1134719
SCT | 22687000 | Large cell carcinoma | M-80123 | C0206704
SCT | 93143009 | Leukemia | DC-F4113 | C0023418
SCT | 93880001 | Lung cancer | D2-F1103 | C1306460
SCT | 2092003 | Melanoma | M-87203 | C0025202
SCT | 253001006 | Merkel cell carcinoma | D0-F00E0 | C0007129
SCT | 62064005 | Malignant mesothelioma | M-90503 | C0025500
SCT | 19897006 | Malignant peripheral nerve sheath tumor | M-95403 | C0751690
SCT | 21326004 | Mixed small cell carcinoma | M-80453 | C0334240
SCT | 255046005 | Neuroendocrine tumor | DF-004BC | C0206754
SCT | 128632008 | Non-small cell carcinoma | M-80463 | C1266002
SCT | 254637007 | Non-small cell lung cancer | D2-F1007 | C0007131
DCM | 130406 | Non-uterine leiomyosarcoma |  |
SCT | 21708004 | Osteosarcoma | M-91803 | C0029463
SCT | 363443007 | Ovarian cancer | DF-0046D | C1140680
SCT | 255029007 | Papillary thyroid carcinoma | DB-F0107 | C0238463
SCT | 702391001 | Renal cell carcinoma | R-FB83F | C0007134
SCT | 2424003 | Sarcoma | M-88003 | C1261473
SCT | 424952003 | Sarcoma of soft tissue | DF-007B5 | C4551687
SCT | 74364000 | Small cell carcinoma | M-80413 | C0262584
NCIt | C148457 | Soft tissue sarcoma, excluding rhabdomyosarcoma |  | C4725047
SCT | 65692009 | Spindle cell carcinoma | M-80323 | C0205697
SCT | 28899001 | Squamous cell carcinoma | M-80703 | C0007137
SCT | 723265000 | Squamous cell carcinoma of anus |  | C4301961
SCT | 716659002 | Squamous cell carcinoma of head and neck | R-FF982 | C1168401
SCT | 707357005 | Squamous cell carcinoma of laryngeal cartilage | R-FC628 | C3873422
SCT | 254634000 | Squamous cell carcinoma of lung | D2-F110E | C0149782
SCT | 307502000 | Squamous cell carcinoma of mouth | D5-F0519 | C0585362
SCT | 254651007 | Squamous cell carcinoma of skin | D0-F0005 | C0553723
SCT | 27090000 | Transitional cell carcinoma | M-81203 | C0007138

## CID 640 Fibrils

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Table CID 640. Fibrils

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 127851 | Human alpha synuclein preformed fibrils |  |
DCM | 127852 | Mouse alpha synuclein preformed fibrils |  |
DCM | 127853 | Human Tau preformed fibrils |  |
DCM | 127854 | Mouse Tau preformed fibrils |  |

## CID 641 Viruses

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  1.2.840.10008.6.1.1106

Table CID 641. Viruses

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 42024000 | Theiler's murine encephalomyelitis virus | L-30606 | C0206425
SCT | 112381006 | Adeno-associated virus group | L-35500 | C0001417

## CID 642 Cytokines

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Table CID 642. Cytokines

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 39525005 | Tumor necrosis factor alpha | F-CB962 | C1456820
SCT | 420303002 | Interferon gamma | F-C0101 | C0021745
SCT | 417324009 | Vascular endothelial growth factor | F-CB902 | C0078058

## CID 643 Toxins

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Table CID 643. Toxins

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 54446009 | Lysophosphatidylcholine | F-63750 | C0024360
UMLS | C0019873 | Ethidium Bromide |  | C0019873
PUBCHEM_CID | 4624 | 6-hydroxydopamine |  |
SCT | 3325005 | Lipopolysaccharide | F-63390 | C0023810

## CID 644 Exogenous Substance Administration Sites

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Table CID 644. Exogenous Substance Administration Sites

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 58602004 | Flank | T-D2310 | C0230171
SCT | 12738006 | Brain | T-A0100 | C0006104
SCT | 108369006 | Tumor | M-8FFFF | C0027651
SCT | 10200004 | Liver | T-62000 | C0023884
SCT | 14016003 | Bone Marrow | T-C1000 | C0005953
NCIt | C22550 | Mouse mammary fat pad |  | C1512979

### Note

Since this context group defines the sites, rather than routes of administration, if the exogenous substance is administered into a tumor, the code for the morphologic abnormality (108369006, SCT, "Tumor") is used, rather than the specific concept for the route (447122006, SCT, "Intratumor route") (which may also be present as the value for the separately encoded route of administration, if present).

## CID 645 Exogenous Substance Tissue of Origin

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Table CID 645. Exogenous Substance Tissue of Origin

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 53505006 | Anus | T-59900 | C0003461
SCT | 409615008 | Ascitic fluid | T-D04AC | C0003964
SCT | 89837001 | Bladder | T-74000 | C0005682
SCT | 272673000 | Bone | T-D016E | C0262950
DCM | 130407 | Bone and soft tissue |  |
SCT | 12738006 | Brain | T-A0100 | C0006104
SCT | 76752008 | Breast | T-04000 | C0006141
SCT | 21483005 | Central nervous system | T-A0090 | C0927232
SCT | 71252005 | Cervix | T-83200 | C0007874
SCT | 71854001 | Colon | T-59300 | C0009368
SCT | 21793004 | Connective tissue | T-1A200 | C0009780
DCM | 127801 | Embryonic kidney |  |
SCT | 774007 | Head and neck | T-D1000 | C0460004
SCT | 64033007 | Kidney | T-71000 | C0022646
SCT | 4596009 | Larynx | T-24100 | C0023078
SCT | 39607008 | Lung | T-28000 | C0024109
SCT | 38000004 | Lymph | T-C6020 | C0024202
SCT | 181768009 | Lymphatic tissue | T-D03C2 | C0024296
SCT | 59441001 | Lymph Node | T-C4000 | C0024204
SCT | 71400007 | Mesothelium | T-1A120 | C0086610
SCT | 128462008 | Metastasis | DF-00436 | C2939419
SCT | 123851003 | Mouth | T-D0662 | C0230028
SCT | 15497006 | Ovary | T-87000 | C0029939
SCT | 15776009 | Pancreas | T-65000 | C0030274
SCT | 61005006 | Peripheral nerve myelin sheath | T-A0610 | C0228098
SCT | 60046008 | Pleural effusion | D2-80100 | C0032227
SCT | 41216001 | Prostate | T-92000 | C0033572
SCT | 94391008 | Pulmonary metastasis | D2-F1106 | C0153676
SCT | 34402009 | Rectum | T-59600 | C0034896
SCT | 385294005 | Salivary gland | T-61007 | C0036098
SCT | 39937001 | Skin | T-01000 | C0221911
SCT | 87784001 | Soft tissue | T-1A000 | C0225317
SCT | 69748006 | Thyroid | T-B6000 | C0040132
SCT | 35039007 | Uterus | T-83000 | C0042149

## CID 646 Preclinical Small Animal Imaging Procedures

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  1.2.840.10008.6.1.1111

Table CID 646. Preclinical Small Animal Imaging Procedures

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
LN | 46305-9 | Whole body CT |  | C1830206
LN | 24725-4 | Head CT | P5-08067 | C0202691
LN | 46358-8 | MRI whole body | P5-0905E | C1830259
LN | 24590-2 | Brain MRI |  | C0881827
LN | 44139-4 | PET whole body | R-FB9B7 | C1715409
LN | 44138-6 | Brain PET |  | C0412493
LN | 42175-0 | Radionuclide scan of whole body | P5-D0072 | C1626178
LN | 24730-4 | Radionuclide brain scan | P5-D9020 | C0581582
DCM | 127901 | SPECT of whole body |  |
LN | 39632-5 | Brain SPECT |  | C1543694
DCM | 127902 | SPECT CT of whole body |  |
SCT | 24135002 | Ultrasonography of total body | P5-B0008 | C0203309

### Note

1. The inconsistent pattern of modality and anatomy in the code meaning is present in the source coding scheme (e.g., "Whole body CT" versus "PET whole body"), and not changed, except where necessary (e.g., (42175-0, LN, "Radionuclide scan of whole body") is actually just "scan of whole body" in the source scheme, which is insufficient, so "radionuclide" has been added).

2. The UMLS codes that map to the SNOMED concepts, when present, are shown, in the cases when UMLS is lacking a mapping between the LOINC and SNOMED codes. E.g., (44138-6, LN, "Brain PET") maps directly to (C1715408, UMLS, "Multisection:Find:Pt:Brain:Doc:Radnuc.PET"), but (764666002, SCT, "PET Brain Study") (which does not have an SRT code) maps to (C0412493, UMLS, "PET Brain Study"), which is used instead. In general, UMLS does not unify the mappings from LOINC and SNOMED, presumably due to the lexical dissimilarity of the terms (i.e., the LOINC mapping seems to be based on the fully-specified name rather than the long common name).

## CID 647 Position Reference Indicator for Frame of Reference

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  1.2.840.10008.6.1.1112

Table CID 647. Position Reference Indicator for Frame of Reference

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
FMA | 264776 | Bregma |  | C0934419
FMA | 264773 | Lambda |  | C0926407

### Note

An FMA code is used for bregma since SNOMED only contains fetal bregma.

## CID 701 Content Assessment Types

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  20160318

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  1.2.840.10008.6.1.1116

Table CID 701. Content Assessment Types

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 702 “RT Content Assessment Types”

## CID 702 RT Content Assessment Types

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  1.2.840.10008.6.1.1117

Table CID 702. RT Content Assessment Types

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 121373 | RT Pre-Treatment Dose Check
DCM | 121374 | RT Pre-Treatment Consistency Check

## CID 703 Basis of Assessment

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  1.2.840.10008.6.1.1118

Table CID 703. Basis of Assessment

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 121375 | Assessment By Comparison
DCM | 121376 | Assessment By Rules

## CID 800 Protocol Assertion Codes

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  1.2.840.10008.6.1.1176

Table CID 800. Protocol Assertion Codes

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 128601 | Appropriate for the indications
DCM | 128621 | Inappropriate for the indications
DCM | 128602 | Consistent with labeling of the device
DCM | 128622 | Inconsistent with labeling of the device
DCM | 128603 | Approved for use at the institution
DCM | 128623 | Disapproved for use at the institution
DCM | 128604 | Approved for use in the clinical trial
DCM | 128624 | Disapproved for use in the clinical trial
DCM | 128611 | Approved for experimental use
DCM | 128612 | Disapproved for experimental use
DCM | 128605 | Approved for use on pregnant patients
DCM | 128617 | Disapproved for use on pregnant patients
DCM | 128609 | Disapproved for any use
DCM | 128613 | Eligible for reimbursement
DCM | 128614 | Eligible for reimbursement on per patient basis
DCM | 128615 | Ineligible for reimbursement
DCM | 128606 | Appropriate for the device
DCM | 128618 | Inappropriate for the device
DCM | 128607 | Inside operational limits of the device
DCM | 128619 | Outside operational limits of the device
DCM | 128608 | Optimized for the device instance
DCM | 128620 | Not optimized for the device instance
DCM | 128610 | Deprecated protocol

## CID 1000 CT Transverse Plane Reference Basis

The items in this context group provide the basis for defining transverse planes associated with the limits of CT acquisitions and reconstructions. It includes body structures, morphologic abnormalities and physical objects that may be the subject or serve as points of reference for imaging.

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  1.2.840.10008.6.1.1121

Table CID 1000. CT Transverse Plane Reference Basis

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 1001 “Anatomical Reference Basis”
SCT | 49755003 | Morphologically Abnormal Structure | M-01000 | C0332447
SCT | 16349000 | Orthopedic device | A-12000 | C0029352
SCT | 14106009 | Cardiac pacemaker | A-11100 | C0030163
SCT | 40388003 | Implant, device | A-04010 | C0021102
SCT | 65818007 | Stent, device | A-25500 | C0038257
DCM | 128160 | Acquired Volume |  |

## CID 1001 Anatomical Reference Basis

The items in this context group are body structures commonly used as a reference basis for imaging.

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  1.2.840.10008.6.1.1122

Table CID 1001. Anatomical Reference Basis

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 1002 “Anatomical Reference Basis - Head”
Include CID 1003 “Anatomical Reference Basis - Spine”
Include CID 1004 “Anatomical Reference Basis - Chest”
Include CID 1005 “Anatomical Reference Basis - Abdomen/Pelvis”
Include CID 1006 “Anatomical Reference Basis - Extremities”

## CID 1002 Anatomical Reference Basis - Head

The items in this context group are body structures in the head commonly used as a reference basis for imaging.

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UID:

  1.2.840.10008.6.1.1123

Table CID 1002. Anatomical Reference Basis - Head

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 69105007 | Carotid Artery | T-45010 | C0007272
SCT | 84301002 | External Auditory Meatus | T-AB200 | C0013444
SCT | 24532009 | Foramen Magnum | T-11106 | C0016519
SCT | 55060009 | Frontal sinus | T-22200 | C0016734
SCT | 61671002 | Internal Auditory Meatus | T-11134 | C0222711
SCT | 61242005 | Lateral Canthus | T-AA813 | C0229246
SCT | 91609006 | Mandible | T-11180 | C0024687
SCT | 59066005 | Mastoid bone | T-11133 | C0446908
SCT | 91716001 | Mastoid cells and antra | T-AB500 | C0229422
SCT | 15924003 | Maxillary sinus | T-22100 | C0024957
FMA | 264779 | Nasion |  | C0934420
SCT | 363654007 | Orbital structure | T-D14AE | C0029180
SCT | 42575006 | Pituitary Fossa | T-D1460 | C0036609
SCT | 89546000 | Skull | T-11100 | C0037303
SCT | 60911003 | Temporal Bone | T-11130 | C0039484
SCT | 88986008 | Vertex of Head | T-D1120 | C0230003

### Note

1. (61671002, SCT, "Internal Auditory Meatus") is also known as the "Internal Auditory Canal".

2. (84301002, SCT, "External Auditory Meatus") is also known as the "External Auditory Canal".

3. (42575006, SCT, "Pituitary Fossa") is also known as the "Sella Turcica".

## CID 1003 Anatomical Reference Basis - Spine

The items in this context group are body structures in the spine commonly used as a reference basis for imaging.

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UID:

  1.2.840.10008.6.1.1124

Table CID 1003. Anatomical Reference Basis - Spine

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 14806007 | C1 vertebra | T-11610 | C0004170
SCT | 243902007 | Level of C2/C3 intervertebral disc | T-D005D | C0446383
SCT | 243903002 | Level of C3/C4 intervertebral disc | T-D005E | C0446384
SCT | 243904008 | Level of C4/C5 intervertebral disc | T-D005F | C0446385
SCT | 243905009 | Level of C5/C6 intervertebral disc | T-D007C | C0446386
SCT | 243906005 | Level of C6/C7 intervertebral disc | T-D007D | C0446387
SCT | 243925008 | Level of C7/T1 intervertebral disc | T-D009C | C0446406
SCT | 243920003 | Level of L1/L2 intervertebral disc | T-D0097 | C0446401
SCT | 243921004 | Level of L2/L3 intervertebral disc | T-D0098 | C0446402
SCT | 243922006 | Level of L3/L4 intervertebral disc | T-D0099 | C0446404
SCT | 243923001 | Level of L4/L5 intervertebral disc | T-D009A | C0446403
SCT | 243927000 | Level of L5/S1 intervertebral disc | T-D009E | C0446408
SCT | 243908006 | Level of T1/T2 intervertebral disc | T-D007F | C0446389
SCT | 243917006 | Level of T10/T11 intervertebral disc | T-D0094 | C0446398
SCT | 243918001 | Level of T11/T12 intervertebral disc | T-D0095 | C0446399
SCT | 243926009 | Level of T12/L1 intervertebral disc | T-D009D | C0446407
SCT | 243909003 | Level of T2/T3 intervertebral disc | T-D008B | C0446390
SCT | 243910008 | Level of T3/T4 intervertebral disc | T-D008C | C0446391
SCT | 243911007 | Level of T4/T5 intervertebral disc | T-D008D | C0446392
SCT | 243912000 | Level of T5/T6 intervertebral disc | T-D008E | C0446393
SCT | 243913005 | Level of T6/T7 intervertebral disc | T-D008F | C0446394
SCT | 243914004 | Level of T7/T8 intervertebral disc | T-D0091 | C0446395
SCT | 243915003 | Level of T8/T9 intervertebral disc | T-D0092 | C0446396
SCT | 243916002 | Level of T9/T10 intervertebral disc | T-D0093 | C0446397

## CID 1004 Anatomical Reference Basis - Chest

The items in this context group are body structures in the chest commonly used as a reference basis for imaging.

Resources:

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Type:

  Extensible

Version:

  20160905

UID:

  1.2.840.10008.6.1.1125

Table CID 1004. Anatomical Reference Basis - Chest

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 85856004 | Acromioclavicular Joint | T-15420 | C0001208
SCT | 57034009 | Aortic Arch | T-42300 | C0003489
SCT | 13383001 | Apex of heart | T-32004 | C0225811
SCT | 28700002 | Carina | T-25201 | C0225594
SCT | 264293000 | Coronary artery graft | T-41065 | C0440761
SCT | 5798000 | Diaphragm | T-D3400 | C0011980
SCT | 80891009 | Heart | T-32000 | C0018787
SCT | 39607008 | Lung | T-28000 | C0024109
SCT | 79601000 | Scapula | T-12280 | C0036277
SCT | 16982005 | Shoulder region structure | T-D2220 | C0037004
SCT | 7844006 | Sternoclavicular Joint | T-15610 | C0038291
SCT | 56873002 | Sternum | T-11210 | C0038293
SCT | 26493002 | Suprasternal Notch | T-11218 | C0222769
SCT | 42973007 | Thoracic Inlet | T-D3160 | C0230137
SCT | 20298003 | Xiphoid Process | T-11227 | C0043356

### Note

(26493002, SCT, "Suprasternal Notch") is also known as the "Jugular Notch (of Sternum) " and the "Sternal Notch".

## CID 1005 Anatomical Reference Basis - Abdomen/Pelvis

The items in this context group are body structures in the abdomen and pelvis commonly used as a reference basis for imaging.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20160905

UID:

  1.2.840.10008.6.1.1126

Table CID 1005. Anatomical Reference Basis - Abdomen/Pelvis

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 37783008 | Acetabulum | T-12390 | C0000962
SCT | 23451007 | Adrenal gland | T-B3000 | C0001625
SCT | 413896006 | Common iliac artery bifurcation | R-10258 | C1531837
SCT | 2812003 | Femoral head | T-12711 | C0015813
SCT | 24136001 | Hip joint | T-15710 | C0019558
SCT | 29850006 | Iliac Crest | T-1234A | C0223651
SCT | 85710004 | Ischium | T-12350 | C0022122
SCT | 64033007 | Kidney | T-71000 | C0022646
SCT | 55499008 | Lesser trochanter | T-12714 | C0223866
SCT | 10200004 | Liver | T-62000 | C0023884
SCT | 15776009 | Pancreas | T-65000 | C0030274
SCT | 54735007 | Sacrum | T-11AD0 | C0036037
SCT | 82561000 | Symphysis pubis | T-15690 | C0034015

### Note

(82561000, SCT, "Symphysis pubis") is also known as the "Pubic Symphysis".

## CID 1006 Anatomical Reference Basis - Extremities

The items in this context group are body structures in the extremities commonly used as a reference basis for imaging.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20160905

UID:

  1.2.840.10008.6.1.1127

Table CID 1006. Anatomical Reference Basis - Extremities

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 70258002 | Ankle joint | T-15750 | C0003087
SCT | 16953009 | Elbow joint | T-15430 | C0013770
SCT | 56459004 | Foot | T-D9700 | C0016504
SCT | 49076000 | Knee joint | T-15720 | C0022745
SCT | 314796009 | Malleolar structure of tibia | T-127A7 | C1282383
SCT | 36455000 | Metacarpal | T-12540 | C0025526
SCT | 64234005 | Patella | T-12730 | C0030647
SCT | 30518006 | Scaphoid | T-12450 | C0223724
SCT | 67453005 | Talus | T-12780 | C0039277
SCT | 306783000 | Tibial Plateau | T-1273F | C0584640
SCT | 29707007 | Toe | T-D9800 | C0040357
SCT | 74670003 | Wrist joint | T-15460 | C1322271

### Note

(30518006, SCT, "Scaphoid") is also known as the "Radial Carpal".

## CID 1010 Reference Geometry - Planes

The items in this context group identify a specific plane associated with a reference basis (see CID 1000 “CT Transverse Plane Reference Basis”). The plane is defined by the intersection of the scan plane with the specified extent of the reference basis.

Resources:

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Type:

  Extensible

Version:

  20160905

UID:

  1.2.840.10008.6.1.1128

Table CID 1010. Reference Geometry - Planes

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 128128 | Plane through Anterior Extent
DCM | 128123 | Plane through Distal Extent
DCM | 128121 | Plane through Inferior Extent
DCM | 128125 | Plane through Lateral Extent
DCM | 128126 | Plane through Leftmost Extent
DCM | 128124 | Plane through Medial Extent
DCM | 128130 | Plane through Center
DCM | 128129 | Plane through Posterior Extent
DCM | 128122 | Plane through Proximal Extent
DCM | 128127 | Plane through Rightmost Extent
DCM | 128120 | Plane through Superior Extent

## CID 1011 Reference Geometry - Points

The items in this context group identify a specific point associated with a reference basis (see CID 1000 “CT Transverse Plane Reference Basis”).

Resources:

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Type:

  Extensible

Version:

  20160905

UID:

  1.2.840.10008.6.1.1129

Table CID 1011. Reference Geometry - Points

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 128137 | Geometric Centerpoint
DCM | 128138 | Center of Mass

## CID 1015 Patient Alignment Methods

The items in this context group identify methods for aligning a patient (or other imaging subject) in a scanner.

Resources:

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Type:

  Extensible

Version:

  20160905

UID:

  1.2.840.10008.6.1.1130

Table CID 1015. Patient Alignment Methods

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 128151 | Laser Cross-hairs

## CID 1200 Contraindications For CT Imaging

The items in this context group identify possible contraindications for specific CT imaging protocols. Contraindications for CT imaging in general, irrespective of the Protocol used, are not included here.

Resources:

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Type:

  Extensible

Version:

  20210328

UID:

  1.2.840.10008.6.1.1131

Table CID 1200. Contraindications For CT Imaging

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 293637006 | Contrast Media Allergy | DF-10F41 | C0570562
SCT | 77386006 | Patient currently pregnant | F-84000 | C0549206
SCT | 236423003 | Impaired Renal Function | D7-11007 | C1565489

## CID 1201 Contraindications For XA Imaging

The items in this context group identify possible contraindications for specific XA imaging protocols. Contraindications for XA imaging in general, irrespective of the Protocol used, are not included here.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20210328

UID:

  1.2.840.10008.6.1.1360

Table CID 1201. Contraindications For XA Imaging

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 293637006 | Contrast Media Allergy | DF-10F41 | C0570562
SCT | 77386006 | Patient currently pregnant | F-84000 | C0549206
SCT | 236423003 | Impaired Renal Function | D7-11007 | C1565489
SCT | 64779008 | Blood Coagulation Disorders | DC-60000 | C0005779
SCT | 698247007 | Cardiac Arrhythmia | R-FAE6C | C0003811
SCT | 91302008 | Sepsis | DE-00020 | C0243026

## CID 3000 Audio Channel Source

Resources:

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Type:

  Extensible

Version:

  20040326

UID:

  1.2.840.10008.6.1.42

Table CID 3000. Audio Channel Source

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 109110 | Voice
DCM | 109111 | Operator's narrative
DCM | 109112 | Ambient room environment
DCM | 109113 | Doppler audio
DCM | 109114 | Phonocardiogram
DCM | 109115 | Physiological audio signal

## CID 3001 ECG Leads

This Context Group comprises the ECG lead identifiers of ISO/IEEE 11073-10101, including human and canine leads. The terms included in the table below may not constitute the complete list; see the ISO/IEEE Standard.

### Note

Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10101 available through http://standards.ieee.org.

Resources:

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Type:

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Version:

  20130613

UID:

  1.2.840.10008.6.1.43

Table CID 3001. ECG Leads

Coding Scheme Designator | Code Value | Code Meaning | ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)
--- | --- | --- | ---
MDC | 2:71 | Lead A (Nehb - Anterior) | MDC_ECG_LEAD_A
MDC | 2:75 | Auxiliary unipolar lead 1 | MDC_ECG_LEAD_A1
MDC | 2:76 | Auxiliary unipolar lead 2 | MDC_ECG_LEAD_A2
MDC | 2:77 | Auxiliary unipolar lead 3 | MDC_ECG_LEAD_A3
MDC | 2:78 | Auxiliary unipolar lead 4 | MDC_ECG_LEAD_A4
MDC | 2:127 | Auxiliary bipolar lead 1 | MDC_ECG_LEAD_AB1
MDC | 2:128 | Auxiliary bipolar lead 2 | MDC_ECG_LEAD_AB2
MDC | 2:129 | Auxiliary bipolar lead 3 | MDC_ECG_LEAD_AB3
MDC | 2:130 | Auxiliary bipolar lead 4 | MDC_ECG_LEAD_AB4
MDC | 2:133 | EASI Lead AI | MDC_ECG_LEAD_AI
MDC | 2:132 | EASI Lead AS | MDC_ECG_LEAD_AS
MDC | 2:64 | aVF, augmented voltage, foot | MDC_ECG_LEAD_AVF
MDC | 2:63 | aVL, augmented voltage, left | MDC_ECG_LEAD_AVL
MDC | 2:62 | aVR, augmented voltage, right | MDC_ECG_LEAD_AVR
MDC | 2:65 | −aVR | MDC_ECG_LEAD_AVRneg
MDC | 2:86 | Chest lead | MDC_ECG_LEAD_C
MDC | 2:124 | negative: low right scapula Lead | MDC_ECG_LEAD_CB5
MDC | 2:98 | Chest lead (symmetric placement) | MDC_ECG_LEAD_CC
MDC | 2:99 | Chest lead per V1 and V1R placement | MDC_ECG_LEAD_CC1
MDC | 2:100 | Chest lead per V2 and V2R placement | MDC_ECG_LEAD_CC2
MDC | 2:101 | Chest lead per V3 and V3R placement | MDC_ECG_LEAD_CC3
MDC | 2:102 | Chest lead per V4 and V4R placement | MDC_ECG_LEAD_CC4
MDC | 2:19 | Chest lead per V5 and V5R placement | MDC_ECG_LEAD_CC5
MDC | 2:103 | Chest lead per V6 and V6R placement | MDC_ECG_LEAD_CC6
MDC | 2:104 | Chest lead per V7 and V8R placement | MDC_ECG_LEAD_CC7
MDC | 2:122 | Lead CH5 | MDC_ECG_LEAD_CH5
MDC | 2:105 | Chest-manubrium lead | MDC_ECG_LEAD_CM
MDC | 2:106 | Chest-manubrium lead per V1 placement | MDC_ECG_LEAD_CM1
MDC | 2:107 | Chest-manubrium lead per V2 placement | MDC_ECG_LEAD_CM2
MDC | 2:108 | Chest-manubrium lead per V3 placement | MDC_ECG_LEAD_CM3
MDC | 2:109 | Chest-manubrium lead per V4 placement | MDC_ECG_LEAD_CM4
MDC | 2:20 | Chest-manubrium lead per V5 placement | MDC_ECG_LEAD_CM5
MDC | 2:110 | Chest-manubrium lead per V6 placement | MDC_ECG_LEAD_CM6
MDC | 2:121 | Chest-manubrium lead per V7 placement | MDC_ECG_LEAD_CM7
MDC | 2:125 | Lead CR5 | MDC_ECG_LEAD_CR5
MDC | 2:123 | negative: right infraclavicular fossa | MDC_ECG_LEAD_CS5
MDC | 2:148 | Canine, fifth right intercostal space near edge of sternum | MDC_ECG_LEAD_CV5RL
MDC | 2:149 | Canine, sixth left intercostal space near edge of sternum | MDC_ECG_LEAD_CV6LL
MDC | 2:150 | Canine, sixth left intercostal space at costochondral junction | MDC_ECG_LEAD_CV6LU
MDC | 2:70 | Lead D (Nehb - Dorsal) | MDC_ECG_LEAD_D
MDC | 2:114 | Derived Lead aVF | MDC_ECG_LEAD_dAVF
MDC | 2:113 | Derived Lead aVL | MDC_ECG_LEAD_dAVL
MDC | 2:112 | Derived Lead aVR | MDC_ECG_LEAD_dAVR
MDC | 2:73 | Defibrillator lead: anterior-lateral | MDC_ECG_LEAD_DEFIB
MDC | 2:31 | Derived Lead I | MDC_ECG_LEAD_dI
MDC | 2:32 | Derived Lead II | MDC_ECG_LEAD_dII
MDC | 2:111 | Derived Lead III | MDC_ECG_LEAD_dIII
MDC | 2:33 | Derived Lead V1 | MDC_ECG_LEAD_dV1
MDC | 2:34 | Derived Lead V2 | MDC_ECG_LEAD_dV2
MDC | 2:35 | Derived Lead V3 | MDC_ECG_LEAD_dV3
MDC | 2:36 | Derived Lead V4 | MDC_ECG_LEAD_dV4
MDC | 2:37 | Derived Lead V5 | MDC_ECG_LEAD_dV5
MDC | 2:38 | Derived Lead V6 | MDC_ECG_LEAD_dV6
MDC | 2:131 | EASI Lead ES | MDC_ECG_LEAD_ES
MDC | 2:74 | External pacing lead: anterior-posterior | MDC_ECG_LEAD_EXTERN
MDC | 2:27 | Frank Lead A | MDC_ECG_LEAD_fA
MDC | 2:26 | Frank Lead C | MDC_ECG_LEAD_fC
MDC | 2:25 | Frank Lead E | MDC_ECG_LEAD_fE
MDC | 2:29 | Frank Lead F | MDC_ECG_LEAD_fF
MDC | 2:30 | Frank Lead H | MDC_ECG_LEAD_fH
MDC | 2:24 | Frank Lead I | MDC_ECG_LEAD_fI
MDC | 2:28 | Frank Lead M | MDC_ECG_LEAD_fM
MDC | 2:1 | Lead I | MDC_ECG_LEAD_I
MDC | 2:2 | Lead II | MDC_ECG_LEAD_II
MDC | 2:61 | Lead III | MDC_ECG_LEAD_III
MDC | 2:72 | Lead J (Nehb - Inferior) | MDC_ECG_LEAD_J
MDC | 2:21 | Left Arm Lead | MDC_ECG_LEAD_LA
MDC | 2:23 | Left Leg Lead | MDC_ECG_LEAD_LL
MDC | 2:91 | Modified chest lead (left arm indifferent) | MDC_ECG_LEAD_MCL
MDC | 2:92 | Modified chest lead per V1 placement | MDC_ECG_LEAD_MCL1
MDC | 2:93 | Modified chest lead per V2 placement | MDC_ECG_LEAD_MCL2
MDC | 2:94 | Modified chest lead per V3 placement | MDC_ECG_LEAD_MCL3
MDC | 2:95 | Modified chest lead per V4 placement | MDC_ECG_LEAD_MCL4
MDC | 2:96 | Modified chest lead per V5 placement | MDC_ECG_LEAD_MCL5
MDC | 2:97 | Modified chest lead per V6 placement | MDC_ECG_LEAD_MCL6
MDC | 2:126 | Modified limb lead | MDC_ECG_LEAD_ML
MDC | 2:22 | Right Arm Lead | MDC_ECG_LEAD_RA
MDC | 2:147 | Right Leg Lead | MDC_ECG_LEAD_RL
MDC | 2:134 | EASI upper sternum lead | MDC_ECG_LEAD_S
MDC | 2:87 | Precordial lead | MDC_ECG_LEAD_V
MDC | 2:3 | Lead V1 | MDC_ECG_LEAD_V1
MDC | 2:151 | Canine, over dorsal spinous process of 7th thoracic vertebra | MDC_ECG_LEAD_V10
MDC | 2:4 | Lead V2 | MDC_ECG_LEAD_V2
MDC | 2:10 | Lead V2R | MDC_ECG_LEAD_V2R
MDC | 2:5 | Lead V3 | MDC_ECG_LEAD_V3
MDC | 2:11 | Lead V3R | MDC_ECG_LEAD_V3R
MDC | 2:6 | Lead V4 | MDC_ECG_LEAD_V4
MDC | 2:12 | Lead V4R | MDC_ECG_LEAD_V4R
MDC | 2:7 | Lead V5 | MDC_ECG_LEAD_V5
MDC | 2:13 | Lead V5R | MDC_ECG_LEAD_V5R
MDC | 2:8 | Lead V6 | MDC_ECG_LEAD_V6
MDC | 2:14 | Lead V6R | MDC_ECG_LEAD_V6R
MDC | 2:9 | Lead V7 | MDC_ECG_LEAD_V7
MDC | 2:15 | Lead V7R | MDC_ECG_LEAD_V7R
MDC | 2:66 | Lead V8 | MDC_ECG_LEAD_V8
MDC | 2:68 | Lead V8R | MDC_ECG_LEAD_V8R
MDC | 2:67 | Lead V9 | MDC_ECG_LEAD_V9
MDC | 2:69 | Lead V9R | MDC_ECG_LEAD_V9R
MDC | 2:90 | Lead VF, nonaugmented voltage, vector of LL | MDC_ECG_LEAD_VF
MDC | 2:89 | Lead VL, nonaugmented voltage, vector of LA | MDC_ECG_LEAD_VL
MDC | 2:88 | Lead VR, nonaugmented voltage, vector of RA | MDC_ECG_LEAD_VR
MDC | 2:16 | Lead X | MDC_ECG_LEAD_X
MDC | 2:17 | Lead Y | MDC_ECG_LEAD_Y
MDC | 2:18 | Lead Z | MDC_ECG_LEAD_Z
MDC | 2:0 | Unspecified lead | MDC_ECG_LEAD_CONFIG

### Note

1. A prior version of this context group used codes from the SCP-ECG vocabulary.

2. In a prior version of this table, the code 2:26 was specified for the concept Chest lead and the code 2:19 was specified for the concept Chest-manubrium lead per V5 placement.

## CID 3003 Hemodynamic Waveform Sources

Resources:

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Type:

  Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.44

Table CID 3003. Hemodynamic Waveform Sources

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 128444004 | Aortic pressure waveform | G-DB22 | C1264738
SCT | 128453006 | Aortic valve pullback pressure waveform | G-DB31 | C1264746
SCT | 128446002 | Arterial pressure waveform | G-DB24 | C0444695
SCT | 128445003 | Central venous pressure waveform | G-DB23 | C1264739
SCT | 128455004 | Dye dilution cardiac output waveform | G-DB33 | C1264748
SCT | 128442000 | Femoral artery pressure waveform | G-DB20 | C1264737
SCT | 128434001 | Hemodynamic flow waveform | G-DB12 | C1264729
SCT | 128552003 | Hemodynamic impedance waveform | G-DB34 | C1264749
SCT | 128435000 | Hemodynamic oxygen saturation waveform | G-DB13 | C1264730
SCT | 128433007 | Hemodynamic pressure waveform | G-DB11 | C1264728
SCT | 128432002 | Hemodynamic waveform | G-DB10 | C1264727
SCT | 128441007 | Left atrium pressure waveform | G-DB19 | C1264736
SCT | 128438003 | Left ventricle pressure waveform | G-DB16 | C1264733
SCT | 128450009 | Mitral valve pullback pressure waveform | G-DB28 | C1264743
SCT | 128447006 | Pulmonary artery oxygen saturation waveform | G-DB25 | C1264740
SCT | 128443005 | Pulmonary artery pressure waveform | G-DB21 | C0428729
SCT | 128449009 | Pulmonary artery wedge pressure waveform | G-DB27 | C1264742
SCT | 128448001 | Pulmonary capillary wedge pressure waveform | G-DB26 | C1264741
SCT | 128452001 | Pulmonary valve pullback pressure waveform | G-DB30 | C1264745
SCT | 128436004 | Respiration impedance waveform | G-DB14 | C1264731
SCT | 128440008 | Right atrium pressure waveform | G-DB18 | C1264735
SCT | 128439006 | Right ventricle pressure waveform | G-DB17 | C1264734
SCT | 128437008 | Temperature waveform | G-DB15 | C1264732
SCT | 128454000 | Thermal cardiac output waveform | G-DB32 | C1264747
SCT | 128451008 | Tricuspid valve pullback pressure waveform | G-DB29 | C1264744

## CID 3004 Arterial Pulse Waveform

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20090409

UID:

  1.2.840.10008.6.1.803

Table CID 3004. Arterial Pulse Waveform

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 109116 | Arterial Pulse Waveform

## CID 3005 Respiration Waveform

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20200623

UID:

  1.2.840.10008.6.1.804

Table CID 3005. Respiration Waveform

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 109117 | Respiration Waveform
DCM | 130416 | Airflow Thermistor
DCM | 130417 | Airflow Thermocouple
DCM | 130418 | Airflow Nasal Prong
DCM | 130419 | Airflow PVDF
DCM | 130420 | Airflow CPAP
DCM | 130421 | Airflow
DCM | 130422 | PAP Pressure
DCM | 130423 | PAP Leak Pressure
DCM | 130424 | PAP Tidal Volume
DCM | 130425 | Esophageal Pressure
DCM | 130426 | Respiratory Pressure
DCM | 130427 | Thoracic Respiratory Inductance
DCM | 130428 | Abdominal Respiratory Inductance
DCM | 130429 | Thoracic Respiratory PVDF
DCM | 130430 | Abdominal Respiratory PVDF
DCM | 130431 | Thoracic Respiratory Effort
DCM | 130432 | Abdominal Respiratory Effort
DCM | 130433 | Respiratory Effort
DCM | 130434 | CO2 Transcutaneous
DCM | 130435 | CO2 Waveform End-tidal Main-stream
DCM | 130436 | CO2 Trend End-tidal Main-stream
DCM | 130437 | CO2 Waveform End-tidal Side-stream
DCM | 130438 | CO2 Trend End-tidal Side-stream
DCM | 130439 | CO2 Waveform Main-stream
DCM | 130440 | CO2 Waveform Side-stream
DCM | 130441 | CO2 Trend Main-stream
DCM | 130442 | CO2 Trend Side-stream
DCM | 130443 | CO2 Respiration

## CID 3010 Cardiovascular Anatomic Locations

Resources:

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Type:

  Extensible

Version:

  20200309

UID:

  1.2.840.10008.6.1.45

Table CID 3010. Cardiovascular Anatomic Locations

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 7832008 | Abdominal aorta | T-42500 | C0003484
SCT | 128585006 | Anomalous pulmonary vein | T-48503 | C0265914
SCT | 128553008 | Antecubital vein | T-49215 | C1276271
SCT | 194996006 | Anterior cardiac vein | T-48403 | C0226662
SCT | 8012006 | Anterior communicating artery | T-45530 | C0149562
SCT | 17388009 | Anterior spinal artery | T-45730 | C0149603
SCT | 68053000 | Anterior tibial artery | T-47700 | C0085816
SCT | 15825003 | Aorta | T-42000 | C0003483
SCT | 57034009 | Aortic arch | T-42300 | C0003489
SCT | 128551005 | Aortic fistula | D3-81922 | C1290392
SCT | 128564006 | Apex of left ventricle | T-32602 | C0580781
SCT | 128565007 | Apex of right ventricle | T-32502 | C0445242
SCT | 51114001 | Artery | T-41000 | C0003842
SCT | 54247002 | Ascending aorta | T-42100 | C0003956
SCT | 67937003 | Axillary Artery | T-47100 | C0004455
SCT | 68705008 | Axillary vein | T-49110 | C0004456
SCT | 72107004 | Azygos vein | T-48340 | C0004526
SCT | 128981007 | Baffle | A-00203 | C1289790
SCT | 59011009 | Basilar artery | T-45800 | C0004811
SCT | 91830000 | Body conduit | T-D00AB | C1735317
SCT | 128548003 | Boyd's perforating vein | T-49424 | C1267522
SCT | 17137000 | Brachial artery | T-47160 | C0006087
SCT | 20115005 | Brachial vein | T-49350 | C0226812
SCT | 69105007 | Carotid Artery | T-45010 | C0007272
SCT | 20699002 | Cephalic vein | T-49240 | C0226802
SCT | 88556005 | Cerebral artery | T-45510 | C0007770
SCT | 253276007 | Common atrium | D4-31005 | C0392482
SCT | 32062004 | Common carotid artery | T-45100 | C0162859
SCT | 181347005 | Common Femoral Artery | T-47402 | C0447105
SCT | 73634005 | Common iliac artery | T-46710 | C1261084
SCT | 46027005 | Common iliac vein | T-48920 | C0226758
SCT | 45503006 | Common ventricle | D4-31120 | C0152424
SCT | 128555001 | Congenital coronary artery fistula to left atrium | D4-32504 | C1290487
SCT | 128556000 | Congenital coronary artery fistula to left ventricle | D4-32506 | C1290488
SCT | 128557009 | Congenital coronary artery fistula to right atrium | D4-32509 | C1290489
SCT | 128558004 | Congenital coronary artery fistula to right ventricle | D4-32510 | C1290490
SCT | 111289009 | Pulmonary arteriovenous fistula | D3-40208 | C0155675
SCT | 41801008 | Coronary artery | T-43000 | C0205042
SCT | 90219004 | Coronary sinus | T-48410 | C0456944
SCT | 32672002 | Descending aorta | T-42400 | C3163626
SCT | 128554002 | Dodd's perforating vein | T-49429 | C1267525
SCT | 22286001 | External carotid artery | T-45200 | C0007275
SCT | 113269004 | External iliac artery | T-46910 | C0226398
SCT | 63507001 | External iliac vein | T-48930 | C0226761
SCT | 23074001 | Facial artery | T-45240 | C0226109
SCT | 7657000 | Femoral artery | T-47400 | C0015801
SCT | 83419000 | Femoral vein | T-49410 | C0015809
SCT | 110568007 | Gastric vein | T-48820 | C0750610
SCT | 128559007 | Genicular artery | T-47490 | C0447108
SCT | 5928000 | Great cardiac vein | T-48420 | C0226659
SCT | 60734001 | Great saphenous vein | T-49530 | C0392907
SCT | 76015000 | Hepatic artery | T-46420 | C0019145
SCT | 8993003 | Hepatic vein | T-48720 | C0019155
SCT | 128560002 | Hunterian perforating vein | T-4942A | C1267526
SCT | 10293006 | Iliac artery | T-46700 | C0020887
SCT | 244411005 | Iliac vein | T-4940E | C0020888
SCT | 195416006 | Inferior cardiac vein | T-484A4 | C0226664
SCT | 51249003 | Inferior left pulmonary vein | T-48540 | C0226686
SCT | 33795007 | Inferior mesenteric artery | T-46520 | C0162860
SCT | 113273001 | Inferior right pulmonary vein | T-48520 | C0226676
SCT | 64131007 | Inferior vena cava | T-48710 | C0042458
SCT | 12691009 | Innominate artery | T-46010 | C0006094
SCT | 8887007 | Innominate vein | T-48620 | C0006095
SCT | 86117002 | Internal carotid artery | T-45300 | C0007276
SCT | 12123001 | Internal jugular vein | T-48170 | C0226550
SCT | 90024005 | Internal iliac artery | T-46740 | C0226364
SCT | 69327007 | Internal mammary artery | T-46200 | C0226276
SCT | 128563000 | Juxtaposed atrial appendage | D4-31052 | C1290478
SCT | 59749000 | Lacrimal artery | T-45410 | C0226171
SCT | 128979005 | Lacrimal artery of right eye | T-45416 | C0923299
SCT | 82471001 | Left atrium | T-32300 | C0225860
SCT | 33626005 | Left auricular appendage | T-32310 | C0225861
SCT | 113270003 | Left femoral artery | T-47420 | C0226448
SCT | 50408007 | Left pulmonary artery | T-44400 | C0226069
SCT | 87878005 | Left ventricle | T-32600 | C0225897
SCT | 70238003 | Left ventricle inflow | T-32640 | C0225911
SCT | 13418002 | Left ventricle outflow tract | T-32650 | C0225912
SCT | 113264009 | Lingual artery | T-45230 | C0226104
SCT | 34635009 | Lumbar artery | T-46960 | C0226408
SCT | 86570000 | Mesenteric artery | T-46500 | C0025465
SCT | 128583004 | Mesenteric vein | T-4884A | C0025473
SCT | 31145008 | Occipital artery | T-45250 | C0226117
SCT | 32114007 | Occipital vein | T-48214 | C0226579
SCT | 53549008 | Ophthalmic artery | T-45400 | C0029078
SCT | 83330001 | Patent ductus arteriosus | D4-32012 | C0013274
SCT | 8821006 | Peroneal artery | T-47630 | C0226476
SCT | 43899006 | Popliteal artery | T-47500 | C0032649
SCT | 32764006 | Portal vein | T-48810 | C0032718
SCT | 43119007 | Posterior communication artery | T-45320 | C0149559
SCT | 128569001 | Posterior medial tributary | T-49535 | C1267527
SCT | 13363002 | Posterior tibial artery | T-47600 | C0086835
SCT | 14944004 | Primitive aorta | T-F7001 | C0231136
SCT | 91707000 | Primitive pulmonary artery | T-F7040 | C0231157
SCT | 31677005 | Profunda Femoris Artery | T-47440 | C0226455
SCT | 81040000 | Pulmonary artery | T-44000 | C0034052
SCT | 128584005 | Pulmonary artery conduit | D4-33142 | C1290491
SCT | 128586007 | Pulmonary chamber of cor triatriatum | T-32190 | C1267246
SCT | 122972007 | Pulmonary vein | T-48581 | C0034090
SCT | 128566008 | Pulmonary vein confluence | D4-33512 | C1290492
SCT | 128567004 | Pulmonary venous atrium | D4-33514 | C1290493
SCT | 45631007 | Radial artery | T-47300 | C0162857
SCT | 2841007 | Renal artery | T-46600 | C0035065
SCT | 56400007 | Renal vein | T-48740 | C0035092
SCT | 73829009 | Right atrium | T-32200 | C0225844
SCT | 68300000 | Right auricular appendage | T-32210 | C0225845
SCT | 69833005 | Right femoral artery | T-47410 | C0226447
SCT | 78480002 | Right pulmonary artery | T-44200 | C0226054
SCT | 53085002 | Right ventricle | T-32500 | C0225883
SCT | 8017000 | Right ventricle inflow | T-32540 | C0225891
SCT | 44627009 | Right ventricle outflow tract | T-32550 | C0225892
SCT | 128587003 | Saphenofemoral junction | T-D930A | C0447132
SCT | 362072009 | Saphenous vein | T-4940B | C0036186
SCT | 22083002 | Splenic artery | T-46460 | C0037996
SCT | 35819009 | Splenic vein | T-48890 | C0038001
SCT | 36765005 | Subclavian artery | T-46100 | C0038530
SCT | 9454009 | Subclavian vein | T-48330 | C0038532
SCT | 181349008 | Superficial Femoral Artery | T-47403 | C0447106
SCT | 15672000 | Superficial temporal artery | T-45270 | C0226130
SCT | 43863001 | Superior left pulmonary vein | T-48530 | C0226682
SCT | 42258001 | Superior mesenteric artery | T-46510 | C0162861
SCT | 8629005 | Superior right pulmonary vein | T-48510 | C0226671
SCT | 72021004 | Superior thyroid artery | T-45210 | C0226093
SCT | 48345005 | Superior vena cava | T-48610 | C0042459
SCT | 128589000 | Systemic collateral artery to lung | T-44007 | C0345096
SCT | 128568009 | Systemic venous atrium | D4-33516 | C1290494
SCT | 113262008 | Thoracic aorta | T-42070 | C1522460
SCT | 61959006 | Truncus arteriosus communis | D4-31400 | C0041207
SCT | 57850000 | Truncus coeliacus | T-46400 | C0007569
SCT | 44984001 | Ulnar artery | T-47200 | C0162858
SCT | 50536004 | Umbilical artery | T-F1810 | C0041632
SCT | 284639000 | Umbilical vein | T-48832 | C0226734
SCT | 29092000 | Vein | T-48000 | C0042449
SCT | 35532006 | Vena cava | T-48600 | C0042460
SCT | 34340008 | Venous network | T-48003 | C0226503
SCT | 85234005 | Vertebral artery | T-45700 | C0042559

## CID 3011 Electrophysiology Anatomic Locations

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Table CID 3011. Electrophysiology Anatomic Locations

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 8225009 | Accessory atrioventricular bundle | T-32850 | C0006383
SCT | 128564006 | Apex of left ventricle | T-32602 | C0580781
SCT | 128565007 | Apex of right ventricle | T-32502 | C0445242
SCT | 345000 | Atrioventricular bundle | T-32830 | C0006382
SCT | 25943004 | Atrioventricular node | T-32820 | C0004247
SCT | 45503006 | Common ventricle | D4-31120 | C0152424
SCT | 90219004 | Coronary sinus | T-48410 | C0456944
SCT | 6871001 | Epicardium | T-39010 | C0225968
SCT | 5928000 | Great cardiac vein | T-48420 | C0226659
SCT | 128591008 | High right atrium | G-DE02 | C0456955
SCT | 51249003 | Inferior left pulmonary vein | T-48540 | C0226686
SCT | 113273001 | Inferior right pulmonary vein | T-48520 | C0226676
SCT | 128592001 | Lateral high right atrium | G-DE04 | C1264751
SCT | 84654008 | Left anterior division of left branch atrioventricular bundle | T-32833 | C0225918
SCT | 82471001 | Left Atrium | T-32300 | C0225860
SCT | 33626005 | Left auricular appendage | T-32310 | C0225861
SCT | 74031005 | Left branch of atrioventricular bundle | T-32832 | C0459156
SCT | 91085002 | Left posterior division of left branch atrioventricular bundle | T-32834 | C0225919
SCT | 87878005 | Left ventricle | T-32600 | C0225897
SCT | 70238003 | Left ventricle inflow | T-32640 | C0225911
SCT | 13418002 | Left ventricle outflow tract | T-32650 | C0225912
SCT | 128594000 | Low right atrium | G-DE08 | C0456956
SCT | 128593006 | Mid right atrium | G-DE06 | C0225856
SCT | 73580002 | Middle cardiac vein | T-48430 | C0226660
SCT | 65197004 | Mitral ring | T-35310 | C0225947
SCT | 71271007 | Ostium of coronary sinus | T-48411 | C0226656
SCT | 122972007 | Pulmonary vein | T-48581 | C0034090
SCT | 90318009 | Pulmonic ring | T-35210 | C0225935
SCT | 13050003 | Purkinje fibers | T-32840 | C0034144
SCT | 90561006 | Right atrioventricular ostium | T-35120 | C0225927
SCT | 73829009 | Right Atrium | T-32200 | C0225844
SCT | 68300000 | Right auricular appendage | T-32210 | C0225845
SCT | 57383004 | Right branch of Atrioventricular bundle | T-32831 | C0225916
SCT | 53085002 | Right ventricle | T-32500 | C0225883
SCT | 8017000 | Right ventricle inflow | T-32540 | C0225891
SCT | 44627009 | Right ventricle outflow tract | T-32550 | C0225892
SCT | 88210001 | Sino-atrial node | T-32810 | C0037189
SCT | 43863001 | Superior left pulmonary vein | T-48530 | C0226682
SCT | 8629005 | Superior right pulmonary vein | T-48510 | C0226671
SCT | 128595004 | Tendon of Todaro | T-32202 | C0456939
SCT | 113259005 | Tricuspid ring | T-35110 | C0225926

### Note

In a prior version of this Context Group the code (T-48500, SRT, "Entire pulmonary vein") rather than (122972007, SCT, "Pulmonary Vein") was defined for the concept Pulmonary Vein; this was inconsistent with the DICOM approach of selecting the "structure of" rather than "entire" concept. Although there is minimal possibility of misinterpretation with SOP Instances that may include the deprecated use, receiving applications should be aware of this change; see Annex J.

## CID 3014 Coronary Artery Segments

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Table CID 3014. Coronary Artery Segments

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | Equivalent BARI Code
--- | --- | --- | --- | --- | ---
SCT | 91750005 | 1st Diagonal Coronary Artery | T-43117 | C0524430 | 15
SCT | 91757008 | 1st Left Posterolateral Coronary Artery | T-4312B | C0524437 | 24
SCT | 91754001 | 1st Marginal Coronary Artery | T-43128 | C0524434 | 20
SCT | 91761002 | 1st Right posterolateral Coronary Artery | T-43213 | C0524441 | 6
SCT | 244251006 | 1st Septal Coronary Artery | T-43002 | C0447058 | 17
SCT | 91751009 | 2nd Diagonal Coronary Artery | T-43118 | C0524431 | 16
SCT | 91758003 | 2nd Left Posterolateral Coronary Artery | T-4312C | C0524438 | 25
SCT | 91755000 | 2nd Marginal Coronary Artery | T-43129 | C0524435 | 21
SCT | 91762009 | 2nd Right posterolateral Coronary Artery | T-43214 | C0524442 | 7
SCT | 91752002 | 3rd diagonal Coronary Artery | T-43119 | C0524432 | 29
SCT | 91759006 | 3rd Left Posterolateral Coronary Artery | T-4312D | C0524439 | 26
SCT | 91756004 | 3rd Marginal Coronary Artery | T-4312A | C0524436 | 22
SCT | 91763004 | 3rd Right posterolateral Coronary Artery | T-43215 | C0524443 | 8
SCT | 22765000 | Marginal Coronary Artery | T-43230 | C0226050 | 10
SCT | 75902001 | AV groove continuation of Circumflex Artery | T-43124 | C0226041 | 23
SCT | 6511003 | Distal Circumflex Coronary Artery | T-43122 | C0226039 | 19A
SCT | 36672000 | Distal Left Anterior Descending Coronary Artery | T-43112 | C0226034 | 14
SCT | 41879009 | Distal Right Coronary Artery | T-43202 | C0226044 | 3
BARI | 15A | 1st Diagonal Coronary Artery Laterals |  |  | 15A
BARI | 20A | 1st Marginal Coronary Artery Laterals |  |  | 20A
BARI | 16A | 2nd Diagonal Coronary Artery Laterals |  |  | 16A
BARI | 21A | 2nd Marginal Coronary Artery Laterals |  |  | 21A
BARI | 29A | 3rd Diagonal Coronary Artery Laterals |  |  | 29A
BARI | 22A | 3rd Marginal Coronary Artery Laterals |  |  | 22A
BARI | 28A | Ramus Laterals |  |  | 28A
SCT | 3227004 | Left Main Coronary Artery | T-43107 | C0226031 | 11
SCT | 76862008 | Left Main Coronary Artery Ostium | T-43105 | C0226030 | 11A
SCT | 91760001 | Left Posterior Descending Circumflex Coronary Artery | T-4312E | C0524440 | 27
SCT | 91753007 | Mid Circumflex Coronary Artery | T-43127 | C0524433 | 19
SCT | 91748002 | Mid Left Anterior Descending Coronary Artery | T-43115 | C0524428 | 13
SCT | 450960006 | Mid Right Coronary Artery | T-D6515 | C3472627 | 2
SCT | 53655008 | Posterior Descending Right Coronary Artery | T-43210 | C0226047 | 4
BARI | 9 | Posterior descending septal perforators |  |  | 9
SCT | 52433000 | Proximal Circumflex Coronary Artery | T-43121 | C0226038 | 18
SCT | 68787002 | Proximal Left Anterior Descending Coronary Artery | T-43111 | C0226033 | 12
SCT | 91083009 | Proximal Right Coronary Artery | T-43201 | C0226043 | 1
SCT | 244252004 | Intermediate Artery (Ramus) | T-43003 | C0447059 | 28
SCT | 56789007 | Right Coronary Artery Ostium | T-43205 | C0226045 | 1A
SCT | 12800002 | Right posterior AV Coronary Artery | T-43212 | C0226048 | 5

### Note

In prior editions, this Context Group included BARI [1992] codes as the primary set. These have been replaced with equivalent SNOMED codes for the major artery segments (see PS3.16-2011).

## CID 3015 Coronary Arteries

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  1.2.840.10008.6.1.48

Table CID 3015. Coronary Arteries

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 3014 “Coronary Artery Segments”
SCT | 59438005 | Left Anterior Descending Coronary Artery | T-43110 | C0226032
SCT | 13647002 | Right Coronary Artery | T-43200 | C1261316
SCT | 57396003 | Circumflex Coronary Artery | T-43120 | C0226037
SCT | 57823005 | Left Posterolateral Circumflex Coronary Artery | T-43125 | C0278432
SCT | 91760001 | Left Posterior Descending Circumflex Coronary Artery | T-4312E | C0524440
SCT | 264293000 | Coronary Artery Graft | T-41065 | C0440761

## CID 3016 Major Coronary Arteries

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  1.2.840.10008.6.1.736

Table CID 3016. Major Coronary Arteries

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 59438005 | Left Anterior Descending Coronary Artery | T-43110 | C0226032
SCT | 13647002 | Right Coronary Artery | T-43200 | C1261316
SCT | 57396003 | Circumflex Coronary Artery | T-43120 | C0226037
SCT | 3227004 | Left Main Coronary Artery | T-43107 | C0226031

## CID 3019 Cardiovascular Anatomic Location Modifiers

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  1.2.840.10008.6.1.49

Table CID 3019. Cardiovascular Anatomic Location Modifiers

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 247 “Laterality Left-Right Only”
Include CID 212 “Generic Anatomic Location Modifiers”
SCT | 128950003 | Arterial graft to cited segment | G-D873 | C1264698
SCT | 128947001 | Graft to cited segment, body | G-D870 | C1264695
SCT | 128948006 | Graft to cited segment, distal anastomosis | G-D872 | C1264697
SCT | 128949003 | Graft to cited segment, proximal anastomosis | G-D871 | C1264696
SCT | 264114003 | Ostium | R-4215C | C0444567
SCT | 128951004 | Venous graft to cited segment | G-D874 | C1264699
SCT | 361097006 | Entire Vessel | T-40003 | C1283786
DCM | 122101 | Aneurysm on cited vessel |  |
DCM | 122102 | Graft to cited segment, proximal section |  |
DCM | 122103 | Graft to cited segment, mid section |  |
DCM | 122104 | Graft to cited segment, distal section |  |

## CID 3030 EEG Leads

This Context Group comprises the EEG lead identifiers of ISO/IEEE 11073-10101. The terms included in the table below may not constitute the complete list; see the ISO/IEEE Standard..

### Note

- Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10102 available through http://standards.ieee.org/.

- The Code Meaning is taken from the ISO/IEEE 11073 Acronym column.

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  1.2.840.10008.6.1.1328

Table CID 3030. EEG Leads

Coding Scheme Designator | Code Value | Code Meaning | ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)
--- | --- | --- | ---
MDC | 7:996 | Nz | MDC_HEAD_NASION_MID
MDC | 7:1000 | Fpz | MDC_HEAD_FRONT_POLAR_MID
MDC | 7:1004 | AFz | MDC_HEAD_FRONT_ANT_MID
MDC | 7:1008 | Fz | MDC_HEAD_FRONT_MID
MDC | 7:1012 | FCz | MDC_HEAD_FRONT_CENT_MID
MDC | 7:1016 | Cz | MDC_HEAD_CENT_MID
MDC | 7:1020 | CPz | MDC_HEAD_PARIET_MEDIA
MDC | 7:1024 | Pz | MDC_HEAD_PARIET_MID
MDC | 7:1028 | POz | MDC_HEAD_PARIET_OCCIP_MID
MDC | 7:1032 | Oz | MDC_HEAD_OCCIP_MID
MDC | 7:1036 | Iz | MDC_HEAD_INION_MID
MDC | 7:1041 | Fp1 | MDC_HEAD_FRONT_POLAR_L
MDC | 7:1042 | Fp2 | MDC_HEAD_FRONT_POLAR_R
MDC | 7:1049 | F1 | MDC_HEAD_FRONT_L_1
MDC | 7:1054 | F2 | MDC_HEAD_FRONT_R_2
MDC | 7:1057 | F3 | MDC_HEAD_FRONT_L_3
MDC | 7:1062 | F4 | MDC_HEAD_FRONT_R_4
MDC | 7:1065 | F5 | MDC_HEAD_FRONT_L_5
MDC | 7:1070 | F6 | MDC_HEAD_FRONT_R_6
MDC | 7:1073 | F7 | MDC_HEAD_FRONT_L_7
MDC | 7:1078 | F8 | MDC_HEAD_FRONT_R_8
MDC | 7:1081 | F9 | MDC_HEAD_FRONT_L_9
MDC | 7:1086 | F10 | MDC_HEAD_FRONT_R_10
MDC | 7:1089 | FC1 | MDC_HEAD_FRONT_CENT_L_1
MDC | 7:1094 | FC2 | MDC_HEAD_FRONT_CENT_R_2
MDC | 7:1097 | FC3 | MDC_HEAD_FRONT_CENT_L_3
MDC | 7:1102 | FC4 | MDC_HEAD_FRONT_CENT_R_4
MDC | 7:1105 | FC5 | MDC_HEAD_FRONT_CENT_L_5
MDC | 7:1110 | FC6 | MDC_HEAD_FRONT_CENT_R_6
MDC | 7:1113 | FT7 | MDC_HEAD_FRONT_TEMPOR_L7
MDC | 7:1118 | FT8 | MDC_HEAD_FRONT_TEMPOR_R8
MDC | 7:1121 | FT9 | MDC_HEAD_FRONT_TEMPOR_L9
MDC | 7:1126 | FT10 | MDC_HEAD_FRONT_TEMPOR_R10
MDC | 7:1129 | C1 | MDC_HEAD_CENT_L_1
MDC | 7:1134 | C2 | MDC_HEAD_CENT_R_2
MDC | 7:1137 | C3 | MDC_HEAD_CENT_L_3
MDC | 7:1142 | C4 | MDC_HEAD_CENT_R_4
MDC | 7:1145 | C5 | MDC_HEAD_CENT_L_5
MDC | 7:1150 | C6 | MDC_HEAD_CENT_R_6
MDC | 7:1153 | CP1 | MDC_HEAD_PARIET_CENT_L_1
MDC | 7:1158 | CP2 | MDC_HEAD_PARIET_CENT_R_2
MDC | 7:1161 | CP3 | MDC_HEAD_PARIET_CENT_L_3
MDC | 7:1166 | CP4 | MDC_HEAD_PARIET_CENT_R_4
MDC | 7:1169 | CP5 | MDC_HEAD_PARIET_CENT_L_5
MDC | 7:1174 | CP6 | MDC_HEAD_PARIET_CENT_R_6
MDC | 7:1177 | P1 | MDC_HEAD_PARIET_L_1
MDC | 7:1182 | P2 | MDC_HEAD_PARIET_R_2
MDC | 7:1185 | P3 | MDC_HEAD_PARIET_L_3
MDC | 7:1190 | P4 | MDC_HEAD_PARIET_R_4
MDC | 7:1193 | P5 | MDC_HEAD_PARIET_L_5
MDC | 7:1198 | P6 | MDC_HEAD_PARIET_R_6
MDC | 7:1201 | P9 | MDC_HEAD_PARIET_L_9
MDC | 7:1206 | P10 | MDC_HEAD_PARIET_R_10
MDC | 7:1209 | O1 | MDC_HEAD_OCCIP_L
MDC | 7:1214 | O2 | MDC_HEAD_OCCIP_R
MDC | 7:1217 | AF3 | MDC_HEAD_FRONT_ANT_L_3
MDC | 7:1222 | AF4 | MDC_HEAD_FRONT_ANT_R_4
MDC | 7:1225 | AF7 | MDC_HEAD_FRONT_ANT_L_7
MDC | 7:1230 | AF8 | MDC_HEAD_FRONT_ANT_R_8
MDC | 7:1233 | PO3 | MDC_HEAD_PARIET_OCCIP_L_3
MDC | 7:1238 | PO4 | MDC_HEAD_PARIET_OCCIP_R_4
MDC | 7:1241 | PO7 | MDC_HEAD_PARIET_OCCIP_L_7
MDC | 7:1246 | PO8 | MDC_HEAD_PARIET_OCCIP_R_8
MDC | 7:1249 | T3 | MDC_HEAD_TEMPOR_L_3
MDC | 7:1254 | T4 | MDC_HEAD_TEMPOR_R_4
MDC | 7:1257 | T5 | MDC_HEAD_TEMPOR_L_5
MDC | 7:1262 | T6 | MDC_HEAD_TEMPOR_R_6
MDC | 7:1265 | T9 | MDC_HEAD_TEMPOR_L_9
MDC | 7:1270 | T10 | MDC_HEAD_TEMPOR_R_10
MDC | 7:1273 | TP7 | MDC_HEAD_TEMPOR_PARIET_L_7
MDC | 7:1278 | TP8 | MDC_HEAD_TEMPOR_PARIET_R_8
MDC | 7:1281 | TP9 | MDC_HEAD_TEMPOR_PARIET_L_9
MDC | 7:1286 | TP10 | MDC_HEAD_TEMPOR_PARIET_R_10
MDC | 7:1289 | A1 | MDC_HEAD_EAR_L
MDC | 7:1290 | A2 | MDC_HEAD_EAR_R
MDC | 7:1297 | T1 | MDC_HEAD_TEMPOR_ANT_L
MDC | 7:1298 | T2 | MDC_HEAD_TEMPOR_ANT_R
MDC | 7:1305 | Pg1 | MDC_HEAD_PHARYNGEAL_L
MDC | 7:1306 | Pg2 | MDC_HEAD_PHARYNGEAL_R
MDC | 7:1313 | Sp1 | MDC_HEAD_SPHENOIDAL_L
MDC | 7:1314 | Sp2 | MDC_HEAD_SPHENOIDAL_R

## CID 3031 Lead locations near or in muscles

This Context Group comprises the EMG lead identifiers of ISO/IEEE 11073-10101. The terms included in the table below may not constitute the complete list; see the ISO/IEEE Standard..

### Note

- Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10102 available through http://standards.ieee.org/.

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Type:

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Version:

  20200623

UID:

  1.2.840.10008.6.1.1329

Table CID 3031. Lead locations near or in muscles

Coding Scheme Designator | Code Value | Code Meaning | ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)
--- | --- | --- | ---
MDC | 7:252 | Musculi capitis | MDC_MUSC_HEAD
MDC | 7:253 | Musculi capitis, left | MDC_MUSC_HEAD_L
MDC | 7:254 | Musculi capitis, right | MDC_MUSC_HEAD_R
MDC | 7:256 | Musculi bulbi | MDC_MUSC_HEAD_EYE
MDC | 7:257 | Musculi bulbi, left | MDC_MUSC_HEAD_EYE_L
MDC | 7:258 | Musculi bulbi, right | MDC_MUSC_HEAD_EYE_R
MDC | 7:260 | Musculus rectus superior | MDC_MUSC_HEAD_RECT_SUP
MDC | 7:261 | Musculus rectus superior, left | MDC_MUSC_HEAD_RECT_SUP_L
MDC | 7:262 | Musculus rectus superior, right | MDC_MUSC_HEAD_RECT_SUP_R
MDC | 7:264 | Musculus rectus inferior | MDC_MUSC_HEAD_RECT_INF
MDC | 7:265 | Musculus rectus inferior, left | MDC_MUSC_HEAD_RECT_INF_L
MDC | 7:266 | Musculus rectus inferior, right | MDC_MUSC_HEAD_RECT_INF_R
MDC | 7:268 | Musculus rectus medialis | MDC_MUSC_HEAD_RECT_MED
MDC | 7:269 | Musculus rectus medialis, left | MDC_MUSC_HEAD_RECT_MED_L
MDC | 7:270 | Musculus rectus medialis, right | MDC_MUSC_HEAD_RECT_MED_R
MDC | 7:272 | Musculus rectus lateralis | MDC_MUSC_HEAD_RECT_LAT
MDC | 7:273 | Musculus rectus lateralis, left | MDC_MUSC_HEAD_RECT_LAT_L
MDC | 7:274 | Musculus rectus lateralis, right | MDC_MUSC_HEAD_RECT_LAT_R
MDC | 7:276 | Musculus obliquus superior | MDC_MUSC_HEAD_OBLIQ_SUP
MDC | 7:277 | Musculus obliquus superior, left | MDC_MUSC_HEAD_OBLIQ_SUP_L
MDC | 7:278 | Musculus obliquus superior, right | MDC_MUSC_HEAD_OBLIQ_SUP_R
MDC | 7:280 | Musculus obliquus inferior | MDC_MUSC_HEAD_OBLIQ_INF
MDC | 7:281 | Musculus obliquus inferior, left | MDC_MUSC_HEAD_OBLIQ_INF_L
MDC | 7:282 | Musculus obliquus inferior, right | MDC_MUSC_HEAD_OBLIQ_INF_R
MDC | 7:284 | Musculi faciales et masticatores | MDC_MUSC_HEAD_FACIAL
MDC | 7:285 | Musculi faciales et masticatores, left | MDC_MUSC_HEAD_FACIAL_L
MDC | 7:286 | Musculi faciales et masticatores, right | MDC_MUSC_HEAD_FACIAL_R
MDC | 7:288 | Musculus occipitofrontalis, Venter frontalis | MDC_MUSC_HEAD_OCCIPITOFRONT_VENTER
MDC | 7:289 | Musculus occipitofrontalis, Venter frontalis, left | MDC_MUSC_HEAD_OCCIPITOFRONT_VENTER_L
MDC | 7:290 | Musculus occipitofrontalis, Venter frontalis, right | MDC_MUSC_HEAD_OCCIPITOFRONT_VENTER_R
MDC | 7:292 | Musculus orbicularis oculi | MDC_MUSC_HEAD_ORBIC_OCUL
MDC | 7:293 | Musculus orbicularis oculi, left | MDC_MUSC_HEAD_ORBIC_OCUL_L
MDC | 7:294 | Musculus orbicularis oculi, right | MDC_MUSC_HEAD_ORBIC_OCUL_R
MDC | 7:296 | Musculus orbicularis oculi, Pars orbitalis | MDC_MUSC_HEAD_ORBIC_OCUL_PARS_ORBIT
MDC | 7:297 | Musculus orbicularis oculi, Pars orbitalis, left | MDC_MUSC_HEAD_ORBIC_OCUL_PARS_ORBIT_L
MDC | 7:298 | Musculus orbicularis oculi, Pars orbitalis, right | MDC_MUSC_HEAD_ORBIC_OCUL_PARS_ORBIT_R
MDC | 7:300 | Musculus auricularis posterior | MDC_MUSC_HEAD_AURIC_POST
MDC | 7:301 | Musculus auricularis posterior, left | MDC_MUSC_HEAD_AURIC_POST_L
MDC | 7:302 | Musculus auricularis posterior, right | MDC_MUSC_HEAD_AURIC_POST_R
MDC | 7:304 | Musculus orbicularis oris | MDC_MUSC_HEAD_ORBIC_ORIS
MDC | 7:305 | Musculus orbicularis oris, left | MDC_MUSC_HEAD_ORBIC_ORIS_L
MDC | 7:306 | Musculus orbicularis oris, right | MDC_MUSC_HEAD_ORBIC_ORIS_R
MDC | 7:308 | Musculus depressor anguli oris | MDC_MUSC_HEAD_DEPRESSOR_ANGUL_ORIS
MDC | 7:309 | Musculus depressor anguli oris, left | MDC_MUSC_HEAD_DEPRESSOR_ANGUL_ORIS_L
MDC | 7:310 | Musculus depressor anguli oris, right | MDC_MUSC_HEAD_DEPRESSOR_ANGUL_ORIS_R
MDC | 7:312 | Musculus risorius | MDC_MUSC_HEAD_RISOR
MDC | 7:313 | Musculus risorius, left | MDC_MUSC_HEAD_RISOR_L
MDC | 7:314 | Musculus risorius, right | MDC_MUSC_HEAD_RISOR_R
MDC | 7:316 | Musculus zygomaticus major | MDC_MUSC_HEAD_ZYGOMATIC_MAJOR
MDC | 7:317 | Musculus zygomaticus major, left | MDC_MUSC_HEAD_ZYGOMATIC_MAJOR_L
MDC | 7:318 | Musculus zygomaticus major, right | MDC_MUSC_HEAD_ZYGOMATIC_MAJOR_R
MDC | 7:320 | Musculus zygomaticus minor | MDC_MUSC_HEAD_ZYGOMATIC_MINOR
MDC | 7:321 | Musculus zygomaticus minor, left | MDC_MUSC_HEAD_ZYGOMATIC_MINOR_L
MDC | 7:322 | Musculus zygomaticus minor, right | MDC_MUSC_HEAD_ZYGOMATIC_MINOR_R
MDC | 7:324 | Musculus levator labii superioris | MDC_MUSC_HEAD_LEVATOR_LAB_SUP
MDC | 7:325 | Musculus levator labii superioris, left | MDC_MUSC_HEAD_LEVATOR_LAB_SUP_L
MDC | 7:326 | Musculus levator labii superioris, right | MDC_MUSC_HEAD_LEVATOR_LAB_SUP_R
MDC | 7:328 | Musculus levator labii superioris alaeque nasi | MDC_MUSC_HEAD_LEVATOR_LAB_SUP_AL_NASI
MDC | 7:329 | Musculus levator labii superioris alaeque nasi, left | MDC_MUSC_HEAD_LEVATOR_LAB_SUP_AL_NASI_L
MDC | 7:330 | Musculus levator labii superioris alaeque nasi, right | MDC_MUSC_HEAD_LEVATOR_LAB_SUP_AL_NASI_R
MDC | 7:332 | Musculus depressor labii inferioris | MDC_MUSC_HEAD_DEPRESSOR_LAB_INF
MDC | 7:333 | Musculus depressor labii inferioris, left | MDC_MUSC_HEAD_DEPRESSOR_LAB_INF_L
MDC | 7:334 | Musculus depressor labii inferioris, right | MDC_MUSC_HEAD_DEPRESSOR_LAB_INF_R
MDC | 7:336 | Musculus levator anguli oris | MDC_MUSC_HEAD_LEVATOR_ANGUL_ORIS
MDC | 7:337 | Musculus levator anguli oris, left | MDC_MUSC_HEAD_LEVATOR_ANGUL_ORIS_L
MDC | 7:338 | Musculus levator anguli oris, right | MDC_MUSC_HEAD_LEVATOR_ANGUL_ORIS_R
MDC | 7:340 | Musculus buccinator | MDC_MUSC_HEAD_BUCCINATOR
MDC | 7:341 | Musculus buccinator, left | MDC_MUSC_HEAD_BUCCINATOR_L
MDC | 7:342 | Musculus buccinator, right | MDC_MUSC_HEAD_BUCCINATOR_R
MDC | 7:344 | Musculus mentalis | MDC_MUSC_HEAD_MENTAL
MDC | 7:345 | Musculus mentalis, left | MDC_MUSC_HEAD_MENTAL_L
MDC | 7:346 | Musculus mentalis, right | MDC_MUSC_HEAD_MENTAL_R
MDC | 7:348 | Musculus masseter | MDC_MUSC_HEAD_MASSETER
MDC | 7:349 | Musculus masseter, left | MDC_MUSC_HEAD_MASSETER_L
MDC | 7:350 | Musculus masseter, right | MDC_MUSC_HEAD_MASSETER_R
MDC | 7:352 | Musculus temporalis | MDC_MUSC_HEAD_TEMPOR
MDC | 7:353 | Musculus temporalis, left | MDC_MUSC_HEAD_TEMPOR_L
MDC | 7:354 | Musculus temporalis, right | MDC_MUSC_HEAD_TEMPOR_R
MDC | 7:356 | Musculus Pterygoideus | MDC_MUSC_HEAD_PTERYGOID
MDC | 7:357 | Musculus Pterygoideus, left | MDC_MUSC_HEAD_PTERYGOID_L
MDC | 7:358 | Musculus Pterygoideus, right | MDC_MUSC_HEAD_PTERYGOID_R
MDC | 7:360 | Musculus Pterygoideus lateralis | MDC_MUSC_HEAD_PTERYGOID_LAT
MDC | 7:361 | Musculus Pterygoideus lateralis, left | MDC_MUSC_HEAD_PTERYGOID_LAT_L
MDC | 7:362 | Musculus Pterygoideus lateralis, right | MDC_MUSC_HEAD_PTERYGOID_LAT_R
MDC | 7:364 | Musculus Pterygoideus, medialis | MDC_MUSC_HEAD_PTERYGOID_MED
MDC | 7:365 | Musculus Pterygoideus, medialis, left | MDC_MUSC_HEAD_PTERYGOID_MED_L
MDC | 7:366 | Musculus Pterygoideus, medialis, right | MDC_MUSC_HEAD_PTERYGOID_MED_R
MDC | 7:368 | Musculi linguae | MDC_MUSC_HEAD_LING
MDC | 7:369 | Musculi linguae, left | MDC_MUSC_HEAD_LING_L
MDC | 7:370 | Musculi linguae, right | MDC_MUSC_HEAD_LING_R
MDC | 7:372 | Musculus genioglossus | MDC_MUSC_HEAD_GENIOGLOSS
MDC | 7:373 | Musculus genioglossus, left | MDC_MUSC_HEAD_GENIOGLOSS_L
MDC | 7:374 | Musculus genioglossus, right | MDC_MUSC_HEAD_GENIOGLOSS_R
MDC | 7:376 | Musculi laringis | MDC_MUSC_HEAD_LARING
MDC | 7:377 | Musculi laringis, left | MDC_MUSC_HEAD_LARING_L
MDC | 7:378 | Musculi laringis, right | MDC_MUSC_HEAD_LARING_R
MDC | 7:380 | Musculus cricothyroideus | MDC_MUSC_HEAD_CRICOTHYROID
MDC | 7:381 | Musculus cricothyroideus, left | MDC_MUSC_HEAD_CRICOTHYROID_L
MDC | 7:382 | Musculus cricothyroideus, right | MDC_MUSC_HEAD_CRICOTHYROID_R
MDC | 7:384 | Musculus tyroartenoideus | MDC_MUSC_HEAD_THYROARYTEROID
MDC | 7:385 | Musculus tyroartenoideus, left | MDC_MUSC_HEAD_THYROARYTEROID_L
MDC | 7:386 | Musculus tyroartenoideus, right | MDC_MUSC_HEAD_THYROARYTEROID_R
MDC | 7:388 | Musculi colli | MDC_MUSC_NECK
MDC | 7:389 | Musculi colli, left | MDC_MUSC_NECK_L
MDC | 7:390 | Musculi colli, right | MDC_MUSC_NECK_R
MDC | 7:392 | Platysma | MDC_MUSC_NECK_PLATYSMA
MDC | 7:393 | Platysma, left | MDC_MUSC_NECK_PLATYSMA_L
MDC | 7:394 | Platysma, right | MDC_MUSC_NECK_PLATYSMA_R
MDC | 7:396 | Musculus capitis longus | MDC_MUSC_NECK_CAPT_LONG
MDC | 7:397 | Musculus capitis longus, left | MDC_MUSC_NECK_CAPT_LONG_L
MDC | 7:398 | Musculus capitis longus, right | MDC_MUSC_NECK_CAPT_LONG_R
MDC | 7:400 | Musculus Sternocleidomastoideus | MDC_MUSC_NECK_STERNOCLEIDOMASTOID
MDC | 7:401 | Musculus Sternocleidomastoideus, left | MDC_MUSC_NECK_STERNOCLEIDOMASTOID_L
MDC | 7:402 | Musculus Sternocleidomastoideus, right | MDC_MUSC_NECK_STERNOCLEIDOMASTOID_R
MDC | 7:404 | Musculus digastricus | MDC_MUSC_NECK_DIGRASTRIC
MDC | 7:405 | Musculus digastricus, left | MDC_MUSC_NECK_DIGRASTRIC_L
MDC | 7:406 | Musculus digastricus, right | MDC_MUSC_NECK_DIGRASTRIC_R
MDC | 7:408 | Musculus digastricus, Venter anterior | MDC_MUSC_NECK_DIGRASTRIC_VENTER_ANT
MDC | 7:409 | Musculus digastricus, Venter anterior, left | MDC_MUSC_NECK_DIGRASTRIC_VENTER_ANT_L
MDC | 7:410 | Musculus digastricus, Venter anterior, right | MDC_MUSC_NECK_DIGRASTRIC_VENTER_ANT_R
MDC | 7:412 | Musculus digastricus, Venter posterior | MDC_MUSC_NECK_DIGRASTRIC_VENTER_POST
MDC | 7:413 | Musculus digastricus, Venter posterior, left | MDC_MUSC_NECK_DIGRASTRIC_VENTER_POST_L
MDC | 7:414 | Musculus digastricus, Venter posterior, right | MDC_MUSC_NECK_DIGRASTRIC_VENTER_POST_R
MDC | 7:416 | Musculus mylohyoideus | MDC_MUSC_NECK_MYLOHYOID
MDC | 7:417 | Musculus mylohyoideus, left | MDC_MUSC_NECK_MYLOHYOID_L
MDC | 7:418 | Musculus mylohyoideus, right | MDC_MUSC_NECK_MYLOHYOID_R
MDC | 7:424 | Musculi dorsi | MDC_MUSC_BACK
MDC | 7:425 | Musculi dorsi, left | MDC_MUSC_BACK_L
MDC | 7:426 | Musculi dorsi, right | MDC_MUSC_BACK_R
MDC | 7:436 | Musculus trapezius | MDC_MUSC_BACK_TRAPEZ
MDC | 7:437 | Musculus trapezius, left | MDC_MUSC_BACK_TRAPEZ_L
MDC | 7:438 | Musculus trapezius, right | MDC_MUSC_BACK_TRAPEZ_R
MDC | 7:440 | Musculus latissimus dorsi | MDC_MUSC_BACK_LASTISSIM_DORS
MDC | 7:441 | Musculus latissimus dorsi, left | MDC_MUSC_BACK_LASTISSIM_DORS_L
MDC | 7:442 | Musculus latissimus dorsi, right | MDC_MUSC_BACK_LASTISSIM_DORS_R
MDC | 7:444 | Musculus rhomboideus major | MDC_MUSC_BACK_RHOMB_MAJOR
MDC | 7:445 | Musculus rhomboideus major, left | MDC_MUSC_BACK_RHOMB_MAJOR_L
MDC | 7:446 | Musculus rhomboideus major, right | MDC_MUSC_BACK_RHOMB_MAJOR_R
MDC | 7:448 | Musculus rhomboideus minor | MDC_MUSC_BACK_RHOMB_MINOR
MDC | 7:449 | Musculus rhomboideus minor, left | MDC_MUSC_BACK_RHOMB_MINOR_L
MDC | 7:450 | Musculus rhomboideus minor, right | MDC_MUSC_BACK_RHOMB_MINOR_R
MDC | 7:452 | Musculus levator scapulae | MDC_MUSC_BACK_SCAP_LEVATOR
MDC | 7:453 | Musculus levator scapulae, left | MDC_MUSC_BACK_SCAP_LEVATOR_L
MDC | 7:454 | Musculus levator scapulae, right | MDC_MUSC_BACK_SCAP_LEVATOR_R
MDC | 7:456 | Musculus serratus posterior | MDC_MUSC_BACK_SERRAT_POST
MDC | 7:457 | Musculus serratus posterior, left | MDC_MUSC_BACK_SERRAT_POST_L
MDC | 7:458 | Musculus serratus posterior, right | MDC_MUSC_BACK_SERRAT_POST_R
MDC | 7:460 | Musculus splenius capitis | MDC_MUSC_BACK_SPLEN_CAPT
MDC | 7:461 | Musculus splenius capitis, left | MDC_MUSC_BACK_SPLEN_CAPT_L
MDC | 7:462 | Musculus splenius capitis, right | MDC_MUSC_BACK_SPLEN_CAPT_R
MDC | 7:464 | Musculus splenius cervicis | MDC_MUSC_BACK_SPLEN_CERVIC
MDC | 7:465 | Musculus splenius cervicis, left | MDC_MUSC_BACK_SPLEN_CERVIC_L
MDC | 7:466 | Musculus splenius cervicis, right | MDC_MUSC_BACK_SPLEN_CERVIC_R
MDC | 7:468 | Musculus splenius | MDC_MUSC_BACK_SPLEN
MDC | 7:469 | Musculus splenius, left | MDC_MUSC_BACK_SPLEN_L
MDC | 7:470 | Musculus splenius, right | MDC_MUSC_BACK_SPLEN_R
MDC | 7:472 | Musculus erector spinae | MDC_MUSC_BACK_SPINAL_ERECTOR
MDC | 7:473 | Musculus erector spinae, left | MDC_MUSC_BACK_SPINAL_ERECTOR_L
MDC | 7:474 | Musculus erector spinae, right | MDC_MUSC_BACK_SPINAL_ERECTOR_R
MDC | 7:476 | Musculus spinalis | MDC_MUSC_BACK_SPINAL
MDC | 7:477 | Musculus spinalis, left | MDC_MUSC_BACK_SPINAL_L
MDC | 7:478 | Musculus spinalis, right | MDC_MUSC_BACK_SPINAL_R
MDC | 7:480 | Musculus spinalis thoracis | MDC_MUSC_BACK_SPINAL_THORAC
MDC | 7:481 | Musculus spinalis thoracis, left | MDC_MUSC_BACK_SPINAL_THORAC_L
MDC | 7:482 | Musculus spinalis thoracis, right | MDC_MUSC_BACK_SPINAL_THORAC_R
MDC | 7:484 | Musculus spinalis cervicis | MDC_MUSC_BACK_SPINAL_CERVIC
MDC | 7:485 | Musculus spinalis cervicis, left | MDC_MUSC_BACK_SPINAL_CERVIC_L
MDC | 7:486 | Musculus spinalis cervicis, right | MDC_MUSC_BACK_SPINAL_CERVIC_R
MDC | 7:488 | Musculus spinalis capitis | MDC_MUSC_BACK_SPINAL_CAPIT
MDC | 7:489 | Musculus spinalis capitis, left | MDC_MUSC_BACK_SPINAL_CAPIT_L
MDC | 7:490 | Musculus spinalis capitis, right | MDC_MUSC_BACK_SPINAL_CAPIT_R
MDC | 7:492 | Musculus semispinalis | MDC_MUSC_BACK_SEMISPINAL
MDC | 7:493 | Musculus semispinalis, left | MDC_MUSC_BACK_SEMISPINAL_L
MDC | 7:494 | Musculus semispinalis, right | MDC_MUSC_BACK_SEMISPINAL_R
MDC | 7:496 | Musculus semispinalis thoracis | MDC_MUSC_BACK_SEMISPINAL_THOR
MDC | 7:497 | Musculus semispinalis thoracis, left | MDC_MUSC_BACK_SEMISPINAL_THOR_L
MDC | 7:498 | Musculus semispinalis thoracis, right | MDC_MUSC_BACK_SEMISPINAL_THOR_R
MDC | 7:500 | Musculus semispinalis cervicis | MDC_MUSC_BACK_SEMISPINAL_CERV
MDC | 7:501 | Musculus semispinalis cervicis, left | MDC_MUSC_BACK_SEMISPINAL_CERV_L
MDC | 7:502 | Musculus semispinalis cervicis, right | MDC_MUSC_BACK_SEMISPINAL_CERV_R
MDC | 7:504 | Musculus semispinalis capitis | MDC_MUSC_BACK_SEMISPINAL_CAPIT
MDC | 7:505 | Musculus semispinalis capitis, left | MDC_MUSC_BACK_SEMISPINAL_CAPIT_L
MDC | 7:506 | Musculus semispinalis capitis, right | MDC_MUSC_BACK_SEMISPINAL_CAPIT_R
MDC | 7:508 | Musculi multifidii | MDC_MUSC_BACK_MULTIFID
MDC | 7:509 | Musculi multifidii, left | MDC_MUSC_BACK_MULTIFID_L
MDC | 7:510 | Musculi multifidii, right | MDC_MUSC_BACK_MULTIFID_R
MDC | 7:512 | Musculi interspinales | MDC_MUSC_BACK_INTERSPINAL
MDC | 7:513 | Musculi interspinales, left | MDC_MUSC_BACK_INTERSPINAL_L
MDC | 7:514 | Musculi interpsinales, right | MDC_MUSC_BACK_INTERSPINAL_R
MDC | 7:516 | Musculi interspinales cervicis | MDC_MUSC_BACK_INTERSPINAL_CERVIC
MDC | 7:517 | Musculi interspinales cervicis, left | MDC_MUSC_BACK_INTERSPINAL_CERVIC_L
MDC | 7:518 | Musculi interspinales cervicis, right | MDC_MUSC_BACK_INTERSPINAL_CERVIC_R
MDC | 7:520 | Musculi interspinales thoracis | MDC_MUSC_BACK_INTERSPINAL_THORAC
MDC | 7:521 | Musculi interspinales thoracis, left | MDC_MUSC_BACK_INTERSPINAL_THORAC_L
MDC | 7:522 | Musculi interspinales thoracis, right | MDC_MUSC_BACK_INTERSPINAL_THORAC_R
MDC | 7:524 | Musculi interspinales lumborum | MDC_MUSC_BACK_INTERSPINAL_LUMBOR
MDC | 7:525 | Musculi interspinales lumborum, left | MDC_MUSC_BACK_INTERSPINAL_LUMBOR_L
MDC | 7:526 | Musculi interspinales lumborum, right | MDC_MUSC_BACK_INTERSPINAL_LUMBOR_R
MDC | 7:528 | Musculi thoracis | MDC_MUSC_THORAX
MDC | 7:529 | Musculi thoracis, left | MDC_MUSC_THORAX_L
MDC | 7:530 | Musculi thoracis, right | MDC_MUSC_THORAX_R
MDC | 7:532 | Musculus pectoralis major | MDC_MUSC_THORAX_PECTORAL_MAJOR
MDC | 7:533 | Musculus pectoralis major, left | MDC_MUSC_THORAX_PECTORAL_MAJOR_L
MDC | 7:534 | Musculus pectoralis major, right | MDC_MUSC_THORAX_PECTORAL_MAJOR_R
MDC | 7:536 | Musculus pectoralis minor | MDC_MUSC_THORAX_PECTORAL_MINOR
MDC | 7:537 | Musculus pectoralis minor, left | MDC_MUSC_THORAX_PECTORAL_MINOR_L
MDC | 7:538 | Musculus pectoralis minor, right | MDC_MUSC_THORAX_PECTORAL_MINOR_R
MDC | 7:540 | Musculus subclavius | MDC_MUSC_THORAX_SUBCLAV
MDC | 7:541 | Musculus subclavius, left | MDC_MUSC_THORAX_SUBCLAV_L
MDC | 7:542 | Musculus subclavius, right | MDC_MUSC_THORAX_SUBCLAV_R
MDC | 7:544 | Musculus serratus anterior | MDC_MUSC_THORAX_SERRAT_ANT
MDC | 7:545 | Musculus serratus anterior, left | MDC_MUSC_THORAX_SERRAT_ANT_L
MDC | 7:546 | Musculus serratus anterior, right | MDC_MUSC_THORAX_SERRAT_ANT_R
MDC | 7:548 | Musculi intercostales | MDC_MUSC_THORAX_INTERCOSTAL
MDC | 7:549 | Musculi intercostales, left | MDC_MUSC_THORAX_INTERCOSTAL_L
MDC | 7:550 | Musculi intercostales, right | MDC_MUSC_THORAX_INTERCOSTAL_R
MDC | 7:552 | Diaphragma | MDC_MUSC_THORAX_DIAPHRAGM
MDC | 7:553 | Diaphragma, left | MDC_MUSC_THORAX_DIAPHRAGM_L
MDC | 7:554 | Diaphragma, right | MDC_MUSC_THORAX_DIAPHRAGM_R
MDC | 7:556 | Musculi abdominis | MDC_MUSC_ABDOM
MDC | 7:557 | Musculi abdominis, left | MDC_MUSC_ABDOM_L
MDC | 7:558 | Musculi abdominis, right | MDC_MUSC_ABDOM_R
MDC | 7:560 | Musculus rectus abdominis | MDC_MUSC_ABDOM_ABDOMIN
MDC | 7:561 | Musculus rectus abdominis, left | MDC_MUSC_ABDOM_ABDOMIN_L
MDC | 7:562 | Musculus rectus abdominis, right | MDC_MUSC_ABDOM_ABDOMIN_R
MDC | 7:564 | Musculus obliquus externus abdominis | MDC_MUSC_ABDOM_OBLIQ_EXT
MDC | 7:565 | Musculus obliquus externus abdominis, left | MDC_MUSC_ABDOM_OBLIQ_EXT_L
MDC | 7:566 | Musculus obliquus externus abdominis, right | MDC_MUSC_ABDOM_OBLIQ_EXT_R
MDC | 7:568 | Musculus obliquus internus abdominis | MDC_MUSC_ABDOM_OBLIQ_INT
MDC | 7:569 | Musculus obliquus internus abdominis, left | MDC_MUSC_ABDOM_OBLIQ_INT_L
MDC | 7:570 | Musculus obliquus internus abdominis, right | MDC_MUSC_ABDOM_OBLIQ_INT_R
MDC | 7:572 | Musculus transversus abdominis | MDC_MUSC_ABDOM_ABDOM_TRANSVERS
MDC | 7:573 | Musculus transversus abdominis, left | MDC_MUSC_ABDOM_ABDOM_TRANSVERS_L
MDC | 7:574 | Musculus transversus abdominis, right | MDC_MUSC_ABDOM_ABDOM_TRANSVERS_R
MDC | 7:576 | Musculus quadratus lumborum | MDC_MUSC_ABDOM_LUMBOR_QUADRAT
MDC | 7:577 | Musculus quadratus lumborum, left | MDC_MUSC_ABDOM_LUMBOR_QUADRAT_L
MDC | 7:578 | Musculus quadratus lumborum, right | MDC_MUSC_ABDOM_LUMBOR_QUADRAT_R
MDC | 7:580 | Musculi diaphragmatis pelvis | MDC_MUSC_ABDOM_PELV
MDC | 7:581 | Musculi diaphragmatis pelvis, left | MDC_MUSC_ABDOM_PELV_L
MDC | 7:582 | Musculi diaphragmatis pelvis, right | MDC_MUSC_ABDOM_PELV_R
MDC | 7:584 | Musculus puborectalis | MDC_MUSC_ABDOM_PUBORECT
MDC | 7:585 | Musculus puborectalis, left | MDC_MUSC_ABDOM_PUBORECT_L
MDC | 7:586 | Musculus puborectalis, right | MDC_MUSC_ABDOM_PUBORECT_R
MDC | 7:588 | Musculus coccygeus | MDC_MUSC_ABDOM_COCCYG
MDC | 7:589 | Musculus coccygeus, left | MDC_MUSC_ABDOM_COCCYG_L
MDC | 7:590 | Musculus coccygeus, right | MDC_MUSC_ABDOM_COCCYG_R
MDC | 7:592 | Musculus sphincter ani | MDC_MUSC_ABDOM_ANI_SPHINCTER
MDC | 7:596 | Musculus sphincter ani externus | MDC_MUSC_ABDOM_ANI_SPHINCTER_EXT
MDC | 7:600 | Musculi membri superioris | MDC_MUSC_UPEXT
MDC | 7:601 | Musculi membri superioris, left | MDC_MUSC_UPEXT_L
MDC | 7:602 | Musculi membri superiori, right | MDC_MUSC_UPEXT_R
MDC | 7:604 | Musculus deltoideus | MDC_MUSC_UPEXT_DELTOID
MDC | 7:605 | Musculus deltoideus, left | MDC_MUSC_UPEXT_DELTOID_L
MDC | 7:606 | Musculus deltoideus, right | MDC_MUSC_UPEXT_DELTOID_R
MDC | 7:608 | Musculus supraspinatus | MDC_MUSC_UPEXT_SUPRASPINAT
MDC | 7:609 | Musculus supraspinatus, left | MDC_MUSC_UPEXT_SUPRASPINAT_L
MDC | 7:610 | Musculus supraspinatus, right | MDC_MUSC_UPEXT_SUPRASPINAT_R
MDC | 7:612 | Musculus infraspinatus | MDC_MUSC_UPEXT_INFRASPINAT
MDC | 7:613 | Musculus infraspinatus, left | MDC_MUSC_UPEXT_INFRASPINAT_L
MDC | 7:614 | Musculus infraspinatus, right | MDC_MUSC_UPEXT_INFRASPINAT_R
MDC | 7:616 | Musculus teres minor | MDC_MUSC_UPEXT_TERES_MINOR
MDC | 7:617 | Musculus teres minor, left | MDC_MUSC_UPEXT_TERES_MINOR_L
MDC | 7:618 | Musculus teres minor, right | MDC_MUSC_UPEXT_TERES_MINOR_R
MDC | 7:620 | Musculus teres major | MDC_MUSC_UPEXT_TERES_MAJOR
MDC | 7:621 | Musculus teres major, left | MDC_MUSC_UPEXT_TERES_MAJOR_L
MDC | 7:622 | Musculus teres major, right | MDC_MUSC_UPEXT_TERES_MAJOR_R
MDC | 7:624 | Musculus subscapularis | MDC_MUSC_UPEXT_SUBSCAP
MDC | 7:625 | Musculus subscapularis, left | MDC_MUSC_UPEXT_SUBSCAP_L
MDC | 7:626 | Musculus subscapularis, right | MDC_MUSC_UPEXT_SUBSCAP_R
MDC | 7:628 | Musculus biceps brachii | MDC_MUSC_UPEXT_BRACHI_BICEPS
MDC | 7:629 | Musculus biceps brachii, left | MDC_MUSC_UPEXT_BRACHI_BICEPS_L
MDC | 7:630 | Musculus biceps brachii, right | MDC_MUSC_UPEXT_BRACHI_BICEPS_R
MDC | 7:632 | Musculus brachialis | MDC_MUSC_UPEXT_BRACHIAL
MDC | 7:633 | Musculus brachialis, left | MDC_MUSC_UPEXT_BRACHIAL_L
MDC | 7:634 | Musculus brachialis, right | MDC_MUSC_UPEXT_BRACHIAL_R
MDC | 7:636 | Musculus coracobrachialis | MDC_MUSC_UPEXT_CORACOBRACH
MDC | 7:637 | Musculus coracobrachialis, left | MDC_MUSC_UPEXT_CORACOBRACH_L
MDC | 7:638 | Musculus coracobrachialis, right | MDC_MUSC_UPEXT_CORACOBRACH_R
MDC | 7:640 | Musculus triceps brachii | MDC_MUSC_UPEXT_BRACH_TRICEPS
MDC | 7:641 | Musculus triceps brachii, left | MDC_MUSC_UPEXT_BRACH_TRICEPS_L
MDC | 7:642 | Musculus triceps brachii, right | MDC_MUSC_UPEXT_BRACH_TRICEPS_R
MDC | 7:644 | Musculus triceps brachii, Caput longum | MDC_MUSC_UPEXT_BRACH_TRICEPS_CAP_LONG
MDC | 7:645 | Musculus triceps brachii, Caput longum, left | MDC_MUSC_UPEXT_BRACH_TRICEPS_CAP_LONG_L
MDC | 7:646 | Musculus triceps brachii, Caput longum, right | MDC_MUSC_UPEXT_BRACH_TRICEPS_CAP_LONG_R
MDC | 7:648 | Musculus triceps brachii, Caput laterale | MDC_MUSC_UPEXT_BRACH_TRICEPS_CAP_LAT
MDC | 7:649 | Musculus triceps brachii, Caput laterale, left | MDC_MUSC_UPEXT_BRACH_TRICEPS_CAP_LAT_L
MDC | 7:650 | Musculus triceps brachii, Caput laterale, right | MDC_MUSC_UPEXT_BRACH_TRICEPS_CAP_LAT_R
MDC | 7:652 | Musculus triceps brachii, Caput mediale | MDC_MUSC_UPEXT_BRACH_TRICEPS_CAP_MED
MDC | 7:653 | Musculus triceps brachii, Caput mediale, left | MDC_MUSC_UPEXT_BRACH_TRICEPS_CAP_MED_L
MDC | 7:654 | Musculus triceps brachii, Caput mediale, right | MDC_MUSC_UPEXT_BRACH_TRICEPS_CAP_MED_R
MDC | 7:656 | Musculus anconeus | MDC_MUSC_UPEXT_ANCON
MDC | 7:657 | Musculus anconeus, left | MDC_MUSC_UPEXT_ANCON_L
MDC | 7:658 | Musculus anconeus, right | MDC_MUSC_UPEXT_ANCON_R
MDC | 7:660 | Musculus pronator teres | MDC_MUSC_UPEXT_PRONATOR
MDC | 7:661 | Musculus pronator teres, left | MDC_MUSC_UPEXT_PRONATOR_L
MDC | 7:662 | Musculus pronator teres, right | MDC_MUSC_UPEXT_PRONATOR_R
MDC | 7:664 | Musculus flexor carpi radialis | MDC_MUSC_UPEXT_FLEX_CARPI_RADIAL
MDC | 7:665 | Musculus flexor carpi radialis, left | MDC_MUSC_UPEXT_FLEX_CARPI_RADIAL_L
MDC | 7:666 | Musculus flexor carpi radialis, right | MDC_MUSC_UPEXT_FLEX_CARPI_RADIAL_R
MDC | 7:668 | Musculus palmaris longus | MDC_MUSC_UPEXT_PALMAR_LONG
MDC | 7:669 | Musculus palmaris longus, left | MDC_MUSC_UPEXT_PALMAR_LONG_L
MDC | 7:670 | Musculus palmaris longus, right | MDC_MUSC_UPEXT_PALMAR_LONG_R
MDC | 7:672 | Musculus flexor carpi ulnaris | MDC_MUSC_UPEXT_FLEX_CARPI_ULNAR
MDC | 7:673 | Musculus flexor carpi ulnaris, left | MDC_MUSC_UPEXT_FLEX_CARPI_ULNAR_L
MDC | 7:674 | Musculus flexor carpi ulnaris, right | MDC_MUSC_UPEXT_FLEX_CARPI_ULNAR_R
MDC | 7:676 | Musculus flexor digitorum superficialis | MDC_MUSC_UPEXT_FLEX_DIGIT_SUPERF
MDC | 7:677 | Musculus flexor digitorum superficialis, left | MDC_MUSC_UPEXT_FLEX_DIGIT_SUPERF_L
MDC | 7:678 | Musculus flexor digitorum superficialis, right | MDC_MUSC_UPEXT_FLEX_DIGIT_SUPERF_R
MDC | 7:680 | Musculus flexor digitorum profundus | MDC_MUSC_UPEXT_FLEX_DIGIT_PROFUND
MDC | 7:681 | Musculus flexor digitorum profundus, left | MDC_MUSC_UPEXT_FLEX_DIGIT_PROFUND_L
MDC | 7:682 | Musculus flexor digitorum profundus, right | MDC_MUSC_UPEXT_FLEX_DIGIT_PROFUND_R
MDC | 7:684 | Musculus flexor pollicis longus | MDC_MUSC_UPEXT_FLEX_POLLIC_LONG
MDC | 7:685 | Musculus flexor pollicis longus, left | MDC_MUSC_UPEXT_FLEX_POLLIC_LONG_L
MDC | 7:686 | Musculus flexor pollicis longus, right | MDC_MUSC_UPEXT_FLEX_POLLIC_LONG_R
MDC | 7:688 | Musculus pronator quadratus | MDC_MUSC_UPEXT_PRONATOR_QUADRAT
MDC | 7:689 | Musculus pronator quadratus, left | MDC_MUSC_UPEXT_PRONATOR_QUADRAT_L
MDC | 7:690 | Musculus pronator quadratus, right | MDC_MUSC_UPEXT_PRONATOR_QUADRAT_R
MDC | 7:692 | Musculus brachioradialis | MDC_MUSC_UPEXT_BRACHIORADIAL
MDC | 7:693 | Musculus brachioradialis, left | MDC_MUSC_UPEXT_BRACHIORADIAL_L
MDC | 7:694 | Musculus brachioradialis, right | MDC_MUSC_UPEXT_BRACHIORADIAL_R
MDC | 7:696 | Musculus extensor carpi radialis longus | MDC_MUSC_UPEXT_EXTENS_CARP_RADIAL_LONG
MDC | 7:697 | Musculus extensor carpi radialis longus, left | MDC_MUSC_UPEXT_EXTENS_CARP_RADIAL_LONG_L
MDC | 7:698 | Musculus extensor carpi radialis longus, right | MDC_MUSC_UPEXT_EXTENS_CARP_RADIAL_LONG_R
MDC | 7:700 | Musculus extensor carpi radialis brevis | MDC_MUSC_UPEXT_EXTENS_CARP_RADIAL_BREV
MDC | 7:701 | Musculus extensor carpi radialis brevis, left | MDC_MUSC_UPEXT_EXTENS_CARP_RADIAL_BREV_L
MDC | 7:702 | Musculus extensor carpi radialis brevis, right | MDC_MUSC_UPEXT_EXTENS_CARP_RADIAL_BREV_R
MDC | 7:704 | Musculus extensor digitorum | MDC_MUSC_UPEXT_EXTENS_DIGIT
MDC | 7:705 | Musculus extensor digitorum, left | MDC_MUSC_UPEXT_EXTENS_DIGIT_L
MDC | 7:706 | Musculus extensor digitorum, right | MDC_MUSC_UPEXT_EXTENS_DIGIT_R
MDC | 7:708 | Musculus extensor digiti minimi | MDC_MUSC_UPEXT_EXTENS_DIGIT_MIN
MDC | 7:709 | Musculus extensor digiti minimi, left | MDC_MUSC_UPEXT_EXTENS_DIGIT_MIN_L
MDC | 7:710 | Musculus extensor digiti minimi, right | MDC_MUSC_UPEXT_EXTENS_DIGIT_MIN_R
MDC | 7:712 | Musculus extensor carpi ulnaris | MDC_MUSC_UPEXT_EXTENS_CARP_ULNAR
MDC | 7:713 | Musculus extensor carpi ulnaris, left | MDC_MUSC_UPEXT_EXTENS_CARP_ULNAR_L
MDC | 7:714 | Musculus extensor carpi ulnaris, right | MDC_MUSC_UPEXT_EXTENS_CARP_ULNAR_R
MDC | 7:716 | Musculus supinator | MDC_MUSC_UPEXT_SUPINATOR
MDC | 7:717 | Musculus supinator, left | MDC_MUSC_UPEXT_SUPINATOR_L
MDC | 7:718 | Musculus supinator, right | MDC_MUSC_UPEXT_SUPINATOR_R
MDC | 7:720 | Musculus abductor pollicis longuss | MDC_MUSC_UPEXT_ABDUC_POLLIC_LONG
MDC | 7:721 | Musculus abductor pollicis longuss, left | MDC_MUSC_UPEXT_ABDUC_POLLIC_LONG_L
MDC | 7:722 | Musculus abductor pollicis longuss, right | MDC_MUSC_UPEXT_ABDUC_POLLIC_LONG_R
MDC | 7:724 | Musculus extensor pollicis brevis | MDC_MUSC_UPEXT_EXTENS_POLLIC_BREV
MDC | 7:725 | Musculus extensor pollicis brevis, left | MDC_MUSC_UPEXT_EXTENS_POLLIC_BREV_L
MDC | 7:726 | Musculus extensor pollicis brevis, right | MDC_MUSC_UPEXT_EXTENS_POLLIC_BREV_R
MDC | 7:728 | Musculus extensor pollicis longus | MDC_MUSC_UPEXT_EXTENS_POLLIC_LONG
MDC | 7:729 | Musculus extensor pollicis longus, left | MDC_MUSC_UPEXT_EXTENS_POLLIC_LONG_L
MDC | 7:730 | Musculus extensor pollicis longus, right | MDC_MUSC_UPEXT_EXTENS_POLLIC_LONG_R
MDC | 7:732 | Musculus extensor indicis | MDC_MUSC_UPEXT_EXTENS_INDIC
MDC | 7:733 | Musculus extensor indicis, left | MDC_MUSC_UPEXT_EXTENS_INDIC_L
MDC | 7:734 | Musculus extensor indicis, right | MDC_MUSC_UPEXT_EXTENS_INDIC_R
MDC | 7:736 | Musculus palmaris brevis | MDC_MUSC_UPEXT_PALMAR_BREV
MDC | 7:737 | Musculus palmaris brevis, left | MDC_MUSC_UPEXT_PALMAR_BREV_L
MDC | 7:738 | Musculus palmaris brevis, right | MDC_MUSC_UPEXT_PALMAR_BREV_R
MDC | 7:740 | Musculus abductor pollicis brevis | MDC_MUSC_UPEXT_ABDUC_POLLIC_BREV
MDC | 7:741 | Musculus abductor pollicis brevis, left | MDC_MUSC_UPEXT_ABDUC_POLLIC_BREV_L
MDC | 7:742 | Musculus abductor pollicis brevis, right | MDC_MUSC_UPEXT_ABDUC_POLLIC_BREV_R
MDC | 7:744 | Musculus flexor pollicis brevis | MDC_MUSC_UPEXT_FLEX_POLLIC_BREV
MDC | 7:745 | Musculus flexor pollicis brevis, left | MDC_MUSC_UPEXT_FLEX_POLLIC_BREV_L
MDC | 7:746 | Musculus flexor pollicis brevis, right | MDC_MUSC_UPEXT_FLEX_POLLIC_BREV_R
MDC | 7:748 | Musculus opponens pollicis | MDC_MUSC_UPEXT_OPPON_POLLIC
MDC | 7:749 | Musculus opponens pollicis, left | MDC_MUSC_UPEXT_OPPON_POLLIC_L
MDC | 7:750 | Musculus opponens pollicis, right | MDC_MUSC_UPEXT_OPPON_POLLIC_R
MDC | 7:752 | Musculus adductor pollicis | MDC_MUSC_UPEXT_ADDUC_POLLIC
MDC | 7:753 | Musculus adductor pollicis, left | MDC_MUSC_UPEXT_ADDUC_POLLIC_L
MDC | 7:754 | Musculus adductor pollicis, right | MDC_MUSC_UPEXT_ADDUC_POLLIC_R
MDC | 7:756 | Musculus abductor digiti minimi | MDC_MUSC_UPEXT_ABDUC_DIGIT_MIN
MDC | 7:757 | Musculus abductor digiti minimi, left | MDC_MUSC_UPEXT_ABDUC_DIGIT_MIN_L
MDC | 7:758 | Musculus abductor digiti minimi, right | MDC_MUSC_UPEXT_ABDUC_DIGIT_MIN_R
MDC | 7:760 | Musculus flexor digiti minimi brevis | MDC_MUSC_UPEXT_FLEX_DIGIT_BREV_MIN
MDC | 7:761 | Musculus flexor digiti minimi brevis, left | MDC_MUSC_UPEXT_FLEX_DIGIT_BREV_MIN_L
MDC | 7:762 | Musculus flexor digiti minimi brevis, right | MDC_MUSC_UPEXT_FLEX_DIGIT_BREV_MIN_R
MDC | 7:764 | Musculus opponens digiti minimi | MDC_MUSC_UPEXT_OPPON_DIGIT_MIN
MDC | 7:765 | Musculus opponens digiti minimi, left | MDC_MUSC_UPEXT_OPPON_DIGIT_MIN_L
MDC | 7:766 | Musculus opponens digiti minimi, right | MDC_MUSC_UPEXT_OPPON_DIGIT_MIN_R
MDC | 7:768 | Musculi lumbricales | MDC_MUSC_UPEXT_LUMBRICAL
MDC | 7:769 | Musculi lumbricales, left | MDC_MUSC_UPEXT_LUMBRICAL_L
MDC | 7:770 | Musculi lumbricales, right | MDC_MUSC_UPEXT_LUMBRICAL_R
MDC | 7:772 | Musculi interossei dorsales | MDC_MUSC_UPEXT_INTEROSS_DORSAL
MDC | 7:773 | Musculi interossei dorsales, left | MDC_MUSC_UPEXT_INTEROSS_DORSAL_L
MDC | 7:774 | Musculi interossei dorsales, right | MDC_MUSC_UPEXT_INTEROSS_DORSAL_R
MDC | 7:776 | Musculi interossei palmares | MDC_MUSC_UPEXT_INTEROSS_PALMAR
MDC | 7:777 | Musculi interossei palmares, left | MDC_MUSC_UPEXT_INTEROSS_PALMAR_L
MDC | 7:778 | Musculi interossei palmares, right | MDC_MUSC_UPEXT_INTEROSS_PALMAR_R
MDC | 7:792 | Musculus iliopsoas | MDC_MUSC_LOEXT_ILLIOPS
MDC | 7:793 | Musculus iliopsoas, left | MDC_MUSC_LOEXT_ILLIOPS_L
MDC | 7:794 | Musculus iliopsoas, right | MDC_MUSC_LOEXT_ILLIOPS_R
MDC | 7:796 | Musculus gluteus maximus | MDC_MUSC_LOEXT_GLUT_MAX
MDC | 7:797 | Musculus gluteus maximus, left | MDC_MUSC_LOEXT_GLUT_MAX_L
MDC | 7:798 | Musculus gluteus maximus, right | MDC_MUSC_LOEXT_GLUT_MAX_R
MDC | 7:800 | Musculus gluteus medius | MDC_MUSC_LOEXT_GLUT_MED
MDC | 7:801 | Musculus gluteus medius, left | MDC_MUSC_LOEXT_GLUT_MED_L
MDC | 7:802 | Musculus gluteus medius, right | MDC_MUSC_LOEXT_GLUT_MED_R
MDC | 7:804 | Musculus gluteus minimus | MDC_MUSC_LOEXT_GLUT_MIN
MDC | 7:805 | Musculus gluteus minimus, left | MDC_MUSC_LOEXT_GLUT_MIN_L
MDC | 7:806 | Musculus gluteus minimus, right | MDC_MUSC_LOEXT_GLUT_MIN_R
MDC | 7:808 | Musculus tensor fasciae latae | MDC_MUSC_LOEXT_TENSOR_FASC_LAT
MDC | 7:809 | Musculus tensor fasciae latae, left | MDC_MUSC_LOEXT_TENSOR_FASC_LAT_L
MDC | 7:810 | Musculus tensor fasciae latae, right | MDC_MUSC_LOEXT_TENSOR_FASC_LAT_R
MDC | 7:812 | Musculus piriformis | MDC_MUSC_LOEXT_PIRIFORM
MDC | 7:813 | Musculus piriformis, left | MDC_MUSC_LOEXT_PIRIFORM_L
MDC | 7:814 | Musculus piriformis, right | MDC_MUSC_LOEXT_PIRIFORM_R
MDC | 7:816 | Musculus obturator | MDC_MUSC_LOEXT_OBTURATOR
MDC | 7:817 | Musculus obturator, left | MDC_MUSC_LOEXT_OBTURATOR_L
MDC | 7:818 | Musculus obturator, right | MDC_MUSC_LOEXT_OBTURATOR_R
MDC | 7:820 | Musculus gmellus | MDC_MUSC_LOEXT_GEMEL
MDC | 7:821 | Musculus gmellus, left | MDC_MUSC_LOEXT_GEMEL_L
MDC | 7:822 | Musculus gmellus, right | MDC_MUSC_LOEXT_GEMEL_R
MDC | 7:824 | Musculus quadratus femoris | MDC_MUSC_LOEXT_QUADRAT_FEMOR
MDC | 7:825 | Musculus quadratus femoris, left | MDC_MUSC_LOEXT_QUADRAT_FEMOR_L
MDC | 7:826 | Musculus quadratus femoris, right | MDC_MUSC_LOEXT_QUADRAT_FEMOR_R
MDC | 7:828 | Musculus sartorius | MDC_MUSC_LOEXT_SARTOR
MDC | 7:829 | Musculus sartorius, left | MDC_MUSC_LOEXT_SARTOR_L
MDC | 7:830 | Musculus sartorius, right | MDC_MUSC_LOEXT_SARTOR_R
MDC | 7:832 | Musculus quadriceps femoris | MDC_MUSC_LOEXT_QUADRICEPS_FEMOR
MDC | 7:833 | Musculus quadriceps femoris, left | MDC_MUSC_LOEXT_QUADRICEPS_FEMOR_L
MDC | 7:834 | Musculus quadriceps femoris, right | MDC_MUSC_LOEXT_QUADRICEPS_FEMOR_R
MDC | 7:836 | Musculus rectus femoris | MDC_MUSC_LOEXT_RECT_FEMOR
MDC | 7:837 | Musculus rectus femoris, left | MDC_MUSC_LOEXT_RECT_FEMOR_L
MDC | 7:838 | Musculus rectus femoris, right | MDC_MUSC_LOEXT_RECT_FEMOR_R
MDC | 7:840 | Musculus vastus lateralis | MDC_MUSC_LOEXT_VAST_LAT
MDC | 7:841 | Musculus vastus lateralis, left | MDC_MUSC_LOEXT_VAST_LAT_L
MDC | 7:842 | Musculus vastus lateralis, right | MDC_MUSC_LOEXT_VAST_LAT_R
MDC | 7:844 | Musculus vastus intermedius | MDC_MUSC_LOEXT_VAST_INTERMED
MDC | 7:845 | Musculus vastus intermedius, left | MDC_MUSC_LOEXT_VAST_INTERMED_L
MDC | 7:846 | Musculus vastus intermedius, right | MDC_MUSC_LOEXT_VAST_INTERMED_R
MDC | 7:848 | Musculus vastus medialis | MDC_MUSC_LOEXT_VAST_MED
MDC | 7:849 | Musculus vastus medialis, left | MDC_MUSC_LOEXT_VAST_MED_L
MDC | 7:850 | Musculus vastus medialis, right | MDC_MUSC_LOEXT_VAST_MED_R
MDC | 7:852 | Musculus pectineus | MDC_MUSC_LOEXT_PECTIN
MDC | 7:853 | Musculus pectineus, left | MDC_MUSC_LOEXT_PECTIN_L
MDC | 7:854 | Musculus pectineus, right | MDC_MUSC_LOEXT_PECTIN_R
MDC | 7:856 | Musculus adductor longus | MDC_MUSC_LOEXT_ABDUC_LONG
MDC | 7:857 | Musculus adductor longus, left | MDC_MUSC_LOEXT_ABDUC_LONG_L
MDC | 7:858 | Musculus adductor longus, right | MDC_MUSC_LOEXT_ABDUC_LONG_R
MDC | 7:860 | Musculus adductor brevis | MDC_MUSC_LOEXT_ABDUC_BREV
MDC | 7:861 | Musculus adductor brevis, left | MDC_MUSC_LOEXT_ABDUC_BREV_L
MDC | 7:862 | Musculus adductor brevis, right | MDC_MUSC_LOEXT_ABDUC_BREV_R
MDC | 7:864 | Musculus adductor magnus | MDC_MUSC_LOEXT_ABDUC_MAGN
MDC | 7:865 | Musculus adductor magnus, left | MDC_MUSC_LOEXT_ABDUC_MAGN_L
MDC | 7:866 | Musculus adductor magnus, right | MDC_MUSC_LOEXT_ABDUC_MAGN_R
MDC | 7:868 | Musculus gracilis | MDC_MUSC_LOEXT_GRACIL
MDC | 7:869 | Musculus gracilis, left | MDC_MUSC_LOEXT_GRACIL_L
MDC | 7:870 | Musculus gracilis, right | MDC_MUSC_LOEXT_GRACIL_R
MDC | 7:872 | Musculus biceps femoris | MDC_MUSC_LOEXT_BICEPS_FEMOR
MDC | 7:873 | Musculus biceps femoris, left | MDC_MUSC_LOEXT_BICEPS_FEMOR_L
MDC | 7:874 | Musculus biceps femoris, right | MDC_MUSC_LOEXT_BICEPS_FEMOR_R
MDC | 7:876 | Musculus biceps femoris Caput longum | MDC_MUSC_LOEXT_BICEPS_FEMOR_LONG
MDC | 7:877 | Musculus biceps femoris Caput longum, left | MDC_MUSC_LOEXT_BICEPS_FEMOR_LONG_L
MDC | 7:878 | Musculus biceps femoris Caput longum, right | MDC_MUSC_LOEXT_BICEPS_FEMOR_LONG_R
MDC | 7:880 | Musculus biceps femoris Caput breve | MDC_MUSC_LOEXT_BICEPS_FEMOR_BREV
MDC | 7:881 | Musculus biceps femoris Caput breve, left | MDC_MUSC_LOEXT_BICEPS_FEMOR_BREV_L
MDC | 7:882 | Musculus biceps femoris Caput breve, right | MDC_MUSC_LOEXT_BICEPS_FEMOR_BREV_R
MDC | 7:884 | Musculus semitendinosus | MDC_MUSC_LOEXT_SEMITENDIN
MDC | 7:885 | Musculus semitendinosus, left | MDC_MUSC_LOEXT_SEMITENDIN_L
MDC | 7:886 | Musculus semitendinosus, right | MDC_MUSC_LOEXT_SEMITENDIN_R
MDC | 7:888 | Musculus semimembranosus | MDC_MUSC_LOEXT_SEMIMEMBRAN
MDC | 7:889 | Musculus semimembranosus, left | MDC_MUSC_LOEXT_SEMIMEMBRAN_L
MDC | 7:890 | Musculus semimembranosus, right | MDC_MUSC_LOEXT_SEMIMEMBRAN_R
MDC | 7:892 | Musculus tibialis anterior | MDC_MUSC_LOEXT_TIBIAL_ANT
MDC | 7:893 | Musculus tibialis anterior, left | MDC_MUSC_LOEXT_TIBIAL_ANT_L
MDC | 7:894 | Musculus tibialis anterior, right | MDC_MUSC_LOEXT_TIBIAL_ANT_R
MDC | 7:896 | Musculus extensor digitorum longus | MDC_MUSC_LOEXT_EXTENS_DIGIT_LONG
MDC | 7:897 | Musculus extensor digitorum longus, left | MDC_MUSC_LOEXT_EXTENS_DIGIT_LONG_L
MDC | 7:898 | Musculus extensor digitorum longus, right | MDC_MUSC_LOEXT_EXTENS_DIGIT_LONG_R
MDC | 7:900 | Musculus extensor hallucis longus | MDC_MUSC_LOEXT_EXTENS_HALLUC_LONG
MDC | 7:901 | Musculus extensor hallucis longus, left | MDC_MUSC_LOEXT_EXTENS_HALLUC_LONG_L
MDC | 7:902 | Musculus extensor hallucis longus, right | MDC_MUSC_LOEXT_EXTENS_HALLUC_LONG_R
MDC | 7:908 | Musculus peroneus longus | MDC_MUSC_LOEXT_PERON_LONG
MDC | 7:909 | Musculus peroneus longus, left | MDC_MUSC_LOEXT_PERON_LONG_L
MDC | 7:910 | Musculus peroneus longus, right | MDC_MUSC_LOEXT_PERON_LONG_R
MDC | 7:912 | Musculus peroneus brevis | MDC_MUSC_LOEXT_PERON_BREV
MDC | 7:913 | Musculus peroneus brevis, left | MDC_MUSC_LOEXT_PERON_BREV_L
MDC | 7:914 | Musculus peroneus brevis, right | MDC_MUSC_LOEXT_PERON_BREV_R
MDC | 7:916 | Musculustriceps surae | MDC_MUSC_LOEXT_TRICEPS_SUR
MDC | 7:917 | Musculustriceps surae, left | MDC_MUSC_LOEXT_TRICEPS_SUR_L
MDC | 7:918 | Musculustriceps surae, right | MDC_MUSC_LOEXT_TRICEPS_SUR_R
MDC | 7:920 | Musculus gastrocnemius | MDC_MUSC_LOEXT_GASTROCNEM
MDC | 7:921 | Musculus gastrocnemius, left | MDC_MUSC_LOEXT_GASTROCNEM_L
MDC | 7:922 | Musculus gastrocnemius, right | MDC_MUSC_LOEXT_GASTROCNEM_R
MDC | 7:924 | Musculus gastrocnemius Caput laterale | MDC_MUSC_LOEXT_GASTROCNEM_LAT
MDC | 7:925 | Musculus gastrocnemius Caput laterale, left | MDC_MUSC_LOEXT_GASTROCNEM_LAT_L
MDC | 7:926 | Musculus gastrocnemius Caput laterale, right | MDC_MUSC_LOEXT_GASTROCNEM_LAT_R
MDC | 7:928 | Musculus gastrocnemius Caput mediale | MDC_MUSC_LOEXT_GASTROCNEM_MED
MDC | 7:929 | Musculus gastrocnemius Caput mediale, left | MDC_MUSC_LOEXT_GASTROCNEM_MED_L
MDC | 7:930 | Musculus gastrocnemius Caput mediale, right | MDC_MUSC_LOEXT_GASTROCNEM_MED_R
MDC | 7:932 | Musculus soleus | MDC_MUSC_LOEXT_SOL
MDC | 7:933 | Musculus soleus, left | MDC_MUSC_LOEXT_SOL_L
MDC | 7:934 | Musculus soleus, right | MDC_MUSC_LOEXT_SOL_R
MDC | 7:936 | Musculus plantaris | MDC_MUSC_LOEXT_PLANTAR
MDC | 7:937 | Musculus plantaris, left | MDC_MUSC_LOEXT_PLANTAR_L
MDC | 7:938 | Musculus plantaris, right | MDC_MUSC_LOEXT_PLANTAR_R
MDC | 7:940 | Musculus popliteus | MDC_MUSC_LOEXT_POPLIT
MDC | 7:941 | Musculus popliteus, left | MDC_MUSC_LOEXT_POPLIT_L
MDC | 7:942 | Musculus popliteus, right | MDC_MUSC_LOEXT_POPLIT_R
MDC | 7:944 | Musculus tibialis posterior | MDC_MUSC_LOEXT_TIBIAL_POST
MDC | 7:945 | Musculus tibialis posterior, left | MDC_MUSC_LOEXT_TIBIAL_POST_L
MDC | 7:946 | Musculus tibialis posterior, right | MDC_MUSC_LOEXT_TIBIAL_POST_R
MDC | 7:948 | Musculus flexor digitorum longus | MDC_MUSC_LOEXT_FLEX_DIGIT_LONG
MDC | 7:949 | Musculus flexor digitorum longus, left | MDC_MUSC_LOEXT_FLEX_DIGIT_LONG_L
MDC | 7:950 | Musculus flexor digitorum longus, right | MDC_MUSC_LOEXT_FLEX_DIGIT_LONG_R
MDC | 7:952 | Musculus extensor hallucis brevis | MDC_MUSC_LOEXT_EXTENS_HALLUC_BREV
MDC | 7:953 | Musculus extensor hallucis brevis, left | MDC_MUSC_LOEXT_EXTENS_HALLUC_BREV_L
MDC | 7:954 | Musculus extensor hallucis brevis, right | MDC_MUSC_LOEXT_EXTENS_HALLUC_BREV_R
MDC | 7:956 | Musculus extensor digitorum brevis | MDC_MUSC_LOEXT_EXTENS_DIGIT_BREV
MDC | 7:957 | Musculus extensor digitorum brevis, left | MDC_MUSC_LOEXT_EXTENS_DIGIT_BREV_L
MDC | 7:958 | Musculus extensor digitorum brevis, right | MDC_MUSC_LOEXT_EXTENS_DIGIT_BREV_R
MDC | 7:960 | Musculus abductor hallucis | MDC_MUSC_LOEXT_ABDUC_HALLUC
MDC | 7:961 | Musculus abductor hallucis, left | MDC_MUSC_LOEXT_ABDUC_HALLUC_L
MDC | 7:962 | Musculus abductor hallucis, right | MDC_MUSC_LOEXT_ABDUC_HALLUC_R
MDC | 7:964 | Musculus flexor hallucis brevis | MDC_MUSC_LOEXT_FLEX_HALLUC_BREV
MDC | 7:965 | Musculus flexor hallucis brevis, left | MDC_MUSC_LOEXT_FLEX_HALLUC_BREV_L
MDC | 7:966 | Musculus flexor hallucis brevis, right | MDC_MUSC_LOEXT_FLEX_HALLUC_BREV_R
MDC | 7:968 | Musculus adductor hallucis | MDC_MUSC_LOEXT_ADDUC_HALLUC
MDC | 7:969 | Musculus adductor hallucis, left | MDC_MUSC_LOEXT_ADDUC_HALLUC_L
MDC | 7:970 | Musculus adductor hallucis | MDC_MUSC_LOEXT_ADDUC_HALLUC_R
MDC | 7:972 | Musculus abductor digiti minimi | MDC_MUSC_LOEXT_ABDUC_DIGIT_MIN
MDC | 7:973 | Musculus abductor digiti minimi, left | MDC_MUSC_LOEXT_ABDUC_DIGIT_MIN_L
MDC | 7:974 | Musculus abductor digiti minimi | MDC_MUSC_LOEXT_ABDUC_DIGIT_MIN_R
MDC | 7:976 | Musculus flexor digiti minimi brevis | MDC_MUSC_LOEXT_FLEX_DIGIT_BREV_MIN
MDC | 7:977 | Musculus flexor digiti minimi brevis, left | MDC_MUSC_LOEXT_FLEX_DIGIT_BREV_MIN_L
MDC | 7:978 | Musculus flexor digiti minimi brevis, right | MDC_MUSC_LOEXT_FLEX_DIGIT_BREV_MIN_R
MDC | 7:980 | Musculus quadratus plantae | MDC_MUSC_LOEXT_QUADRAT_PLANT
MDC | 7:981 | Musculus quadratus plantae, left | MDC_MUSC_LOEXT_QUADRAT_PLANT_L
MDC | 7:982 | Musculus quadratus plantae, right | MDC_MUSC_LOEXT_QUADRAT_PLANT_R
MDC | 7:984 | Musculi lunbricales | MDC_MUSC_LOEXT_LUMBRICAL
MDC | 7:985 | Musculi lunbricales, left | MDC_MUSC_LOEXT_LUMBRICAL_L
MDC | 7:986 | Musculi lunbricales, right | MDC_MUSC_LOEXT_LUMBRICAL_R
MDC | 7:988 | Musculus interossei dorsales | MDC_MUSC_LOEXT_INTEROSS_DORSAL
MDC | 7:989 | Musculus interossei dorsales, left | MDC_MUSC_LOEXT_INTEROSS_DORSAL_L
MDC | 7:990 | Musculus interossei dorsales, right | MDC_MUSC_LOEXT_INTEROSS_DORSAL_R
MDC | 7:992 | Musculus interossei plantares | MDC_MUSC_LOEXT_INTEROSS_PLANTAR
MDC | 7:993 | Musculus interossei plantares, left | MDC_MUSC_LOEXT_INTEROSS_PLANTAR_L
MDC | 7:994 | Musculus interossei plantares, right | MDC_MUSC_LOEXT_INTEROSS_PLANTAR_R

## CID 3032 Lead locations near peripheral nerves

This Context Group comprises the lead identifiers of ISO/IEEE 11073-10101 for locations near peripheral nerves. The terms included in the table below may not constitute the complete list; see the ISO/IEEE Standard.

### Note

- Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10102 available through http://standards.ieee.org/.

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UID:

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Table CID 3032. Lead locations near peripheral nerves

Coding Scheme Designator | Code Value | Code Meaning | ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)
--- | --- | --- | ---
MDC | 7:8 | Nervi craniales | MDC_NERV_CRAN
MDC | 7:9 | Nervi craniales, left | MDC_NERV_CRAN_L
MDC | 7:10 | Nervi craniales, right | MDC_NERV_CRAN_R
MDC | 7:12 | Nervus opticus (II) | MDC_NERV_CRAN_OPTIC
MDC | 7:13 | Nervus opticus (II), left | MDC_NERV_CRAN_OPTIC_L
MDC | 7:14 | Nervus opticus (II), right | MDC_NERV_CRAN_OPTIC_R
MDC | 7:16 | Nervus oculomotorius (III) | MDC_NERV_CRAN_OCULUMOTOR
MDC | 7:17 | Nervus oculomotorius (III), left | MDC_NERV_CRAN_OCULUMOTOR_L
MDC | 7:18 | Nervus oculomotorius (III), right | MDC_NERV_CRAN_OCULUMOTOR_R
MDC | 7:20 | Nervus trochlearis (IV) | MDC_NERV_CRAN_TROCHLEAR
MDC | 7:21 | Nervus trochlearis (IV), left | MDC_NERV_CRAN_TROCHLEAR_L
MDC | 7:22 | Nervus trochlearis (IV), right | MDC_NERV_CRAN_TROCHLEAR_R
MDC | 7:24 | Nervus trigeminus (V) | MDC_NERV_CRAN_TRIGEMIN
MDC | 7:25 | Nervus trigeminus (V), left | MDC_NERV_CRAN_TRIGEMIN_L
MDC | 7:26 | Nervus trigeminus (V), right | MDC_NERV_CRAN_TRIGEMIN_R
MDC | 7:28 | Nervus ophtalmicus | MDC_NERV_CRAN_OPHTALMIC
MDC | 7:29 | Nervus ophtalmicus, left | MDC_NERV_CRAN_OPHTALMIC_L
MDC | 7:30 | Nervus ophtalmicus, right | MDC_NERV_CRAN_OPHTALMIC_R
MDC | 7:32 | Nervus supraorbitalis | MDC_NERV_CRAN_SUPRAORBITAL
MDC | 7:33 | Nervus supraorbitalis, left | MDC_NERV_CRAN_SUPRAORBITAL_L
MDC | 7:34 | Nervus supraorbitalis, right | MDC_NERV_CRAN_SUPRAORBITAL_R
MDC | 7:36 | Nervus maxillaris | MDC_NERV_CRAN_MAXILLAR
MDC | 7:37 | Nervus maxillaris, left | MDC_NERV_CRAN_MAXILLAR_L
MDC | 7:38 | Nervus maxillaris, right | MDC_NERV_CRAN_MAXILLAR_R
MDC | 7:40 | Nervus infraorbitalis | MDC_NERV_CRAN_INFRAORBITAL
MDC | 7:41 | Nervus infraorbitalis, left | MDC_NERV_CRAN_INFRAORBITAL_L
MDC | 7:42 | Nervus infraorbitalis, right | MDC_NERV_CRAN_INFRAORBITAL_R
MDC | 7:44 | Nervus mandibularis | MDC_NERV_CRAN_MANDIBULAR
MDC | 7:45 | Nervus mandibularis, left | MDC_NERV_CRAN_MANDIBULAR_L
MDC | 7:46 | Nervus mandibularis, right | MDC_NERV_CRAN_MANDIBULAR_R
MDC | 7:48 | Nervus abducens (VI) | MDC_NERV_CRAN_ABDUCENS
MDC | 7:49 | Nervus abducens (VI), left | MDC_NERV_CRAN_ABDUCENS_L
MDC | 7:50 | Nervus abducens (VI), right | MDC_NERV_CRAN_ABDUCENS_R
MDC | 7:52 | Nervus facialis (VII) | MDC_NERV_CRAN_FACIAL
MDC | 7:53 | Nervus facialis (VII), left | MDC_NERV_CRAN_FACIAL_L
MDC | 7:54 | Nervus facialis (VII), right | MDC_NERV_CRAN_FACIAL_R
MDC | 7:56 | Nervus vestibulocochlearis (VIII) | MDC_NERV_CRAN_VESTIB_COCHL
MDC | 7:57 | Nervus vestibulocochlearis (VIII), left | MDC_NERV_CRAN_VESTIB_COCHL_L
MDC | 7:58 | Nervus vestibulocochlearis (VIII), right | MDC_NERV_CRAN_VESTIB_COCHL_R
MDC | 7:60 | Nervus vestibularis | MDC_NERV_CRAN_VESTIB
MDC | 7:61 | Nervus vestibularis, left | MDC_NERV_CRAN_VESTIB_L
MDC | 7:62 | Nervus vestibularis, right | MDC_NERV_CRAN_VESTIB_R
MDC | 7:64 | Nervus cochlearis | MDC_NERV_CRAN_COCHL
MDC | 7:65 | Nervus cochlearis, left | MDC_NERV_CRAN_COCHL_L
MDC | 7:66 | Nervus cochlearis, right | MDC_NERV_CRAN_COCHL_R
MDC | 7:68 | Nervus glossopharingeus (IX) | MDC_NERV_CRAN_GLOSSOPHARYNG
MDC | 7:69 | Nervus glossopharingeus (IX), left | MDC_NERV_CRAN_GLOSSOPHARYNG_L
MDC | 7:70 | Nervus glossopharingeus (IX), right | MDC_NERV_CRAN_GLOSSOPHARYNG_R
MDC | 7:72 | Nervus vagus (X) | MDC_NERV_CRAN_VAGUS
MDC | 7:73 | Nervus vagus (X), left | MDC_NERV_CRAN_VAGUS_L
MDC | 7:74 | Nervus vagus (X), right | MDC_NERV_CRAN_VAGUS_R
MDC | 7:76 | Nervus acessorius (XI), Radices craniales | MDC_NERV_CRAN_ACCESS_CRAN_RADIC
MDC | 7:77 | Nervus acessorius (XI), Radices craniales, left | MDC_NERV_CRAN_ACCESS_CRAN_RADIC_L
MDC | 7:78 | Nervus acessorius (XI), Radices craniales, right | MDC_NERV_CRAN_ACCESS_CRAN_RADIC_R
MDC | 7:80 | Nervus acessorius (XI), Radices spinales | MDC_NERV_CRAN_ACCESS_RADIC_SPINAL
MDC | 7:81 | Nervus acessorius (XI), Radices spinales, left | MDC_NERV_CRAN_ACCESS_RADIC_SPINAL_L
MDC | 7:82 | Nervus acessorius (XI), Radices spinales, right | MDC_NERV_CRAN_ACCESS_RADIC_SPINAL_R
MDC | 7:84 | Nervus hypoglossus (XII) | MDC_NERV_CRAN_HYPOGLOSS
MDC | 7:85 | Nervus hypoglossus (XII), left | MDC_NERV_CRAN_HYPOGLOSS_L
MDC | 7:86 | Nervus hypoglossus (XII), right | MDC_NERV_CRAN_HYPOGLOSS_R
MDC | 7:88 | Nervi spinales | MDC_NERV_SPIN
MDC | 7:89 | Nervi spinales, left | MDC_NERV_SPIN_L
MDC | 7:90 | Nervi spinales, right | MDC_NERV_SPIN_R
MDC | 7:92 | Nervi cervicales | MDC_NERV_SPIN_CERVIC
MDC | 7:93 | Nervi cervicales, left | MDC_NERV_SPIN_CERVIC_L
MDC | 7:94 | Nervi cervicales, right | MDC_NERV_SPIN_CERVIC_R
MDC | 7:96 | Nervus phrenicus | MDC_NERV_SPIN_PHRENIC
MDC | 7:97 | Nervus phrenicus, left | MDC_NERV_SPIN_PHRENIC_L
MDC | 7:98 | Nervus phrenicus, right | MDC_NERV_SPIN_PHRENIC_R
MDC | 7:100 | Plexus brachialis | MDC_NERV_SPIN_BRACH_PLEX
MDC | 7:101 | Plexus brachialis, left | MDC_NERV_SPIN_BRACH_PLEX_L
MDC | 7:102 | Plexus brachialis, right | MDC_NERV_SPIN_BRACH_PLEX_R
MDC | 7:104 | Nervus thoracicus longus | MDC_NERV_SPIN_THORACIC_LONG
MDC | 7:105 | Nervus thoracicus longus, left | MDC_NERV_SPIN_THORACIC_LONG_L
MDC | 7:106 | Nervus thoracicus longus, right | MDC_NERV_SPIN_THORACIC_LONG_R
MDC | 7:108 | Nervus musculocutaneus | MDC_NERV_SPIN_MUSCULOCUT
MDC | 7:109 | Nervus musculocutaneus, left | MDC_NERV_SPIN_MUSCULOCUT_L
MDC | 7:110 | Nervus musculocutaneus, right | MDC_NERV_SPIN_MUSCULOCUT_R
MDC | 7:112 | Nervus cutaneus antebrachii lateralis | MDC_NERV_SPIN_CUT_ANTEBRACH_LAT
MDC | 7:113 | Nervus cutaneus antebrachii lateralis, left | MDC_NERV_SPIN_CUT_ANTEBRACH_LAT_L
MDC | 7:114 | Nervus cutaneus antebrachii lateralis, right | MDC_NERV_SPIN_CUT_ANTEBRACH_LAT_R
MDC | 7:116 | Nervus cutaneus antebrachii medialis | MDC_NERV_SPIN_CUT_ANTEBRACH_MED
MDC | 7:117 | Nervus cutaneus antebrachii medialis, left | MDC_NERV_SPIN_CUT_ANTEBRACH_MED_L
MDC | 7:118 | Nervus cutaneus antebrachii medialis, right | MDC_NERV_SPIN_CUT_ANTEBRACH_MED_R
MDC | 7:120 | Nervus medianus | MDC_NERV_SPIN_MEDIAN
MDC | 7:121 | Nervus medianus, left | MDC_NERV_SPIN_MEDIAN_L
MDC | 7:122 | Nervus medianus, right | MDC_NERV_SPIN_MEDIAN_R
MDC | 7:124 | Ramus palmaris nervi mediani | MDC_NERV_SPIN_MEDIAN_PALMAR
MDC | 7:125 | Ramus palmaris nervi mediani, left | MDC_NERV_SPIN_MEDIAN_PALMAR_L
MDC | 7:126 | Ramus palmaris nervi mediani, right | MDC_NERV_SPIN_MEDIAN_PALMAR_R
MDC | 7:128 | Nervus medianus, Nervi digitales palmares proprii | MDC_NERV_SPIN_MEDIAN_PALMAR_DIGIT_PROPR
MDC | 7:129 | Nervus medianus, Nervi digitales palmares proprii, left | MDC_NERV_SPIN_MEDIAN_PALMAR_DIGIT_PROPR_L
MDC | 7:130 | Nervus medianus, Nervi digitales palmares proprii, right | MDC_NERV_SPIN_MEDIAN_PALMAR_DIGIT_PROPR_R
MDC | 7:132 | Nervus ulnaris | MDC_NERV_SPIN_ULNAR
MDC | 7:133 | Nervus ulnaris, left | MDC_NERV_SPIN_ULNAR_L
MDC | 7:134 | Nervus ulnaris, right | MDC_NERV_SPIN_ULNAR_R
MDC | 7:136 | Ramus dorsalis nervi ulnaris | MDC_NERV_SPIN_ULNAR_RAM_DORSAL
MDC | 7:137 | Ramus dorsalis nervi ulnaris, left | MDC_NERV_SPIN_ULNAR_RAM_DORSAL_L
MDC | 7:138 | Ramus dorsalis nervi ulnaris, right | MDC_NERV_SPIN_ULNAR_RAM_DORSAL_R
MDC | 7:140 | Ramus palmaris nervi ulnaris | MDC_NERV_SPIN_ULNAR_RAM_PALMAR
MDC | 7:141 | Ramus palmaris nervi ulnaris, left | MDC_NERV_SPIN_ULNAR_RAM_PALMAR_L
MDC | 7:142 | Ramus palmaris nervi ulnaris, right | MDC_NERV_SPIN_ULNAR_RAM_PALMAR_R
MDC | 7:144 | Nervus ulnaris, Nervi digitales palmares proprii | MDC_NERV_SPIN_ULNAR_PALMAR_DIGIT_PROPR
MDC | 7:145 | Nervus ulnaris, Nervi digitales palmares proprii, left | MDC_NERV_SPIN_ULNAR_PALMAR_DIGIT_PROPR_L
MDC | 7:146 | Nervus ulnaris, Nervi digitales palmares proprii, right | MDC_NERV_SPIN_ULNAR_PALMAR_DIGIT_PROPR_R
MDC | 7:148 | Nervus radialis | MDC_NERV_SPIN_RADIC
MDC | 7:149 | Nervus radialis, left | MDC_NERV_SPIN_RADIC_L
MDC | 7:150 | Nervus radialis, right | MDC_NERV_SPIN_RADIC_R
MDC | 7:152 | Nervus radialis Ramus superficialis | MDC_NERV_SPIN_RADIC_SUPERF
MDC | 7:153 | Nervus radialis Ramus superficialis, left | MDC_NERV_SPIN_RADIC_SUPERF_L
MDC | 7:154 | Nervus radialis Ramus superficialis, right | MDC_NERV_SPIN_RADIC_SUPERF_R
MDC | 7:156 | Nervi subscapulares | MDC_NERV_SPIN_SUBSCAP
MDC | 7:157 | Nervi subscapulares, left | MDC_NERV_SPIN_SUBSCAP_L
MDC | 7:158 | Nervi subscapulares, right | MDC_NERV_SPIN_SUBSCAP_R
MDC | 7:160 | Nervus axillaris | MDC_NERV_SPIN_AXILLAR
MDC | 7:161 | Nervus axillaris, left | MDC_NERV_SPIN_AXILLAR_L
MDC | 7:162 | Nervus axillaris, right | MDC_NERV_SPIN_AXILLAR_R
MDC | 7:164 | Nervi thoracici | MDC_NERV_SPIN_THORACIC
MDC | 7:165 | Nervi thoracici, left | MDC_NERV_SPIN_THORACIC_L
MDC | 7:166 | Nervi thoracici, right | MDC_NERV_SPIN_THORACIC_R
MDC | 7:168 | Nervi lumbales | MDC_NERV_SPIN_LUMBAL
MDC | 7:169 | Nervi lumbales, left | MDC_NERV_SPIN_LUMBAL_L
MDC | 7:170 | Nervi lumbales, right | MDC_NERV_SPIN_LUMBAL_R
MDC | 7:172 | Plexus lumbosacralis | MDC_NERV_SPIN_LUMBOSACRAL_PLEX
MDC | 7:173 | Plexus lumbosacralis, left | MDC_NERV_SPIN_LUMBOSACRAL_PLEX_L
MDC | 7:174 | Plexus lumbosacralis, right | MDC_NERV_SPIN_LUMBOSACRAL_PLEX_R
MDC | 7:176 | Plexus lumbalis | MDC_NERV_SPIN_LUMBAL_PLEX
MDC | 7:177 | Plexus lumbalis, left | MDC_NERV_SPIN_LUMBAL_PLEX_L
MDC | 7:178 | Plexus lumbalis, right | MDC_NERV_SPIN_LUMBAL_PLEX_R
MDC | 7:180 | Nervus iliohypogastricus | MDC_NERV_SPIN_ILIOHYPOGASTRIC
MDC | 7:181 | Nervus iliohypogastricus, left | MDC_NERV_SPIN_ILIOHYPOGASTRIC_L
MDC | 7:182 | Nervus iliohypogastricus, right | MDC_NERV_SPIN_ILIOHYPOGASTRIC_R
MDC | 7:184 | Nervus ilio-inguinalis | MDC_NERV_SPIN_ILIOINGUINAL
MDC | 7:185 | Nervus ilio-inguinalis, left | MDC_NERV_SPIN_ILIOINGUINAL_L
MDC | 7:186 | Nervus ilio-inguinalis, right | MDC_NERV_SPIN_ILIOINGUINAL_R
MDC | 7:188 | Nervus cutaneus femoris lateralis | MDC_NERV_SPIN_CUT_FEMORAL_LAT
MDC | 7:189 | Nervus cutaneus femoris lateralis, left | MDC_NERV_SPIN_CUT_FEMORAL_LAT_L
MDC | 7:190 | Nervus cutaneus femoris lateralis, right | MDC_NERV_SPIN_CUT_FEMORAL_LAT_R
MDC | 7:192 | Nervus obturatorius | MDC_NERV_SPIN_OBTURATOR
MDC | 7:193 | Nervus obturatorius, left | MDC_NERV_SPIN_OBTURATOR_L
MDC | 7:194 | Nervus obturatorius, right | MDC_NERV_SPIN_OBTURATOR_R
MDC | 7:196 | Nervus femoralis | MDC_NERV_SPIN_FEMORAL
MDC | 7:197 | Nervus femoralis, left | MDC_NERV_SPIN_FEMORAL_L
MDC | 7:198 | Nervus femoralis, right | MDC_NERV_SPIN_FEMORAL_R
MDC | 7:200 | Nervus saphenus | MDC_NERV_SPIN_SAPHEN
MDC | 7:201 | Nervus saphenus, left | MDC_NERV_SPIN_SAPHEN_L
MDC | 7:202 | Nervus saphenus, right | MDC_NERV_SPIN_SAPHEN_R
MDC | 7:204 | Nervi sacrales at Nervus coccygeus | MDC_NERV_SPIN_SACRAL
MDC | 7:205 | Nervi sacrales at Nervus coccygeus, left | MDC_NERV_SPIN_SACRAL_L
MDC | 7:206 | Nervi sacrales at Nervus coccygeus, right | MDC_NERV_SPIN_SACRAL_R
MDC | 7:208 | Plexus sacralis | MDC_NERV_SPIN_PLEX
MDC | 7:209 | Plexus sacralis, left | MDC_NERV_SPIN_PLEX_L
MDC | 7:210 | Plexus sacralis, right | MDC_NERV_SPIN_PLEX_R
MDC | 7:212 | Nervus ischiadicus | MDC_NERV_SPIN_ISCHIADIC
MDC | 7:213 | Nervus ischiadicus, left | MDC_NERV_SPIN_ISCHIADIC_L
MDC | 7:214 | Nervus ischiadicus, right | MDC_NERV_SPIN_ISCHIADIC_R
MDC | 7:216 | Nervus fibularis communis | MDC_NERV_SPIN_FIBULAR_COMMUN
MDC | 7:217 | Nervus fibularis communis, left | MDC_NERV_SPIN_FIBULAR_COMMUN_L
MDC | 7:218 | Nervus fibularis communis, right | MDC_NERV_SPIN_FIBULAR_COMMUN_R
MDC | 7:220 | Nervus fibularis profundus | MDC_NERV_SPIN_FIBULAR
MDC | 7:221 | Nervus fibularis profundus, left | MDC_NERV_SPIN_FIBULAR_L
MDC | 7:222 | Nervus fibularis profundus, right | MDC_NERV_SPIN_FIBULAR_R
MDC | 7:224 | Nervus fibularis superficialis | MDC_NERV_SPIN_FIBULAR_SUPERF
MDC | 7:225 | Nervus fibularis superficialis, left | MDC_NERV_SPIN_FIBULAR_SUPERF_L
MDC | 7:226 | Nervus fibularis superficialis, right | MDC_NERV_SPIN_FIBULAR_SUPERF_R
MDC | 7:228 | Nervus tibialis | MDC_NERV_SPIN_TIBIAL
MDC | 7:229 | Nervus tibialis, left | MDC_NERV_SPIN_TIBIAL_L
MDC | 7:230 | Nervus tibialis, right | MDC_NERV_SPIN_TIBIAL_R
MDC | 7:232 | Nervus surealis | MDC_NERV_SPIN_SURAL
MDC | 7:233 | Nervus surealis, left | MDC_NERV_SPIN_SURAL_L
MDC | 7:234 | Nervus surealis, right | MDC_NERV_SPIN_SURAL_R
MDC | 7:236 | Nervus plantaris medialis | MDC_NERV_SPIN_PLANTAR_MEDIAL
MDC | 7:237 | Nervus plantaris medialis, left | MDC_NERV_SPIN_PLANTAR_MEDIAL_L
MDC | 7:238 | Nervus plantaris medialis, right | MDC_NERV_SPIN_PLANTAR_MEDIAL_R
MDC | 7:240 | Nervus plantaris lateralis | MDC_NERV_SPIN_PLANTAR_LAT
MDC | 7:241 | Nervus plantaris lateralis, left | MDC_NERV_SPIN_PLANTAR_LAT_L
MDC | 7:242 | Nervus plantaris lateralis, right | MDC_NERV_SPIN_PLANTAR_LAT_R
MDC | 7:244 | Nervus pudendus | MDC_NERV_SPIN_PUDEND
MDC | 7:245 | Nervus pudendus, left | MDC_NERV_SPIN_PUDEND_L
MDC | 7:246 | Nervus pudendus, right | MDC_NERV_SPIN_PUDEND_R

## CID 3033 EOG Leads

This Context Group comprises the EOG lead identifiers of ISO/IEEE 11073-10101. The terms included in the table below may not constitute the complete list; see the ISO/IEEE Standard..

### Note

- Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10102 available through http://standards.ieee.org/.

- The Code Meaning is taken from the ISO/IEEE 11073 10101 Acronym column.

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  1.2.840.10008.6.1.1331

Table CID 3033. EOG Leads

Coding Scheme Designator | Code Value | Code Meaning | ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)
--- | --- | --- | ---
MDC | 7:1320 | E0 | MDC_EYE_AXIS_HORIZ
MDC | 7:1325 | El1 | MDC_EYE_CENT_ABOVE_L
MDC | 7:1329 | El2 | MDC_EYE_CENT_BELOW_L
MDC | 7:1333 | El3 | MDC_EYE_CANTH_LAT_ABOVE_MID_L
MDC | 7:1337 | El4 | MDC_EYE_CANTH_LAT_BELOW_MID_L
MDC | 7:1341 | El5 | MDC_EYE_CANTH_OUTER_ABOVE_L
MDC | 7:1345 | El6 | MDC_EYE_CANTH_OUTER_BELOW_L
MDC | 7:1349 | El7 | MDC_EYE_CANTH_OUTER_CENTER_L
MDC | 7:1354 | Er1 | MDC_EYE_CENT_ABOVE_R
MDC | 7:1358 | Er2 | MDC_EYE_CENT_BELOW_R
MDC | 7:1362 | Er3 | MDC_EYE_CANTH_LAT_ABOVE_R
MDC | 7:1366 | Er4 | MDC_EYE_CANTH_LAT_BELOW_R
MDC | 7:1370 | Er5 | MDC_EYE_CANTH_OUTER_ABOVE_R
MDC | 7:1374 | Er6 | MDC_EYE_CANTH_OUTER_BELOW_R
MDC | 7:1378 | Er7 | MDC_EYE_CANTH_OUTER_CENTER_R
MDC | 7:1381 | ElL | MDC_EYE_EYELID_L
MDC | 7:1386 | ErL | MDC_EYE_EYELID_R
MDC | 7:1389 | Ela | MDC_EYE_ABOVE_L
MDC | 7:1393 | Elb | MDC_EYE_BELOW_L
MDC | 7:1398 | Era | MDC_EYE_ABOVE_R
MDC | 7:1402 | Erb | MDC_EYE_BELOW_R

## CID 3034 Body Position Channels

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  1.2.840.10008.6.1.1332

Table CID 3034. Body Position Channels

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 130410 | Patient position
DCM | 130411 | Patient rotation longitudinal
DCM | 130412 | Patient elevation

## CID 3035 EEG Annotations – Neurophysiologic Enumerations (EEG)

This Context Group comprises codes for Neurophysiologic Enumerations related to electroencephalography. MDC codes come from the corresponding table of ISO/IEEE 11073-10101. MDC terms included in the table below may not constitute the complete list; see the ISO/IEEE Standard..

### Note

- Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10102 available through http://standards.ieee.org/.

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  1.2.840.10008.6.1.1333

Table CID 3035. EEG Annotations – Neurophysiologic Enumerations (EEG)

Coding Scheme Designator | Code Value | Code Meaning | ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)
--- | --- | --- | ---
MDC | 2:23560 | Background activity | MDC_EEG_BKGD_CRTX
MDC | 2:23568 | Background activity beta | MDC_EEG_BKGD_CRTX_ACTIV_BETA
MDC | 2:23576 | Background activity sigma | MDC_EEG_BKGD_CRTX_ACTIV_SIGMA
MDC | 2:23584 | Background activity gamma | MDC_EEG_BKGD_CRTX_ACTIV_GAMMA
MDC | 2:23592 | Background activity alpha | MDC_EEG_BKGD_CRTX_ACTIV_ALPHA
MDC | 2:23600 | Background Mu activity | MDC_EEG_BKGD_CRTX_ACTIV_MU
MDC | 2:23608 | Background activity theta | MDC_EEG_BKGD_CRTX_ACTIV_THETA
MDC | 2:23616 | Background activity bisynchronous theta | MDC_EEG_BKGD_CRTX_ACTIV_THETA_BISYNC
MDC | 2:23624 | Background activity delta | MDC_EEG_BKGD_CRTX_ACTIV_DELTA
MDC | 2:23632 | Background activity bisynchronous delta | MDC_EEG_BKGD_CRTX_ACTIV_DELTA_BISYNC
MDC | 2:23640 | Background activity arrhythmic delta | MDC_EEG_BKGD_CRTX_ACTIV_ARRHY_DELTA
MDC | 2:23648 | Background activity slow fused transients | MDC_EEG_BKGD_CRTX_TRANS_FUSED_SLOW
MDC | 2:23656 | Sleep stage unspecified | MDC_EEG_CLS_CRTX_SLP_ STG
MDC | 2:23664 | Sleep stage unstageable | MDC_EEG_CLS_CRTX_UNSTGABLE
MDC | 2:23672 | Sleep stage wake | MDC_EEG_CLS_CRTX_WAKE_ STG
MDC | 2:23680 | Sleep stage REM | MDC_EEG_CLS_CRTX_SLP_ REM
MDC | 2:23688 | Sleep stage REM with sleep spindle | MDC_EEG_CLS_CRTX_SLP_REM_SPINDLE
MDC | 2:23696 | Sleep Stage I | MDC_EEG_CLS_CRTX_SLP_ STG_I
MDC | 2:23704 | Sleep Stage II | MDC_EEG_CLS_CRTX_SLP_ STG_II
MDC | 2:23712 | Sleep Stage III | MDC_EEG_CLS_CRTX_SLP_ STG_III
MDC | 2:23720 | Sleep stage IV | MDC_EEG_CLS_CRTX_SLP_ STG_IV
MDC | 2:23728 | Alphadelta Sleep | MDC_EEG_CLS_CRTX_SLP_STG_ALPHA_DELTA
MDC | 2:23736 | Sleep activity and event | MDC_EEG_CLS_CRTX_SLP_ ACTIV
MDC | 2:23744 | Sleep spindle | MDC_EEG_CLS_CRTX_SLP_SPINDLE
MDC | 2:23752 | Sleep V wave | MDC_EEG_CLS_CRTX_WV_V
MDC | 2:23760 | Sleep F wave | MDC_EEG_CLS_CRTX_WV_F
MDC | 2:23768 | Sleep K complex | MDC_EEG_CLS_CRTX_CMPLX_K
MDC | 2:23776 | Sleep post occipital sharp transient | MDC_EEG_CLS_CRTX_POSTOCCIP_TRANS_SHARP
MDC | 2:23784 | Sleep sawtooth wave | MDC_EEG_CLS_CRTX_WV_SAW
MDC | 2:23792 | Sleep stage shift | MDC_EEG_CLS_CRTX_SLP_STG_SHIFT
MDC | 2:23800 | Sleep arousal | MDC_EEG_CLS_CRTX_AROUSAL
MDC | 2:23808 | Sleep awakening | MDC_EEG_CLS_CRTX_AWAKENING
MDC | 2:23816 | Sharp appearing or epileptiform activity | MDC_EEG_PAROX_CRTX_DISCHG_EPILEP
MDC | 2:23824 | Sharp transient | MDC_EEG_PAROX_CRTX_TRANS_SHARP
MDC | 2:23832 | Wicket | MDC_EEG_PAROX_CRTX_WICKET
MDC | 2:23840 | Small sharp spike | MDC_EEG_PAROX_CRTX_SPK_SHARP_SMALL
MDC | 2:23848 | Zeta wave | MDC_EEG_PAROX_CRTX_WV_ZETA
MDC | 2:23856 | Triphasic wave | MDC_EEG_PAROX_CRTX_WV_TRIPHAS
MDC | 2:23864 | Phantom spike and wave activity | MDC_EEG_PAROX_CRTX_SPK_AND_WV_PHANTOM
MDC | 2:23872 | 14 and 6 Hz positive bursts | MDC_EEG_PAROX_CRTX_BURST_POS_14_AND_6HZ
MDC | 2:23880 | Lambda wave | MDC_EEG_PAROX_CRTX_WV_LAMBDA
MDC | 2:23888 | Epileptic or potentially epileptogenic activity | MDC_EEG_PAROX_CRTX_DISCHG
MDC | 2:23896 | Epileptic or potentially epileptogenic sharp wave | MDC_EEG_PAROX_CRTX_WV_SHARP
MDC | 2:23904 | Epileptic or potentially epileptogenic spike | MDC_EEG_PAROX_CRTX_SPK
MDC | 2:23912 | Multiple spike | MDC_EEG_PAROX_CRTX_SPK_MULT
MDC | 2:23920 | Spike and wave complex | MDC_EEG_PAROX_CRTX_SPK_AND_WV_CMPLX
MDC | 2:23928 | Atypical spike and wave complex | MDC_EEG_PAROX_CRTX_SPK_AND_WV_CMPLX_ATYP
MDC | 2:23936 | Sharp and slow wave complex | MDC_EEG_PAROX_CRTX_WV_CMPLX_SHARP_SLOW
MDC | 2:23944 | Rhythmic sharp waves | MDC_EEG_PAROX_CRTX_WV_RHYTHMIC_MULT_SHARP
MDC | 2:23952 | Burst suppression | MDC_EEG_PAROX_CRTX_BURST_SUPPRN
MDC | 2:23960 | Multiple independent spikes and asynchronous slow waves | MDC_EEG_PAROX_CRTX_SPK_MULT_AND_ASYNC_SLOW
MDC | 2:23968 | Periodic and quasiperiodic cerebral activity | MDC_EEG_PAROX_CRTX_CEREB_ACTIV_PERI
MDC | 2:23976 | Quasiperiodic triphasic waves | MDC_EEG_PAROX_CRTX_WV_TRIPHAS_MULT_QUASIPERI
MDC | 2:23984 | Periodic triphasic waves | MDC_EEG_PAROX_CRTX_WV_TRIPHAS_MULT_PERI
MDC | 2:23992 | Periodic epileptiform discharges | MDC_EEG_PAROX_CRTX_DISCHG_EPILEP_MULT_PERI
MDC | 2:24000 | Periodic cerebral complexes | MDC_EEG_PAROX_CRTX_CMPLX_MULT_PERI
MDC | 2:24008 | Quasiperiodic cerebral sharp waves | MDC_EEG_PAROX_CRTX_WV_MULT_SHARP_QUASIPERI
MDC | 2:24016 | Periodic sharp waves | MDC_EEG_PAROX_CRTX_WV_MULT_SHARP_PERI
MDC | 2:24024 | Periodic suppressions | MDC_EEG_PAROX_CRTX_SUPPRN_MULT_PERI
MDC | 2:24032 | Periodic bursts with suppressions | MDC_EEG_PAROX_CRTX_BURST_W_SUPPRN_MULT_PERI
MDC | 2:24040 | Eye-related activity | MDC_EEG_EXT_CRTX_EYE_MVMT_MULT
MDC | 2:24048 | Eye blinks | MDC_EEG_EXT_CRTX_EYE_BLINK
MDC | 2:24056 | Nystagmoid eye movements | MDC_EEG_EXT_CRTX_EYE_MVMT_NYSTAG_MULT
MDC | 2:24064 | Slow eye movements | MDC_EEG_EXT_CRTX_EYE_MVMT_NYSTAG_MULT
MDC | 2:24072 | Fast irregular eye movements | MDC_EEG_EXT_CRTX_EYE_MVMT_MULT_FAST_IRREG
MDC | 2:24080 | Rapid eye movements | MDC_EEG_EXT_CRTX_EYE_MVMT_MULT_RAPID
MDC | 2:24088 | Eye-related photodriving activity | MDC_EEG_EXT_CRTX_EYE_ACTIV_PHOTIC_DRV
MDC | 2:24096 | Eye-related photomyogenic activity | MDC_EEG_EXT_CRTX_EYE_ACTIV_PHOTOMYOGENIC
MDC | 2:24104 | Eye-related photoparadoxysmal activity | MDC_EEG_EXT_CRTX_EYE_ACTIV_PHOTOPARADOX
MDC | 2:24112 | Eye-related activity electroretinogram | MDC_EEG_EXT_CRTX_EYE_ERG
MDC | 2:24120 | Myogenic noncerebral activity | MDC_EEG_EXT_ACTIV_MYOGENIC
MDC | 2:24128 | Myogenic palatal myoclonus | MDC_EEG_EXT_PALATAL_MYOCLONUS
MDC | 2:24136 | Myogenic noncerebral myokymia | MDC_EEG_EXT_MYOKYMIA
MDC | 2:24144 | Myogenic noncerebral facial synkinesis | MDC_EEG_EXT_FACIA_SYNKINESIS
MDC | 2:24152 | Myogenic hemifacial spasms | MDC_EEG_EXT_HEMIFACIAL_SPASM
MDC | 2:24160 | Extraocular muscle activity | MDC_EEG_EXT_EXTRA_OCUL_MUSCL_ACTIV
MDC | 2:24168 | Myogenic tremor activity | MDC_EEG_EXT_ACTIV_TREMOR
MDC | 2:24176 | Myoclonic activity | MDC_EEG_EXT_ACTIV_MYOCLONIC
MDC | 2:24184 | Periodic movements of sleep | MDC_EEG_EXT_SLP_MVMT_MULT_PERI
MDC | 2:24192 | Periodic movements of sleep with arousals | MDC_EEG_EXT_SLP_MVMT_W_AROUS_MULT_PERI
MDC | 2:24200 | Artifactual activity | MDC_EEG_ARTIF
MDC | 2:24208 | Electrode instrumental artifactual activity | MDC_EEG_ARTIF_ELECTRODE_INSTRUM
MDC | 2:24216 | Movement artifactual activity | MDC_EEG_ARTIF_MVMT
MDC | 2:24224 | Sweat of galvanic artifactual activity | MDC_EEG_ARTIF_SWEAT_OR_GALV
MDC | 2:24232 | Pulse artifactual activity | MDC_EEG_ARTIF_PULSE
MDC | 2:24240 | ECG artifactual activity | MDC_EEG_ARTIF_EKG
MDC | 2:24248 | Respiratory artifactual activity | MDC_EEG_ARTIF_RESP
MDC | 2:24256 | Glossokinetic artifactual activity | MDC_EEG_ARTIF_GLOSSOKINETIC
MDC | 2:24264 | Swallowing and chewing artifactual activity | MDC_EEG_ARTIF_SWALLOW_ETC
MDC | 2:24272 | External interference Artifactual activity | MDC_EEG_ARTIF_EXT_INTERF
SCT | 271782001 | Drowsy |

## CID 3036 EMG Annotations – Neurophysiological Enumerations (EMG)

This Context Group comprises the nomenclature and codes neurophysiologic enumerations of ISO/IEEE 11073-10101, which apply to electromyography. The terms included in the table below may not constitute the complete list; see the ISO/IEEE Standard..

### Note

- Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10102 available through http://standards.ieee.org/.

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  1.2.840.10008.6.1.1334

Table CID 3036. EMG Annotations – Neurophysiological Enumerations (EMG)

Coding Scheme Designator | Code Value | Code Meaning | ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)
--- | --- | --- | ---
MDC | 2:24336 | EMG unspecified waveform | MDC_EMG_PAROX_MUSCL
MDC | 2:24344 | EMG waveform under voluntary control | MDC_EMG_PAROX_MUSCL_VOL_CTL
MDC | 2:24352 | EMG motor unit potential | MDC_EMG_PAROX_MUSCL_MOTOR_UNIT_POTL
MDC | 2:24360 | EMG doublet waveform | MDC_EMG_PAROX_MUSCL_DOUBLET
MDC | 2:24368 | EMG triplet waveform | MDC_EMG_PAROX_MUSCL_TRIPLET
MDC | 2:24376 | EMG multiplet waveform | MDC_EMG_PAROX_MUSCL_MULTIPLET
MDC | 2:24384 | EMG insertional activity | MDC_EMG_PAROX_MUSCL_ACTIV_INSERTIONAL
MDC | 2:24392 | EMG endplate noise | MDC_EMG_PAROX_MUSCL_NOISE_ENDPLATE
MDC | 2:24400 | EMG endplate spike | MDC_EMG_PAROX_MUSCL_SPK_ENDPLATE
MDC | 2:24408 | EMG unspecified iterative discharge | MDC_EMG_PAROX_MUSCL_DISCHG_ITER
MDC | 2:24416 | EMG fibrillation potential | MDC_EMG_PAROX_MUSCL_FIBRIL_POTL
MDC | 2:24424 | EMG positive sharp wave | MDC_EMG_PAROX_MUSCL_WV_SHARP_POS
MDC | 2:24432 | EMG fasciculation potential | MDC_EMG_PAROX_MUSCL_FASCIC_POTL
MDC | 2:24440 | EMG myotonic discharge | MDC_EMG_PAROX_MUSCL_DISCHG_MYOTONIC
MDC | 2:24448 | EMG complex repetitive discharge | MDC_EMG_PAROX_MUSCL_DISCHG_MULT_CMPLX_REPET
MDC | 2:24456 | EMG myokymic discharge | MDC_EMG_PAROX_MUSCL_DISCHG_MYOKEMIC_MULT
MDC | 2:24464 | EMG cramp discharge | MDC_EMG_PAROX_MUSCL_DISCHG_CRAMP_MULT
MDC | 2:24472 | EMG waveform after discharge | MDC_EMG_PAROX_MUSCL_AFTER_DISCHG_MULT

## CID 3037 EOG Annotations – Neurophysiological Enumerations (EOG)

This Context Group comprises the nomenclature and codes for neurophysiologic enumerations of ISO/IEEE 11073-10101, which apply to electrooculogram. The terms included in the table below may not constitute the complete list; see the ISO/IEEE Standard..

### Note

- Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10102 available through http://standards.ieee.org/.

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  1.2.840.10008.6.1.1335

Table CID 3037. EOG Annotations – Neurophysiological Enumerations (EOG)

Coding Scheme Designator | Code Value | Code Meaning | ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)
--- | --- | --- | ---
MDC | 2:24280 | Eye blink | MDC_EOG_EYE_MVMT_BLINK
MDC | 2:24288 | Saccade | MDC_EOG_EYE_MVMT_SACCADIC
MDC | 2:24296 | REM | MDC_EOG_EYE_MVMT_RAPID
MDC | 2:24304 | Slow eye movement | MDC_EOG_EYE_MVMT_SLOW
MDC | 2:24312 | Other eye movement | MDC_EOG_EYE_MVMT_OTHER
MDC | 2:24320 | Eyes closed | MDC_EOG_EYE_MVMT_CLOSING
MDC | 2:24328 | Eyes open | MDC_EOG_EYE_MVMT_OPENING

## CID 3038 Pattern Events

This Context Group comprises codes for patient-oriented events in physiologic monitoring.

MDC codes come from the corresponding table of ISO/IEEE 11073-10101. MDC terms included in the table below may not constitute the complete list; see the ISO/IEEE Standard..

### Note

- Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10102 available through http://standards.ieee.org/.

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  1.2.840.10008.6.1.1336

Table CID 3038. Pattern Events

Coding Scheme Designator | Code Value | Code Meaning | ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)
--- | --- | --- | ---
MDC | 3:3158 | Irregular heart rate | MDC_EVT_ECG_CARD_BEAT_RATE_IRREG
MDC | 3:3072 | Apnea | MDC_EVT_APNEA
MDC | 3:3284 | Apnea 15 sec | MDC_EVT_VENT_RESP_APNEA_15_SEC
MDC | 3:3292 | Apnea 30 sec | MDC_EVT_VENT_RESP_APNEA_30_SEC
MDC | 3:3246 | Desaturation | MDC_EVT_DESAT
MDC | 3:3076 | Asystole | MDC_EVT_ECG_ASYSTOLE
MDC | 3:3266 | Arrhythmia event | MDC_EVT_ECG_ARRHY
MDC | 3:3264 | Clinical seizure discharge | MDC_EVT_EEG_DISCHG_SEIZ_ CLIN
MDC | 3:3190 | Supraventricular extrasystole | MDC_EVT_ECG_SV_P_C
MDC | 3:3294 | Pacer artifact | MDC_EVT_ECG_PACER_ARTIF_RECOG
MDC | 3:3146 | First-degree AV block | MDC_EVT_ECG_AV_HEART_BLK_DEG_1
MDC | 3:3148 | Second-degree AV block | MDC_EVT_ECG_AV_HEART_BLK_DEG_2
MDC | 3:3258 | Third-degree AV block | MDC_EVT_ECG_AV_HEART_BLK_DEG_3
MDC | 3:3084 | Bradycardia | MDC_EVT_ECG_SINUS_BRADY
MDC | 3:3128 | Atrial fibrillation | MDC_EVT_ECG_ATR_FIB
MDC | 3:3276 | Atrial flutter | MDC_EVT_ECG_ATR_FLUT
MDC | 3:3118 | Irregular rhythm | MDC_EVT_ECG_RR_IRREG
MDC | 3:3262 | Sinus tachycardia | MDC_EVT_ECG_SINUS_TACHY
MDC | 3:3270 | Sharp spikes | MDC_EVT_EEG_SPK_SHARP
MDC | 3:3254 | Spikes and waves | MDC_EVT_EEG_SPK_AND_WV
SCT | 68978004 | Hyperventilation |
DCM | 130413 | Hyperventilation begin |
DCM | 130414 | Hyperventilation end |
DCM | 130415 | Post-hyperventilation |

## CID 3039 Device-related and Environment-related Events

This Context Group comprises the nomenclature and codes for device-related and environment-related events of ISO/IEEE 11073-10101. The terms included in the table below may not constitute the complete list; see the ISO/IEEE Standard..

### Note

- Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10102 available through http://standards.ieee.org/.

Resources:

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Type:

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Version:

  20200623

UID:

  1.2.840.10008.6.1.1337

Table CID 3039. Device-related and Environment-related Events

Coding Scheme Designator | Code Value | Code Meaning | ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)
--- | --- | --- | ---
MDC | 3:268 | Lead disconnected | MDC_EVT_LEAD_DISCONN
MDC | 3:236 | Power line problem | MDC_EVT_ELEC_PWR_LINE_PROB
MDC | 3:458 | Power supply problem | MDC_EVT_POWER_SUPPLY_PROB
MDC | 3:432 | Artifact | MDC_EVT_WAVE_ARTIF_ERR

## CID 3040 EEG Annotations - Neurological Monitoring Measurements

This Context Group comprises the nomenclature and codes for neurological monitoring measurements of ISO/IEEE 11073-10101. The terms included in the table below may not constitute the complete list; see the ISO/IEEE Standard.

### Note

- Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10102 available through http://standards.ieee.org/.

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Table CID 3040. EEG Annotations - Neurological Monitoring Measurements

Coding Scheme Designator | Code Value | Code Meaning | ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)
--- | --- | --- | ---
MDC | 2:22784 | Circum head | MDC_CIRCUM_HEAD
MDC | 2:22952 | Arousal | MDC_EEG_NUM_AROUS

## CID 3041 Neurophysiologic Stimulation Modes

TThis Context Group comprises the nomenclature and codes for neurophysiologic stimulation modes of ISO/IEEE 11073-10101. The terms included in the table below may not constitute the complete list; see the ISO/IEEE Standard.

### Note

- Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10102 available through http://standards.ieee.org/.

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Table CID 3041. Neurophysiologic Stimulation Modes

Coding Scheme Designator | Code Value | Code Meaning | ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)
--- | --- | --- | ---
MDC | 2:53539 | Flash stimulus | MDC_STIM_FLASH

## CID 3082 Cardiology Units of Measurement (Retired)

This Context Group was a subset of CID 82 “Units of Measurement”, and is retired. See PS3.16-2011.

## CID 3083 Units of Radioactivity

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Table CID 3083. Units of Radioactivity

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
UCUM | Bq | becquerel
UCUM | MBq | megabecquerel
UCUM | mCi | millicurie

## CID 3090 Time Synchronization Channel Types

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Table CID 3090. Time Synchronization Channel Types

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 109001 | Digital timecode (NOS)
DCM | 109002 | ECG-based gating signal, processed
DCM | 109003 | IRIG-B timecode
DCM | 109004 | X-Ray Fluoroscopy On Signal
DCM | 109005 | X-Ray On Trigger

## CID 3101 Cardiac Procedural State Values

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Table CID 3101. Cardiac Procedural State Values

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 128975004 | Resting State | F-01604 | C0679218
SCT | 432655005 | Cardiac Stress State | F-05019 | C2317276
DCM | 109092 | Reinjection State |  |
DCM | 109093 | Redistribution State |  |
DCM | 109094 | Delayed Redistribution State |  |

## CID 3102 Rest-Stress

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Table CID 3102. Rest-Stress

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 128975004 | Resting State | F-01604 | C0679218
DCM | 109091 | Cardiac Stress State |  |

## CID 3104 Cardiac Synchronization Technique

This Context Group corresponds to the Enumerated Values of Cardiac Synchronization Technique (0018,9037) (see PS3.3).

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Table CID 3104. Cardiac Synchronization Technique

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 109080 | Real time acquisition
DCM | 109081 | Prospective gating
DCM | 109082 | Retrospective gating
DCM | 109083 | Paced

## CID 3106 PET Cardiology Protocols

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Table CID 3106. PET Cardiology Protocols

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122791 | PET Myocardial Perfusion, Rest only
DCM | 122792 | PET Myocardial Perfusion, Stress only
DCM | 122793 | PET Myocardial Perfusion, Rest and Stress
DCM | 122795 | PET Myocardial Viability, Rest only
DCM | 122796 | PET Myocardial Viability, Stress only
DCM | 122797 | PET Myocardial Viability, Rest and Stress

## CID 3107 PET Cardiology Radiopharmaceuticals

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Table CID 3107. PET Cardiology Radiopharmaceuticals

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 35321007 | Fluorodeoxyglucose F^18^ | C-B1031 | C0046056
SCT | 21576001 | ^13^Nitrogen | C-107A1 | C0302959
SCT | 79197006 | ^82^Rubidium | C-159A2 | C0303554

## CID 3108 NM/PET Procedures

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Table CID 3108. NM/PET Procedures

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 108294005 | Nuclear medicine cardiovascular study | P5-D30F8 | C0581579
SCT | 241439007 | PET heart study | P5-0A006 | C0412498
SCT | 7562007 | Radioisotope study of endocrine system | P5-D6000 | C0203777
SCT | 41842006 | Radioisotope study of hematopoietic system | P5-D6500 | C0203797
SCT | 53585008 | Radioisotope study of gastrointestinal system | P5-D5000 | C0412377
SCT | 252680004 | Radionuclide study for localization of inflammatory disease | P5-D0063 | C0474787
SCT | 68796002 | Radioisotope study of musculoskeletal system | P5-D1000 | C0412452
SCT | 108300008 | Nuclear medicine diagnostic procedure on nervous system | P5-D90F8 | C0412330
SCT | 45316007 | Radionuclide localization of tumor | P5-D0040 | C0203651
SCT | 19086005 | Radioisotope study of respiratory system | P5-D2000 | C0203681
SCT | 76927004 | Radioisotope study of genitourinary system | P5-D7000 | C0203833
SCT | 764666002 | PET brain study |  | C0412493
SCT | 416323006 | PET breast study | P5-0A00D | C1562778
SCT | 241443006 | PET study for localization of tumor | P5-0A00A | C0473941

## CID 3110 Nuclear Cardiology Protocols

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Table CID 3110. Nuclear Cardiology Protocols

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 431511008 | Stress thallium procedure | P5-D300B | C2316301
DCM | 122781 | Rest thallium/stress technetium procedure |  |
DCM | 122782 | Rest technetium/stress technetium 1 day procedure |  |
DCM | 122783 | Rest technetium/stress technetium 2 day procedure |  |
DCM | 122784 | Stress technetium/rest technetium 1 day procedure |  |
DCM | 122785 | NM Myocardial Viability procedure |  |

## CID 3111 Nuclear Cardiology Radiopharmaceuticals

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Table CID 3111. Nuclear Cardiology Radiopharmaceuticals

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 353842007 | Thallium-201 | C-B1130 | C0303322
SCT | 424299003 | Tc-99m sestamibi | C-163AB | C0162680
SCT | 424118002 | Tc-99m tetrofosmin | C-163AD | C0211492

## CID 3112 Attenuation Correction

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Table CID 3112. Attenuation Correction

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122726 | Algorithmic Attenuation Correction
DCM | 122727 | NM Transmission Attenuation Correction
DCM | 122728 | CT-based Attenuation Correction
DCM | 122729 | No Attenuation Correction

## CID 3113 Types of Perfusion Defects

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Table CID 3113. Types of Perfusion Defects

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 251055003 | Reversible myocardial perfusion defect | F-3014D | C0428859
SCT | 251057006 | Fixed myocardial perfusion defect | F-3014F | C0428861
SCT | 251056002 | Partially Reversible myocardial perfusion defect | F-3014E | C0428860
DCM | 122748 | False Positive defect finding |  |

## CID 3114 Study Quality

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Table CID 3114. Study Quality

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122740 | Excellent image quality
DCM | 122741 | Good image quality
DCM | 122742 | Poor image quality
DCM | 111235 | Unusable - Quality renders image unusable

## CID 3115 Stress Imaging Quality Issues

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Table CID 3115. Stress Imaging Quality Issues

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 111210 | Motion blur |  |
DCM | 122743 | Body habitus attenuation |  |
DCM | 122744 | Breast attenuation |  |
DCM | 122745 | Diaphragmatic attenuation |  |
SCT | 429382003 | Subdiaphragmatic uptake | F-04FD3 | C1997338

## CID 3116 NM Extracardiac Findings

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Table CID 3116. NM Extracardiac Findings

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 428552000 | Normal extracardiac uptake | F-04FA0 | C1997656
SCT | 428920008 | Increased lung uptake | F-04FB8 | C1997679
SCT | 429576000 | Abnormal extracardiac uptake | F-04FE3 | C1998057

## CID 3117 Attenuation Correction Methods

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Table CID 3117. Attenuation Correction Methods

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122720 | OSEM algorithm
DCM | 122721 | Chang method

## CID 3118 Level of Risk

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Table CID 3118. Level of Risk

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 427986001 | Normal risk | G-4044 | C1998074
SCT | 75976002 | Low risk | G-4041 | C0332165
SCT | 429551001 | Low to moderate risk | G-4045 | C1998307
SCT | 25594002 | Moderate risk | G-4042 | C0332166
SCT | 429557002 | Moderate to high risk | G-4046 | C1998133
SCT | 15508007 | High risk | G-4043 | C0332167
SCT | 64957009 | Uncertain risk | G-A648 | C0087130

## CID 3119 LV Function

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Table CID 3119. LV Function

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 17621005 | Normal | G-A460 | C0205307
SCT | 275514001 | Impaired left ventricular function | F-300FA | C0553982

## CID 3120 Perfusion Findings

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Table CID 3120. Perfusion Findings

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 301121007 | Myocardial perfusion normal | F-30172 | C0577811
SCT | 42425007 | Equivocal | G-A466 | C0332241
SCT | 263654008 | Abnormal | R-42037 | C0205161

## CID 3121 Perfusion Morphology

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Table CID 3121. Perfusion Morphology

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 414795007 | Myocardial ischemia | D3-1070D | C0151744
SCT | 22298006 | Myocardial Infarction | D3-15000 | C0027051
SCT | 428196007 | Mixed Ischemia and Infarction | D3-10711 | C1997401

## CID 3122 Ventricular Enlargement

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Table CID 3122. Ventricular Enlargement

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 373124004 | Normal size cardiac chamber | R-00343 | C1298811
SCT | 373126002 | Mildly enlarged cardiac chamber | R-0032A | C1298813
SCT | 373127006 | Moderately enlarged cardiac chamber | R-00331 | C1298814
SCT | 373128001 | Markedly enlarged cardiac chamber | R-00316 | C1298815

## CID 3200 Stress Test Procedure

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Table CID 3200. Stress Test Procedure

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 165079009 | Exercise stress test | P0-006E4 | C0015260
SCT | 424064009 | Pharmacologic stress test | P2-31107 | C1827946
SCT | 428813002 | Pharmacologic and exercise stress test | P2-31011 | C1998158
SCT | 428685003 | Paced stress test | P2-3110B | C1997441

## CID 3201 Indications for Stress Test

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Table CID 3201. Indications for Stress Test

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 29857009 | Chest Pain | F-37000 | C0008031
SCT | 262068006 | Pre-operative | R-413C5 | C0445204
SCT | 53741008 | Coronary Artery Disease | D3-13040 | C0010054
SCT | 84114007 | Heart failure | D3-16000 | C0018801
SCT | 171224000 | Heart disease risk factors | F-03C97 | C0420044
SCT | 267036007 | Dyspnea | F-201B3 | C0013404
SCT | 373108000 | Post PTCA | R-00357 | C1269832
SCT | 399261000 | History of CABG | G-03A5 | C1275842
SCT | 165084003 | Abnormal exercise tolerance test | F-00103 | C0149612
SCT | 102594003 | Abnormal ECG | F-38002 | C0522055
SCT | 44808001 | Arrhythmia | D3-30000 | C0264886
SCT | 194828000 | Angina pectoris | D3-13012 | C0002962
SCT | 38341003 | Hypertension | D3-02000 | C0020538
SCT | 80313002 | Palpitations | F-37150 | C0030252
SCT | 6456007 | Supraventricular tachycardia | D3-31290 | C0039240
SCT | 271594007 | Syncope | D3-00006 | C0039070
SCT | 399211009 | History of Myocardial Infarction | G-03AA | C1275835
SCT | 63467002 | Left bundle branch block | D3-33120 | C0023211
SCT | 368009 | Valvular heart disease | D3-10800 | C0018824
SCT | 429060002 | Occupational requirement | P7-00044 | C1997084

## CID 3202 Chest Pain

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Table CID 3202. Chest Pain

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 233819005 | Stable Angina | D3-13020 | C0340288
SCT | 4557003 | Unstable Angina | D3-12700 | C0002965
SCT | 371807002 | Atypical Angina | R-0038F | C0741026
SCT | 274668005 | Noncardiac Chest Pain | F-37015 | C0476281
SCT | 161971004 | Chest pain not present | F-A265A | C0423635
SCT | 429559004 | Typical Angina | D3-13037 | C1998435
DCM | 122799 | Anginal Equivalent |  |

## CID 3203 Exerciser Device

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Table CID 3203. Exerciser Device

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 739006 | Bicycle ergometer | A-17230 | C0180749
SCT | 1211003 | Treadmill | A-17222 | C0184069
SCT | 429560009 | Arm ergometer | A-1002A | C1996977

## CID 3204 Stress Agents

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Table CID 3204. Stress Agents

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | Trade Name (Informative)
--- | --- | --- | --- | --- | ---
SCT | 66859009 | Dipyridamole | C-81590 | C0012582 | Persantine
SCT | 26523005 | Dobutamine | C-68030 | C0012963 |
SCT | 108502004 | Adenosine | C-80349 | C0001443 |
SCT | 73949004 | Atropine | C-67770 | C0004259 |
SCT | 432062000 | Adenosine A2 receptor agonist | C-80012 | C1998062 | Regadenoson

## CID 3205 Indications for Pharmacological Stress Test

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Table CID 3205. Indications for Pharmacological Stress Test

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 63467002 | Left bundle branch block | D3-33120 | C0023211
SCT | 441509002 | Patient has pacemaker | R-00728 | C2712998
SCT | 29426003 | Paralytic syndrome | DA-26000 | C0270788
SCT | 20262006 | Ataxia or incoordination | F-A4580 | C0004134
SCT | 400047006 | Peripheral vascular disease | D3-8005B | C0085096
SCT | 19829001 | Pulmonary disease | D2-50000 | C0024115
SCT | 22325002 | Gait problem | F-18002 | C0575081
SCT | 274662006 | Transient limb paralysis | F-A0846 | C0159034
SCT | 13791008 | Asthenia (debility) | F-01380 | C0004093
SCT | 238108007 | Cachexia | F-029F7 | C0006625
SCT | 46866001 | Fracture of lower limb | DD-13000 | C1542178
SCT | 26947005 | Open wound of lower limb | DD-33500 | C0178323
SCT | 161622006 | Lower limb amputation | G-02BD | C0455616
SCT | 103321005 | Request by Physician | G-0202 | C0686901
SCT | 105501005 | Dependence on enabling machine or device | S-20570 | C0524375
SCT | 428752002 | Recent Myocardial infarction | G-044D | C1998297
SCT | 429733000 | Cannot reach target heart rate | F-33019 | C1997932
DCM | 122764 | Patient weight exceeds equipment limit |  |

## CID 3206 Non-invasive Cardiac Imaging Procedures

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Table CID 3206. Non-invasive Cardiac Imaging Procedures

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 108294005 | Nuclear medicine cardiovascular study | P5-D30F8 | C0581579
SCT | 35621002 | Cardiac blood pool imaging (nuclear) | P5-D3304 | C0203725
SCT | 241439007 | PET heart study | P5-0A006 | C0412498
SCT | 105371005 | SPECT | P5-0A100 | C0040399
SCT | 40701008 | Echocardiography | P5-B3000 | C0013516
SCT | 241620005 | Cardiac MRI | P5-09011 | C0412692

## CID 3207 Stress Test Procedure Phases

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Table CID 3207. Stress Test Procedure Phases

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 128975004 | Resting State | F-01604 | C0679218
SCT | 432655005 | Cardiac stress state | F-05019 | C2317276
SCT | 434161005 | Peak cardiac stress state | F-05028 | C2316487
SCT | 432554001 | Cardiac stress recovery state | F-05018 | C2316793
SCT | 68978004 | Hyperventilation | F-25040 | C0020578

## CID 3208 Summary Codes Exercise ECG

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Table CID 3208. Summary Codes Exercise ECG

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 165082004 | Exercise ECG normal | F-00101 | C0231162
SCT | 165084003 | Exercise ECG abnormal | F-00103 | C0149612
SCT | 370367002 | Exercise ECG equivocal | F-201B6 | C1299965
SCT | 262008008 | Not performed | R-4135B | C0445106

## CID 3209 Summary Codes Stress Imaging

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Table CID 3209. Summary Codes Stress Imaging

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 408573005 | Imaging result normal | F-04AB2 | C1319347
SCT | 408574004 | Imaging result abnormal | F-04AB3 | C1319348
SCT | 408379005 | Imaging result equivocal | F-04A13 | C1319511
SCT | 262008008 | Not performed | R-4135B | C0445106

## CID 3210 Speed of Response

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Table CID 3210. Speed of Response

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 17621005 | normal | G-A460 | C0205307
SCT | 428691001 | accentuated | R-40AA8 | C1997416
SCT | 428247006 | blunted | R-40AA7 | C1997138

## CID 3211 BP Response

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Table CID 3211. BP Response

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 17621005 | normal | G-A460 | C0205307
SCT | 45007003 | Hypotensive | D3-04000 | C0020649
SCT | 38341003 | Hypertensive | D3-02000 | C0020538
SCT | 428247006 | blunted | R-40AA7 | C1997138

## CID 3212 Treadmill Speed

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Table CID 3212. Treadmill Speed

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
UCUM | km/h | km/h
UCUM | [mi_i]/h | mph

## CID 3213 Stress Hemodynamic Findings

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Table CID 3213. Stress Hemodynamic Findings

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 429561008 | Exertional hypotension | D3-0400A | C1998376
SCT | 429198000 | Exertional hypertension | D3-0200B | C1997276
SCT | 427989008 | Chronotropic incompetence | F-380B2 | C1997984

## CID 3215 Perfusion Finding Method

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Table CID 3215. Perfusion Finding Method

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 258181008 | ECG analysis | R-41D8B | C0442977
SCT | 24587005 | Image analysis | P3-41910 | C0200765

## CID 3217 Comparison Finding

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Table CID 3217. Comparison Finding

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122775 | Agreement with prior findings
DCM | 122776 | Disagreement with prior findings

## CID 3220 Stress Symptoms

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Table CID 3220. Stress Symptoms

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 267036007 | Dyspnea | F-201B3 | C0013404
SCT | 16973004 | Claudication | F-18010 | C1456822
SCT | 271594007 | Syncope | D3-00006 | C0039070
SCT | 238810007 | Flushing | D0-30017 | C0016382
SCT | 422587007 | Nausea | F-04E95 | C0027497
SCT | 404640003 | Dizziness | F-06017 | C0012833
SCT | 84229001 | Fatigue | F-01360 | C0015672
SCT | 29857009 | Chest pain | F-37000 | C0008031
SCT | 279084009 | Chest discomfort | F-37006 | C0235710
Include CID 3202 “Chest Pain” |  |

## CID 3221 Stress Test Termination Reasons

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Table CID 3221. Stress Test Termination Reasons

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 29857009 | Chest pain | F-37000 | C0008031
SCT | 102594003 | Abnormal ECG | F-38002 | C0522055
SCT | 84229001 | Fatigue | F-01360 | C0015672
SCT | 267036007 | Dyspnea | F-201B3 | C0013404
SCT | 408551003 | Patient Refused exercise test | R-214DD | C1319325
SCT | 258153002 | Target Heart Rate Achieved | F-021E1 | C0432605
SCT | 67763001 | Hypotensive episode | D3-04001 | C0520541
SCT | 443482000 | Hypertensive episode | D3-0200C | C0745138
SCT | 44808001 | Arrhythmia | D3-30000 | C0264886
SCT | 16973004 | Claudication | F-18010 | C1456822
SCT | 255253007 | End of Protocol | R-4038D | C0444496
SCT | 271594007 | Syncope | D3-00006 | C0039070

## CID 3227 QTc Measurements

This Context Group include both global and per lead corrected QT measurements specified in the ISO/IEEE 11073-10102 MDC nomenclature. Note that the MDC code for the per lead measurement is a base code for post-coordination with separately encoded lead identifiers. MDC also defines pre-coordinated codes that include both the measurement and the lead, which may be used in the same context as this Context Group; see the ISO/IEEE Standard.

While this Context Group includes distinct codes for the various QT correction algorithms, Templates using this Context Group may allow post-coordination using the QTc algorithm codes of CID 3678 “QT Correction Algorithms”.

### Note

Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10102 available through http://standards.ieee.org/.

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Table CID 3227. QTc Measurements

Coding Scheme Designator | Code Value | Code Meaning | ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)
--- | --- | --- | ---
MDC | 2:15876 | QTc interval global | MDC_ECG_TIME_PD_QTC
MDC | 2: 33792 | QTc interval per lead | MDC_ECG_TIME_PD_QTC_<lead>
MDC | 2:15880 | QTc global using Bazett formula | MDC_ECG_TIME_PD_QTC_BAZETT
MDC | 2:15880 | QTc global using Framingham formula | MDC_ECG_TIME_PD_QTC_FRAMINGHAM
MDC | 2:15892 | QTc global using Fredericia formula | MDC_ECG_TIME_PD_QTC_FREDERICA
MDC | 2:15892 | QTc global using Hodges formula | MDC_ECG_TIME_PD_QTC_HODGES
MDC | 2:34048 | QTc per lead using Bazett formula | MDC_ECG_TIME_PD_QTcB_<lead>
MDC | 2:34304 | QTc per lead using Fredericia formula | MDC_ECG_TIME_PD_QTcF_<lead>

## CID 3228 ECG Timing Measurements

This Context Group include both global and per lead ECG measurements specified in the ISO/IEEE 11073-10102 MDC nomenclature. Note that the MDC codes for "per lead" measurements are base codes for post-coordination with separately encoded lead identifiers. MDC also defines pre-coordinated codes that include both the measurement and the lead, which may be used in the same context as this Context Group; see the ISO/IEEE Standard.

### Note

Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10102 available through http://standards.ieee.org/.

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Table CID 3228. ECG Timing Measurements

Coding Scheme Designator | Code Value | Code Meaning | ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)
--- | --- | --- | ---
MDC | 2:15872 | PR interval global | MDC_ECG_TIME_PD_PR
MDC | 2:16160 | QT interval global | MDC_ECG_TIME_PD_QT
MDC | 2:16156 | QRS duration global | MDC_ECG_TIME_PD_QRS
MDC | 2:16184 | P duration global | MDC_ECG_TIME_PD_P
MDC | 2:16140 | PP interval global | MDC_ECG_TIME_PD_PP
MDC | 2:16168 | RR interval global | MDC_ECG_TIME_PD_RR
MDC | 2:7168 | PR interval per lead | MDC_ECG_TIME_PD_PR_<lead>
MDC | 2:8192 | QT interval per lead | MDC_ECG_TIME_PD_QT_<lead>
MDC | 2:7936 | QRS duration per lead | MDC_ECG_TIME_PD_QRS_<lead>
MDC | 2:6656 | P duration per lead | MDC_ECG_TIME_PD_P_<lead>
MDC | 2:32768 | PP interval per lead | MDC_ECG_TIME_PD_PP_<lead>
MDC | 2:33024 | RR interval per lead | MDC_ECG_TIME_PD_RR_<lead>

## CID 3229 ECG Axis Measurements

This Context Group comprises the ECG axis measurements of ISO/IEEE 11073-10102. The terms included in the table below may not constitute the complete list; see the ISO/IEEE Standard.

### Note

Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10102 available through http://standards.ieee.org/.

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Table CID 3229. ECG Axis Measurements

Coding Scheme Designator | Code Value | Code Meaning | ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)
--- | --- | --- | ---
MDC | 2:16132 | QRS axis | MDC_ECG_ANGLE_QRS_FRONT
MDC | 2:16128 | P Axis | MDC_ECG_ANGLE_P_FRONT
MDC | 2:16136 | T axis | MDC_ECG_ANGLE_T_FRONT

## CID 3230 ECG Findings

### Note

MDC Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10102 available through http://standards.ieee.org/.

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Table CID 3230. ECG Findings

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)
--- | --- | --- | --- | --- | ---
SCT | 164854000 | Normal | F-000B7 | C0522054 | MDC_ECG_BEAT_NORMAL
SCT | 284470004 | Atrial premature contraction | D3-30A03 | C0033036 | MDC_ECG_BEAT_ATR_P_C
SCT | 17338001 | Ventricular premature contraction | D3-31740 | C0151636 | MDC_ECG_BEAT_V_P_C
SCT | 49436004 | Atrial Fibrillation | D3-31520 | C0004238 | MDC_ECG_RHY_ATR_FIB
SCT | 6456007 | Supraventricular Tachycardia | D3-31290 | C0039240 | MDC_ECG_RHY_SV_TACHY
SCT | 66657009 | Non-sustained ventricular tachycardia | D3-31710 | C0030591 | MDC_ECG_RHY_V_TACHY_PAROX
SCT | 25569003 | Ventricular tachycardia | D3-31700 | C0042514 | MDC_ECG_RHY_V_TACHY
SCT | 71908006 | Ventricular fibrillation | D3-31720 | C0042510 | MDC_ECG_RHY_V_FIB
SCT | 4554005 | Intraventricular conduction disturbance | D3-33000 | C0264909 | MDC_ECG_BEAT_BLK_IVCD
SCT | 63467002 | Left bundle branch block | D3-33120 | C0023211 | MDC_ECG_BEAT_LBB_BLK_COMP
SCT | 59118001 | Right bundle branch block | D3-33110 | C0085615 | MDC_ECG_BEAT_RBB_BLK_COMP
SCT | 251120003 | Incomplete Left bundle branch block | D3-33122 | C0281878 | MDC_ECG_BEAT_LBB_BLK_INCOMP
SCT | 251124007 | Incomplete Right bundle branch block | D3-33112 | C0262525 | MDC_ECG_BEAT_RBB_BLK_INCOMP
SCT | 74021003 | Bifascicular Block | D3-33200 | C0264914 | MDC_ECG_BEAT_BLK_BIFASC
SCT | 37760005 | Left anterior fascicular block | D3-33140 | C0264912 | MDC_ECG_BEAT_BLK_ANT_L_HEMI
SCT | 62026008 | Left posterior fascicular block | D3-33150 | C0264913 | MDC_ECG_BEAT_BLK_POS_L_HEMI
SCT | 270492004 | First degree Atrioventricular block | D3-30001 | C0085614 | MDC_ECG_RHY_AV_HEART_BLK_DEG_1
SCT | 195042002 | Second degree Atrioventricular block | R-F81AE | C0264906 | MDC_ECG_RHY_AV_HEART_BLK_DEG_2
SCT | 27885002 | Third degree Atrioventricular block | D3-32102 | C0151517 | MDC_ECG_RHY_AV_HEART_BLK_DEG_3
SCT | 195060002 | Ventricular pre-excitation | D3-31351 | C0559106 | MDC_ECG_BEAT_PREX
SCT | 26141007 | ST depression | F-38278 | C0520887 |
SCT | 76388001 | ST elevation | F-38277 | C0520886 |
SCT | 428417006 | Early repolarization | F-380B3 | C1997354 |
SCT | 428750005 | Nonspecific ST-T abnormality | F-38794 | C1997940 |
SCT | 428549008 | Secondary ST-T abnormality | F-38793 | C1998291 |

## CID 3231 ST Segment Findings

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Table CID 3231. ST Segment Findings

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 164929001 | ST Interval Normal | F-000C3 | C0438164
DCM | 122750 | Non-diagnostic - low heart rate |  |
DCM | 122751 | Non-diagnostic - resting ST abnormalities |  |
DCM | 122752 | Non-diagnostic - ventricular pacing or LBBB |  |
SCT | 260408008 | Weakly positive | G-A205 | C0442730
SCT | 10828004 | Positive | G-A200 | C1446409
DCM | 122755 | Strongly positive |  |
DCM | 122756 | Strongly positive - ST elevation |  |

## CID 3232 ST Segment Location

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Table CID 3232. ST Segment Location

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 284355001 | Left ventricle anterior segment | T-3260A | C0562222
SCT | 284357009 | Left ventricle inferior segment | T-3260C | C0562224
SCT | 284358004 | Left ventricle lateral segment | T-3260D | C0562225
SCT | 284356000 | Left ventricle septal segment | T-3260B | C0562223
SCT | 128564006 | Left ventricle apical segment | T-32602 | C0580781

## CID 3233 ST Segment Morphology

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Table CID 3233. ST Segment Morphology

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 122757 | ST Depression - Horizontal |  |
DCM | 122758 | ST Depression - Upsloping |  |
DCM | 122759 | ST Depression - Downsloping |  |
SCT | 76388001 | ST Elevation | F-38277 | C0520886
SCT | 26141007 | ST Depression | F-38278 | C0520887

## CID 3234 Ectopic Beat Morphology

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Table CID 3234. Ectopic Beat Morphology

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 25569003 | Ventricular tachycardia | D3-31700 | C0042514
SCT | 11157007 | Ventricular bigeminy | F-33750 | C0262662
SCT | 10626002 | Multifocal PVCs | D3-31744 | C0264903
SCT | 27337007 | Unifocal PVCs | D3-31742 | C0264902
SCT | 251159007 | Ventricular tachycardia, polymorphic | D3-31704 | C0344432

## CID 3235 Perfusion Comparison Findings

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Table CID 3235. Perfusion Comparison Findings

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 260388006 | No change | R-4075C | C0442739
SCT | 428927006 | New ischemia | R-215D9 | C1997666
SCT | 429232006 | Less ischemia | R-215DE | C1998148
SCT | 428824000 | Resolution of ischemia | R-215D5 | C1996952
SCT | 429477006 | More ischemia | R-215E1 | C1997854
SCT | 429391004 | New infarction | R-215E0 | C1997076

## CID 3236 Tolerance Comparison Findings

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Table CID 3236. Tolerance Comparison Findings

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 260388006 | No change | R-4075C | C0442739
SCT | 102460003 | Decreased tolerance | F-00454 | C0151955
SCT | 102459008 | Increased tolerance | F-00453 | C0151956

## CID 3237 Wall Motion Comparison Findings

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Table CID 3237. Wall Motion Comparison Findings

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 260388006 | No change | R-4075C | C0442739
SCT | 429058004 | New wall motion abnormality | R-215DC | C1997943
SCT | 428825004 | Improvement of wall motion | R-215D6 | C1997106

## CID 3238 Stress Scoring Scales

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Table CID 3238. Stress Scoring Scales

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 304915008 | Duke treadmill score | G-E002 | C0582804
DCM | 122770 | Ratio of achieved to predicted maximal oxygen consumption |  |
DCM | 122771 | Ratio of achieved to predicted functional capacity |  |
DCM | 122772 | Aerobic index |  |
DCM | 122773 | ST/HR Index |  |

## CID 3239 Perceived Exertion Scales

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Table CID 3239. Perceived Exertion Scales

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122734 | Borg RPE Scale
DCM | 122735 | Borg CR10 Scale

## CID 3240 Electrophysiology Measurement Functions and Techniques

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Table CID 3240. Electrophysiology Measurement Functions and Techniques

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 109006 | Differential signal
DCM | 109007 | His bundle electrogram
DCM | 109008 | Monopole signal
DCM | 109009 | Pacing (electrical) stimulus, voltage
DCM | 109010 | Radio frequency ablation, power
DCM | 109011 | Voltage measurement by basket catheter
DCM | 109012 | Voltage measurement by mapping catheter
DCM | 109013 | Voltage measurement

## CID 3241 Hemodynamic Measurement Techniques

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Table CID 3241. Hemodynamic Measurement Techniques

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 128580001 | Averaged hemodynamic measurement method | PA-50038 | C1266842
SCT | 128577002 | Composite hemodynamic measurement method | PA-50035 | C1266839
SCT | 128576006 | Computed hemodynamic measurement method | PA-50034 | C1266838
SCT | 133910006 | Conductance catheter method | PA-5003B | C1297901
SCT | 133911005 | Doppler catheter method | PA-5003C | C1297902
SCT | 128573003 | Dual catheter method | PA-50031 | C1266836
SCT | 128581002 | Fluid filled catheter method | PA-50039 | C1266843
SCT | 133912003 | Fiberoptic catheter method | PA-5003D | C1297903
SCT | 133913008 | Hall catheter method | PA-5003E | C1297904
SCT | 128575005 | Pullback method | PA-50033 | C1276411
SCT | 128448001 | Pulmonary capillary wedge method | G-DB26 | C1264741
SCT | 128578007 | Static catheter method | PA-50036 | C1266840
SCT | 133914002 | Thermistor catheter method | PA-5003F | C1297905
SCT | 128582009 | Tip manometer method | PA-5003A | C1266844
SCT | 128579004 | Wedge method | PA-50037 | C1266841

## CID 3250 Catheterization Procedure Phase

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Table CID 3250. Catheterization Procedure Phase

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 128961006 | Cardiac catheterization bailout phase | G-7299 | C1292438
SCT | 128955008 | Cardiac catheterization baseline phase | G-7293 | C1292432
SCT | 128956009 | Cardiac catheterization image acquisition phase | G-7294 | C1292433
SCT | 128957000 | Cardiac catheterization intervention phase | G-7295 | C1292434
SCT | 129083002 | Cardiac catheterization post contrast phase | G-729B | C1292440
SCT | 128960007 | Cardiac catheterization post-intervention phase | G-7298 | C1292437
SCT | 128958005 | Cardiac catheterization pre-intervention phase | G-7296 | C1292435
SCT | 373105002 | Cardiac catheterization test/challenge phase | R-002E4 | C1300063
SCT | 128959002 | Cardiac catheterization therapy phase | G-7297 | C1292436
SCT | 128952006 | Catheterization of both left and right heart with graft | P1-3160A | C1293383
SCT | 128953001 | Catheterization of both left and right heart without graft | P1-3160B | C1293384
SCT | 67629009 | Catheterization of left heart | P1-31604 | C0189897
SCT | 40403005 | Catheterization of right heart | P1-31602 | C0189896
SCT | 67338003 | Transseptal catheterization | P1-31612 | C0189901
SCT | 133882006 | Drug Infusion Challenge | P2-71317 | C1297891
SCT | 128967005 | Exercise challenge | P2-71310 | C1293901
SCT | 128975004 | Resting State | F-01604 | C0679218

## CID 3254 Electrophysiology Procedure Phase

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Table CID 3254. Electrophysiology Procedure Phase

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 129087001 | Atrial Effective Refractory Period, evaluation of | G-729D | C0428938
SCT | 129090007 | Carotid Sinus Massage procedure phase | G-7304 | C1292445
SCT | 129092004 | Electrophysiology Mapping phase | G-7406 | C1292447
SCT | 129082007 | Electrophysiology procedure baseline phase | G-729A | C1292439
SCT | 129093009 | Post-ablation phase | G-7408 | C1292448
SCT | 129091006 | Post-defibrillation procedure phase | G-7305 | C1292446
SCT | 129089003 | Radiofrequency Ablation procedure phase | G-729F | C1292442
SCT | 129086005 | Sinus Node Recovery Time, evaluation of | G-729C | C1292441
SCT | 129088006 | Ventricular Effective Refractory Period, evaluation of | G-729E | C0428940

## CID 3261 Stress Protocols

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Table CID 3261. Stress Protocols

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 129097005 | Balke protocol | P2-7131C | C0442712
SCT | 129095002 | Bruce protocol | P2-7131A | C0442713
SCT | 129098000 | Ellestad protocol | P2-7131D | C1276407
SCT | 129096001 | Modified Bruce protocol | P2-7131B | C0442714
SCT | 129102008 | Modified Naughton protocol | P2-713A1 | C1293907
SCT | 129101001 | Naughton protocol | P2-713A0 | C0442715
SCT | 129100000 | Pepper protocol | P2-7131F | C1276409
SCT | 129099008 | Ramp protocol | P2-7131E | C1276408
SCT | 46136006 | Exercise stress ECG test | P2-31010 | C1304755
SCT | 26046004 | Stress test using Bicycle Ergometer | P2-31102 | C0430459
SCT | 424064009 | Pharmacologic Stress protocol | P2-31107 | C1827946
SCT | 422685009 | Dipyridamole Stress protocol | P2-3110A | C1827789
SCT | 424444005 | Adenosine Stress protocol | P2-31109 | C1827363
SCT | 424225000 | Dobutamine Stress protocol | P2-31108 | C1828348
SCT | 428813002 | Pharmacologic and exercise stress test | P2-31011 | C1998158
SCT | 428685003 | Stress test using cardiac pacing | P2-3110B | C1997441

## CID 3262 ECG Patient State Values

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Table CID 3262. ECG Patient State Values

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 128974000 | Baseline state | F-01602 | C1290922
SCT | 128976003 | Exercise state | F-01606 | C1290923
SCT | 128977007 | Post-exercise state | F-01608 | C1290924
SCT | 128975004 | Resting state | F-01604 | C0679218
SCT | 40199007 | Supine body position | F-10340 | C0038846

## CID 3263 Electrode Placement Values

This Context Group comprises the ECG lead placement system identifiers of ISO/IEEE 11073-10102. The terms included in the table below may not constitute the complete list; see the ISO/IEEE Standard.

### Note

Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10102 available through http://standards.ieee.org/.

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Table CID 3263. Electrode Placement Values

Coding Scheme Designator | Code Value | Code Meaning | ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)
--- | --- | --- | ---
MDC | 10:11264 | Unspecified 12-lead system | MDC_ECG_LDSYS_12LD_UNSPECIFIED
MDC | 10:11265 | Standard 12-lead positions, electrodes placed individually | MDC_ECG_LDSYS_12LD_STD
MDC | 10:11266 | Mason-Likar lead positions, electrodes placed individually | MDC_ECG_LDSYS_12LD_MASON_LIKAR
MDC | 10:11267 | Mason-Likar lead positions, V1-V6 in electrode pad | MDC_ECG_LDSYS_12LD_VPAD
MDC | 10:11268 | 12-lead electrode pad | MDC_ECG_LDSYS_12LD_PAD
MDC | 10:11269 | 12-lead derived from Frank XYZ leads | MDC_ECG_LDSYS_12LD_FROM_FRANK
MDC | 10:11270 | 12-lead derived from non-standard leads | MDC_ECG_LDSYS_12LD_NON_STANDARD
MDC | 10:11271 | 12-lead for bicycle exercise testing, limb leads on back of patient | MDC_ECG_LDSYS_12LD_BICYCLE
MDC | 10:11272 | Standard 12-lead positions one intercostal space higher | MDC_ECG_LDSYS_12LD_RAISED_INTERCOSTAL
MDC | 10:11273 | Unspecified XYZ lead system | MDC_ECG_LDSYS_XYZ_UNSPECIFIED
MDC | 10:11274 | Frank XYZ lead system | MDC_ECG_LDSYS_XYZ_FRANK
MDC | 10:11275 | McFee-Parungao XYZ lead system | MDC_ECG_LDSYS_XYZ_MCFEE_PARUNAGO
MDC | 10:11276 | Cube XYZ lead system | MDC_ECG_LDSYS_XYZ_CUBE
MDC | 10:11277 | Bipolar uncorrected XYZ lead system | MDC_ECG_LDSYS_XYZ_BIPOLAR
MDC | 10:11278 | Pseudo-orthogonal XYZ lead system | MDC_ECG_LDSYS_XYZ_PSEUDO_ORTH
MDC | 10:11279 | XYZ leads derived from standard 12-lead | MDC_ECG_LDSYS_XYZ_FROM_12LD
MDC | 10:11280 | NEHB lead system | MDC_ECG_LDSYS_3LD_NEHB
MDC | 10:11281 | 3-lead system, CC5-CM5-ML | MDC_ECG_LDSYS_3LD_CC5_CM5_ML
MDC | 10:11282 | 3-lead system, CC5-CM5-CH5 | MDC_ECG_LDSYS_3LD_CM5_CC5_CH5
MDC | 10:11283 | 12-lead from Frank leads XYZ leads by Dower transformation | MDC_ECG_LDSYS_12LD_FROM_DOWER
MDC | 10:11284 | 12-lead from EASI leads (ES, AS, AI) by Dower/EASI transformation | MDC_ECG_LDSYS_12LD_FROM_EASI
MDC | 10:11285 | 12-lead from Limb Leads (I, II) and one or more V leads | MDC_ECG_LDSYS_12LD_FROM_LIMB
MDC | 10:11286 | Standard 12-lead and XYZ | MDC_ECG_LDSYS_12LD_STD_AND_XYZ
MDC | 10:11287 | Standard 12-lead and NEHB | MDC_ECG_LDSYS_12LD_STD_AND_NEHB
MDC | 10:11288 | Standard 12-lead and CC5-CM5-ML | MDC_ECG_LDSYS_12LD_STD_AND_CC5_CM5_ML
MDC | 10:11289 | Standard 12-lead and CM5-CC5-CH5 | MDC_ECG_LDSYS_12LD_STD_AND_CM5_CC5_CH5
MDC | 10:11290 | Standard 12-lead with extra leads to the right and/or left sides | MDC_ECG_LDSYS_12LD_STD_EXTD
MDC | 10:11291 | Standard 12-lead extended to the right by V5R, V4R, V3R | MDC_ECG_LDSYS_12LD_STD_EXTD_RIGHT
MDC | 10:11292 | Standard 12-lead extended to the left by V7, V8, V9 | MDC_ECG_LDSYS_12LD_STD_EXTD_LEFT

### Note

A prior version of this context group used codes from the SCP-ECG vocabulary.

## CID 3264 XYZ Electrode Placement Values (Retired)

This Context Group is retired. See PS3.16-2009.

## CID 3271 Hemodynamic Physiological Challenges

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Table CID 3271. Hemodynamic Physiological Challenges

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 133882006 | Drug infusion | P2-71317 | C1297891
SCT | 128967005 | Exercise challenge | P2-71310 | C1293901
SCT | 128965002 | Handgrip | P2-71306 | C1293900
SCT | 128963009 | Head up | P2-71302 | C1293898
SCT | 128969008 | Held inspiration | P2-71314 | C1293904
SCT | 128970009 | Held ventilation | P2-71316 | C1293905
SCT | 128964003 | Leg up | P2-71304 | C1293899
SCT | 128966001 | Negative lower body pressure | P2-71308 | C0024047
SCT | 18590009 | Pacing | P2-35000 | C0199640
SCT | 128971008 | Post volume challenge | P2-71318 | C1293906
SCT | 128968000 | Vagal stimulation | P2-71312 | C1293903
SCT | 261039008 | Valsalva maneuver | R-40928 | C0042293

## CID 3335 ECG Annotations

This Context Group comprises the nomenclature of ISO/IEEE 11073-10102, limited to the hierarchies under Reference IDs MDC_ECG_WAVEC, MDC_ECG_WAVEP, MDC_ECG_BEAT, and MDC_ECG_NOISE.

The base terms from those hierarchies are included in the table below for reference. Note that these base terms are pre-coordinated with a variety of concept discriminators, and the code values for those pre-coordinated terms are arithmetically derived from the code values of the base terms. For the complete current list of terms and discriminator values, see the ISO/IEEE Standard. All pre-coordinated terms (annotation plus discriminators) within the identified hierarchies are part of this Context Group.

### Note

1. This Context Group is used in the Concept Name Code Sequence of the Waveform Annotation Sequence (0040,B020). See PS3.3.

2. A prior version of this context group used codes from the SCP-ECG coding system.

3. Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10102 available through http://standards.ieee.org/.

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Table CID 3335. ECG Annotations

Coding Scheme Designator | Code Value | Code Meaning | ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)
--- | --- | --- | ---
MDC | 10:256 | P wave | MDC_ECG_WAVC_PWAVE
MDC | 10:320 | P' wave (second deflection in P wave) | MDC_ECG_WAVC_PPWAVE
MDC | 10:384 | P'' wave (third deflection in P wave) | MDC_ECG_WAVC_PPPWAVE
MDC | 10:448 | Q wave | MDC_ECG_WAVC_QWAVE
MDC | 10:512 | QS wave | MDC_ECG_WAVC_QSWAVE
MDC | 10:576 | R wave | MDC_ECG_WAVC_RWAVE
MDC | 10:640 | R' wave (second deflection in R Wave) | MDC_ECG_WAVC_RRWAVE
MDC | 10:704 | R'' wave (third deflection in R Wave) | MDC_ECG_WAVC_RRRWAVE
MDC | 10:768 | Notch | MDC_ECG_WAVC_NOTCH
MDC | 10:832 | S wave | MDC_ECG_WAVC_SWAVE
MDC | 10:896 | S' wave (second deflection in S Wave) | MDC_ECG_WAVC_SSWAVE
MDC | 10:960 | S'' wave (third deflection in S Wave) | MDC_ECG_WAVC_SSSWAVE
MDC | 10:1024 | T wave | MDC_ECG_WAVC_TWAVE
MDC | 10:1088 | T' wave (second deflection in T Wave) | MDC_ECG_WAVC_TTWAVE
MDC | 10:1152 | U wave | MDC_ECG_WAVC_UWAVE
MDC | 10:1216 | Delta wave | MDC_ECG_WAVC_DELTA
MDC | 10:1280 | Isoelectric region from global QRS onset to specific lead onset | MDC_ECG_WAVC_IWAVE
MDC | 10:1344 | Isoelectric region from specific lead QRS Offset to global offset | MDC_ECG_WAVC_KWAVE
MDC | 10:1408 | Osborne wave | MDC_ECG_WAVC_JWAVE
MDC | 10:1472 | Entire Beat (Pon to Toff, excluding U) | MDC_ECG_WAVC_PQRSTWAVE
MDC | 10:1536 | Entire Beat (Qon to Toff, excluding P and U) | MDC_ECG_WAVC_QRSTWAVE
MDC | 10:1600 | Entire QRS (excluding P, T and U) | MDC_ECG_WAVC_QRSWAVE
MDC | 10:1664 | TU fused wave | MDC_ECG_WAVC_TUWAVE
MDC | 10:1728 | Ventricular flutter wave | MDC_ECG_WAVC_VFLWAVE
MDC | 10:1792 | Atrial flutter wave | MDC_ECG_WAVC_AFLWAVE
MDC | 10:1856 | Isoelectric point or segment | MDC_ECG_WAVC_ISO
MDC | 10:1920 | PR Segment | MDC_ECG_WAVC_PRSEG
MDC | 10:1984 | ST Segment | MDC_ECG_WAVC_STSEG
MDC | 10:2048 | J-point | MDC_ECG_WAVC_STJ
MDC | 10:2112 | ST measurement point | MDC_ECG_WAVC_STM
MDC | 10:2176 | Isolated QRS-like artifact | MDC_ECG_WAVC_ARFCT
MDC | 10:2240 | Calibration pulse (individual pulse) | MDC_ECG_WAVC_CALP
MDC | 10:2304 | ST change | MDC_ECG_WAVC_STCH
MDC | 10:2368 | T-wave change | MDC_ECG_WAVC_TCH
MDC | 10:2432 | Ventricular Activation Time | MDC_ECG_WAVC_VAT
MDC | 10:4096 | Antibradycardia pace spike | MDC_ECG_WAVP_PACE
MDC | 10:4352 | atrium Antibradycardia pace spike | MDC_ECG_WAVP_PACE_ATR
MDC | 10:4608 | right atrium Antibradycardia pace spike | MDC_ECG_WAVP_PACE_ATR_R
MDC | 10:4864 | left atrium Antibradycardia pace spike | MDC_ECG_WAVP_PACE_ATR_L
MDC | 10:5120 | ventricular Antibradycardia pace spike | MDC_ECG_WAVP_PACE_V
MDC | 10:5376 | right ventricle Antibradycardia pace spike | MDC_ECG_WAVP_PACE_V_R
MDC | 10:5632 | left ventricle Antibradycardia pace spike | MDC_ECG_WAVP_PACE_V_L
MDC | 10:5888 | transthoracic Antibradycardia pace spike | MDC_ECG_WAVP_PACE_EXT
MDC | 10:6144 | Antitachycardia pace spike | MDC_ECG_WAVP_ATPACE
MDC | 10:6400 | atrium Antitachycardia pace spike | MDC_ECG_WAVP_ATPACE_ATR
MDC | 10:6656 | ventricle Antitachycardia pace spike | MDC_ECG_WAVP_ATPACE_V
MDC | 10:6912 | transthoracic Antitachycardia pace spike | MDC_ECG_WAVP_ATPACE_EXT
MDC | 10:7168 | Cardioversion spike | MDC_ECG_WAVP_CDVS
MDC | 10:7424 | atrium Cardioversion spike | MDC_ECG_WAVP_CDVS_ATR
MDC | 10:7680 | ventricle Cardioversion spike | MDC_ECG_WAVP_CDVS_V
MDC | 10:7936 | transthoracic Cardioversion spike | MDC_ECG_WAVP_CDVS_EXT
MDC | 10:8192 | Defibrillation spike | MDC_ECG_WAVP_DEFIB
MDC | 10:8448 | atrium Defibrillation spike | MDC_ECG_WAVP_DEFIB_ATR
MDC | 10:8704 | ventricle Defibrillation spike | MDC_ECG_WAVP_DEFIB_V
MDC | 10:8960 | transthoracic Defibrillation spike | MDC_ECG_WAVP_DEFIB_EXT
MDC | 10:8192 | Heart beat | MDC_ECG_BEAT
MDC | 10:8208 | Normal beat (sinus beat, normal conduction) | MDC_ECG_BEAT_NORMAL
MDC | 10:8224 | Abnormal beat | MDC_ECG_BEAT_ABNORMAL
MDC | 10:8240 | Dominant beat | MDC_ECG_BEAT_DOMINANT
MDC | 10:8256 | Supraventricular premature contraction | MDC_ECG_BEAT_SV_P_C
MDC | 10:8272 | Atrial premature contraction (beat) | MDC_ECG_BEAT_ATR_P_C
MDC | 10:8288 | Junctional (nodal) premature contraction | MDC_ECG_BEAT_JUNC_P_C
MDC | 10:8304 | Aberrated atrial premature beat (Ashman beat) | MDC_ECG_BEAT_ATR_P_C_ABERR
MDC | 10:8320 | Non-conducted p-wave (blocked) | MDC_ECG_BEAT_ATR_PWAVE_BLK
MDC | 10:8336 | Ventricular premature contraction beat | MDC_ECG_BEAT_V_P_C
MDC | 10:8352 | Fusion of ventricular and normal beat | MDC_ECG_BEAT_V_P_C_FUSION
MDC | 10:8368 | R-on-T premature ventricular beat | MDC_ECG_BEAT_V_P_C_RonT
MDC | 10:8384 | Supraventricular escape beat | MDC_ECG_BEAT_SV_ESC
MDC | 10:8400 | Atrial escape beat | MDC_ECG_BEAT_ATR_ESC
MDC | 10:8416 | Junctional (nodal) escape beat | MDC_ECG_BEAT_JUNC_ESC
MDC | 10:8432 | Ventricular escape beat | MDC_ECG_BEAT_V_ESC
MDC | 10:8448 | Bundle branch block beat | MDC_ECG_BEAT_BB_BLK
MDC | 10:8464 | Left bundle branch block beat | MDC_ECG_BEAT_LBB_BLK_COMP
MDC | 10:8480 | Incomplete left bundle branch block beat | MDC_ECG_BEAT_LBB_BLK_INCOMP
MDC | 10:8496 | Right bundle branch block beat | MDC_ECG_BEAT_RBB_BLK_COMP
MDC | 10:8512 | Incomplete right bundle branch block beat | MDC_ECG_BEAT_RBB_BLK_INCOMP
MDC | 10:8528 | Left anterior fascicular block beat | MDC_ECG_BEAT_BLK_ANT_L_HEMI
MDC | 10:8544 | Left posterior fascicular block beat | MDC_ECG_BEAT_BLK_POS_L_HEMI
MDC | 10:8560 | bifascicular block beat | MDC_ECG_BEAT_BLK_BIFASC
MDC | 10:8576 | trifascicular block beat | MDC_ECG_BEAT_BLK_TRIFASC
MDC | 10:8592 | bilateral bundle-branch block beat | MDC_ECG_BEAT_BLK_BILAT
MDC | 10:8608 | intraventricular conduction disturbance | MDC_ECG_BEAT_BLK_IVCD
MDC | 10:8624 | pre-excitation | MDC_ECG_BEAT_PREX
MDC | 10:8640 | Wolf-Parkinson-White syndrome | MDC_ECG_BEAT_WPW_UNK
MDC | 10:8656 | Wolf-Parkinson type A | MDC_ECG_BEAT_WPW_A
MDC | 10:8672 | Wolf-Parkinson type B | MDC_ECG_BEAT_WPW_B
MDC | 10:8688 | Lown-Ganong-Levine syndrome | MDC_ECG_BEAT_LGL
MDC | 10:8704 | Paced beat | MDC_ECG_BEAT_PACED
MDC | 10:8720 | Pacemaker Fusion beat | MDC_ECG_BEAT_PACED_FUS
MDC | 10:8736 | Unclassifiable beat | MDC_ECG_BEAT_UNKNOWN
MDC | 10:8752 | Pacemaker Learning beat | MDC_ECG_BEAT_LEARN
MDC | 10:11200 | No Noise | MDC_ECG_NOISE_CLEAN
MDC | 10:11216 | Moderate Noise, beats can be detected but cannot be classified | MDC_ECG_NOISE_MODERATE
MDC | 10:11232 | Severe Noise, beats cannot be detected or classified | MDC_ECG_NOISE_SEVERE
MDC | 10:11248 | No ECG signal is available | MDC_ECG_NOISE_NOSIGNAL

### Note

In a prior version of this table, the code 10:608 was specified for the concept R wave.

## CID 3337 Hemodynamic Annotations

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Table CID 3337. Hemodynamic Annotations

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 109014 | 35% of thermal/dye dilution CO |  |
DCM | 109015 | 70% of thermal/dye dilution CO |  |
DCM | 109016 | A wave peak pressure |  |
DCM | 109017 | A wave pressure, average |  |
DCM | 109018 | Beat detected (accepted) |  |
DCM | 109019 | Beat detected (rejected) |  |
SCT | 314453003 | Average diastolic blood pressure | F-00E22 | C1282163
SCT | 314451001 | Minimum diastolic blood pressure | F-00E1F | C1282161
SCT | 416190007 | End diastole | R-FAB5C | C1562146
DCM | 109023 | End of expiration |  |
DCM | 109024 | End of inspiration |  |
DCM | 109070 | End of systole |  |
DCM | 109071 | Indicator mean transit time |  |
DCM | 109025 | Max dp/dt |  |
DCM | 109026 | Max neg dp/dt |  |
SCT | 6797001 | Mean blood pressure | F-31150 | C0428886
DCM | 109028 | Peak of thermal cardiac output bolus |  |
DCM | 109029 | Start of expiration |  |
DCM | 109030 | Start of inspiration |  |
DCM | 109031 | Start of thermal CO |  |
SCT | 314440001 | Average systolic blood pressure | F-00E14 | C1282151
SCT | 314439003 | Maximum systolic blood pressure | F-00E11 | C1282150
DCM | 109072 | Tau |  |
DCM | 109073 | V max myocardial |  |
DCM | 109034 | V wave peak pressure |  |
DCM | 109035 | V wave pressure, average |  |
DCM | 109036 | Valve close |  |
DCM | 109037 | Valve open |  |

## CID 3339 Electrophysiology Annotations

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Table CID 3339. Electrophysiology Annotations

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 109038 | Ablation off
DCM | 109039 | Ablation on
DCM | 109040 | HIS bundle wave
DCM | 109041 | P wave
DCM | 109042 | Q wave
DCM | 109043 | R wave
DCM | 109044 | S wave
DCM | 109045 | Start of atrial contraction
DCM | 109046 | Start of atrial contraction (subsequent)
DCM | 109047 | Stimulation at rate 1 interval
DCM | 109048 | Stimulation at rate 2 interval
DCM | 109049 | Stimulation at rate 3 interval
DCM | 109050 | Stimulation at rate 4 interval
DCM | 109051 | T wave
DCM | 109052 | V wave
DCM | 109053 | V wave of next beat

## CID 3400 Procedure Log Titles

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Table CID 3400. Procedure Log Titles

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 121120 | Cath Lab Procedure Log

## CID 3401 Types of Log Notes

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Table CID 3401. Types of Log Notes

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 121171 | Tech Note
DCM | 121172 | Nursing Note
DCM | 121173 | Physician Note
DCM | 121174 | Procedure Note
DCM | 121123 | Patient Status or Event

## CID 3402 Patient Status and Events

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Table CID 3402. Patient Status and Events

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122001 | Patient called to procedure room
DCM | 122002 | Patient admitted to procedure room
DCM | 122003 | Patient given pre-procedure instruction
DCM | 122004 | Patient informed consent given
DCM | 122005 | Patient advance directive given
DCM | 122006 | Nil Per Os (NPO) status confirmed
DCM | 122007 | Patient assisted to table
DCM | 122008 | Patient prepped and draped
DCM | 122009 | Patient connected to continuous monitoring
DCM | 122010 | Patient transferred to holding area
DCM | 122011 | Patient transferred to surgery
DCM | 122012 | Patient transferred to CCU
DCM | 122020 | Patient disoriented
DCM | 122021 | Patient reports nausea
DCM | 122022 | Patient reports discomfort
DCM | 122023 | Patient reports chest pain
DCM | 122024 | Patient reports no pain
DCM | 122025 | Patient alert
DCM | 122026 | Patient restless
DCM | 122027 | Patient sedated
DCM | 122028 | Patient asleep
DCM | 122029 | Patient unresponsive
DCM | 122030 | Patient has respiratory difficulty
DCM | 122031 | Patient coughed
DCM | 122032 | Patient disconnected from continuous monitoring
DCM | 122033 | Hemostasis achieved
DCM | 122034 | Hemostasis not achieved - oozing
DCM | 122035 | Hemostasis not achieved - actively bleeding
DCM | 122036 | Patient given post-procedure instruction
DCM | 122038 | Patient pronounced dead
DCM | 122039 | Patient transferred to morgue
DCM | 122037 | Patient discharged from department

## CID 3403 Percutaneous Entry

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Table CID 3403. Percutaneous Entry

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 3746 “Percutaneous Entry Site”
Include CID 3747 “Percutaneous Closure”

## CID 3404 Staff Actions

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Table CID 3404. Staff Actions

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122041 | Personnel Arrived
DCM | 122042 | Personnel Departed
DCM | 122043 | Page Sent To
DCM | 122044 | Consultation With
DCM | 122045 | Office called

## CID 3405 Procedure Action Values

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  1.2.840.10008.6.1.70

Table CID 3405. Procedure Action Values

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 6832004 | Atherectomy | P1-30350 | C0162513
SCT | 65659003 | Atherectomy by rotary cutter | P1-30351 | C0162655
SCT | 76611008 | Atherectomy by laser | P1-30352 | C0521229
SCT | 57238002 | Selective embolization of artery | P1-30530 | C0189632
SCT | 68457009 | Percutaneous transluminal balloon angioplasty | P5-31500 | C0411287
SCT | 16736007 | Transcatheter therapy for embolization | P5-39010 | C0203006
SCT | 240946003 | Percutaneous removal of intravascular foreign body | P0-05AFA | C0411305
SCT | 103716009 | Stent placement | P1-05550 | C0522776
SCT | 105372003 | Transcatheter deployment of detachable balloon | P5-39015 | C0524313
SCT | 105373008 | Percutaneous insertion of intravascular filter | P5-39191 | C0524314
Include CID 3250 “Catheterization Procedure Phase” |  |
Include CID 3406 “Non-coronary Transcatheter Interventions” |  |
Include CID 3428 “Imaging Procedures” |  |

## CID 3406 Non-coronary Transcatheter Interventions

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Table CID 3406. Non-coronary Transcatheter Interventions

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122053 | Valvular Intervention
DCM | 122054 | Aortic Intervention
DCM | 122055 | Septal Defect Intervention
DCM | 122056 | Vascular Intervention
DCM | 122057 | Myocardial biopsy

## CID 3407 Purpose of Reference to Object

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Table CID 3407. Purpose of Reference to Object

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122072 | Pre-procedure log
DCM | 122073 | Analysis or measurements for current procedure
DCM | 122075 | Prior report for current patient

## CID 3408 Actions With Consumables

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Table CID 3408. Actions With Consumables

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122076 | Consumable taken from inventory
DCM | 122077 | Consumable returned to inventory
DCM | 122078 | Remaining consumable disposed
DCM | 122079 | Consumable unusable

## CID 3409 Administration of Drugs/Contrast

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Table CID 3409. Administration of Drugs/Contrast

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122081 | Drug start
DCM | 122082 | Drug end
DCM | 122083 | Drug administered
DCM | 122084 | Contrast start
DCM | 122085 | Contrast end
DCM | 122086 | Contrast administered
DCM | 122087 | Infusate start
DCM | 122088 | Infusate end

## CID 3410 Numeric Parameters of Drugs/Contrast

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  20070124

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  1.2.840.10008.6.1.75

Table CID 3410. Numeric Parameters of Drugs/Contrast

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122091 | Volume administered
DCM | 122092 | Undiluted dose administered
DCM | 122093 | Concentration
DCM | 122094 | Rate of administration
DCM | 122095 | Duration of administration
DCM | 122096 | Volume unadministered or discarded
DCM | 121382 | Quantity administered
DCM | 121383 | Mass administered

## CID 3411 Intracoronary Devices

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Table CID 3411. Intracoronary Devices

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | NCDR Equivalent | Trade Name (Informative)
--- | --- | --- | --- | --- | --- | ---
SCT | 102319006 | Percutaneous Transluminal Angioplasty Balloon | A-26912 | C0522648 | 113-1 |
SCT | 371794009 | Cutting Balloon Angioplasty (CBA) Device | R-002F0 | C1269809 | 113-2 |
SCT | 65818007 | Stent | A-25500 | C0038257 | 113-3 |
SCT | 371796006 | Directional Coronary Atherectomy (DCA) Device | R-002FD | C1269811 | 113-4 |
SCT | 102313007 | Rotational Atherectomy Device | A-25610 | C0522643 | 113-5 | Rotablator™
SCT | 371797002 | Saline Thrombectomy | R-0036F | C1299427 | 113-6 | AngioJet™
SCT | 21870002 | Transluminal Extraction Catheter (TEC) | A-26920 | C0521199 | 113-7 |
SCT | 38586004 | Laser | A-81080 | C0458142 | 113-8 |
SCT | 371795005 | Intravascular Ultrasound (IVUS) Device | R-00312 | C1269810 | 113-9 |
SCT | 371788001 | Intracoronary Doppler guide wire | R-00310 | C1269808 | 113-10 | Flowire™
SCT | 371789009 | Intracoronary pressure guide wire | R-00311 | C1299422 | 113-11 |
SCT | 228748004 | Brachytherapy Device | A-040ED | C0454156 |  |
SCT | 371791001 | Radiofrequency Ablation Device | R-00361 | C1299424 |  |
SCT | 445282004 | Intravascular Optical Coherence Tomography Device | A-00D87 | C2919367 |  |
SCT | 272224001 | Guide Wire | A-00927 | C0181089 |  |
SCT | 102317008 | Guiding Catheter | A-26802 | C0221799 |  |

## CID 3412 Intervention Actions and Status

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Table CID 3412. Intervention Actions and Status

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122301 | Guidewire crossing lesion unsuccessful
DCM | 122302 | Guidewire crossing lesion successful
DCM | 122303 | Angioplasty balloon inflated
DCM | 122304 | Angioplasty balloon deflated
DCM | 122305 | Device deployed
DCM | 122306 | Stent re-expanded
DCM | 122307 | Object removed
DCM | 122308 | Radiation applied
DCM | 122309 | Radiation removed
DCM | 122310 | Interventional device placement unsuccessful
DCM | 122311 | Interventional device placed
DCM | 122312 | Intervention performed
DCM | 122313 | Interventional device withdrawn

## CID 3413 Adverse Outcomes

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Table CID 3413. Adverse Outcomes

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122167 | Death During Catheterization
Include CID 3754 “Vascular Complications”
Include CID 3755 “Cath Complications”

## CID 3414 Procedure Urgency

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Table CID 3414. Procedure Urgency

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | NCDR Equivalents
--- | --- | --- | --- | --- | ---
SCT | 103390000 | Elective Procedure | G-D210 | C0439608 | 21-1, 78-1, 92-1
SCT | 103391001 | Urgent Procedure | G-D216 | C0439609 | 21-2, 78-2, 92-2
SCT | 25876001 | Emergent Procedure | G-D209 | C0175673 | 21-3, 78-3, 92-3
SCT | 257950002 | Salvage Procedure | R-41C8D | C0442967 | 21-4, 78-4, 92-4

## CID 3415 Cardiac Rhythms

This Context Group comprises the ECG rhythm annotations of ISO/IEEE 11073-10102. The terms included in the table below may not constitute the complete list; see the ISO/IEEE Standard.

### Note

Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10102 available through http://standards.ieee.org/.

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Table CID 3415. Cardiac Rhythms

Coding Scheme Designator | Code Value | Code Meaning | ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)
--- | --- | --- | ---
MDC | 10:9216 | Sinus Rhythm | MDC_ECG_RHY_SINUS_RHY
MDC | 10:9232 | Normal Sinus Rhythm | MDC_ECG_RHY_SINUS_NORMAL_RHY
MDC | 10:9248 | Sinus Bradycardia | MDC_ECG_RHY_SINUS_BRADY
MDC | 10:9264 | Sinus Tachycardia | MDC_ECG_RHY_SINUS_TACHY
MDC | 10:9280 | Sinus Arrhythmia | MDC_ECG_RHY_SINUS_ARRHY
MDC | 10:9296 | Respiratory Sinus Arrhythmia | MDC_ECG_RHY_RESP_ARRHY
MDC | 10:9312 | Non-Respiratory Sinus Arrhythmia | MDC_ECG_RHY_NON_RESP_ARRHY
MDC | 10:9328 | Wandering Sinus Pacemaker within the sinus node | MDC_ECG_RHY_WANDP_ARRHY
MDC | 10:9344 | Wandering Pacemaker between the sinus node and the A-V node | MDC_ECG_RHY_WANDPAV_ARRHY
MDC | 10:9360 | Atrial Ectopic Rhythm | MDC_ECG_RHY_ATR_ECT_RHY
MDC | 10:9376 | Atrial Bigeminy | MDC_ECG_RHY_ATR_BIGEM
MDC | 10:9392 | Atrial Tachycardia | MDC_ECG_RHY_ATR_TACHY
MDC | 10:9408 | Paroxsysmal Atrial Tachycardia | MDC_ECG_RHY_ATR_TACHY_PAROX
MDC | 10:9424 | Multifocal Atrial Tachycardia | MDC_ECG_RHY_ATR_TACHY_MF
MDC | 10:9440 | Automatic Atrial Tachycardia | MDC_ECG_RHY_ATR_TACHY_AUTO
MDC | 10:9456 | Atrial flutter | MDC_ECG_RHY_ATR_FLUT
MDC | 10:9472 | Atrial fibrillation | MDC_ECG_RHY_ATR_FIB
MDC | 10:9488 | Supraventricular (atrial or junctional) Ectopic Rhythm | MDC_ECG_RHY_SV_ECT_RHY
MDC | 10:9504 | Supraventricular Tachycardia (atrial or junctional) | MDC_ECG_RHY_SV_TACHY
MDC | 10:9520 | Supraventricular Paroxsysmal Tachycardia | MDC_ECG_RHY_SV_TACHY_PAROX
MDC | 10:9536 | AV junctional (nodal) rhythm | MDC_ECG_RHY_JUNC_RHY
MDC | 10:9552 | AV junctional (nodal) escape rhythm | MDC_ECG_RHY_JUNC_ESC_BEATS
MDC | 10:9568 | Accelerated AV junctional (nodal) rhythm | MDC_ECG_RHY_JUNC_ACCEL
MDC | 10:9584 | Junctional Tachycardia | MDC_ECG_RHY_JUNC_TACHY
MDC | 10:9600 | AV reciprocating tachycardia | MDC_ECG_RHY_AV_TACHY_RECIP
MDC | 10:9616 | Reentrant AV nodal tachycardia | MDC_ECG_RHY_AV_TACHY_REENTRANT
MDC | 10:9632 | First Degree AV Block | MDC_ECG_RHY_AV_HEART_BLK_DEG_1
MDC | 10:9648 | Second Degree AV Block | MDC_ECG_RHY_AV_HEART_BLK_DEG_2
MDC | 10:9664 | Second Degree AV Block Type I (Wenckebach, or Mobitz Type I) | MDC_ECG_RHY_AV_HEART_BLK_DEG_2_I
MDC | 10:9680 | Second Degree AV Block Type II (Mobitz Type II) | MDC_ECG_RHY_AV_HEART_BLK_DEG_2_II
MDC | 10:9696 | Third Degree AV Block (complete AV block) | MDC_ECG_RHY_AV_HEART_BLK_DEG_3
MDC | 10:9712 | AV Dissociation | MDC_ECG_RHY_AV_DISSOC
MDC | 10:9728 | AV dissociation with interference | MDC_ECG_RHY_AV_DISSOC_INT
MDC | 10:9744 | Isorhythmic AV dissociation | MDC_ECG_RHY_AV_DISSOC_ISO
MDC | 10:9760 | Complete AV dissociation | MDC_ECG_RHY_AV_DISSOC_COMP
MDC | 10:9776 | First Degree SA Block | MDC_ECG_RHY_SA_HEART_BLK_DEG_1
MDC | 10:9792 | Second Degree SA Block Type I (Wenckebach) | MDC_ECG_RHY_SA_HEART_BLK_DEG_2_I
MDC | 10:9808 | Second Degree SA Block Type II | MDC_ECG_RHY_SA_HEART_BLK_DEG_2_II
MDC | 10:9824 | Third Degree SA Block (complete SA block) | MDC_ECG_RHY_SA_HEART_BLK_DEG_3
MDC | 10:9840 | Ventricular rhythm | MDC_ECG_RHY_V_RHY
MDC | 10:9856 | Idioventricular (ventricular escape) rhythm | MDC_ECG_RHY_V_IDIO_RHY
MDC | 10:9872 | Ventricular Parasystole | MDC_ECG_RHY_V_PARA
MDC | 10:9888 | Accelerated idioventricular rhythm | MDC_ECG_RHY_V_AIVR
MDC | 10:9904 | Slow Ventricular Tachycardia (Idioventricular Tachycardia) | MDC_ECG_RHY_V_IDIO_TACHY
MDC | 10:9920 | Ventricular Bigeminy | MDC_ECG_RHY_V_BIGEM
MDC | 10:9936 | Ventricular Trigeminy | MDC_ECG_RHY_V_TRIGEM
MDC | 10:9952 | Ventricular Couplet | MDC_ECG_RHY_V_P_C_CPLT
MDC | 10:9968 | Ventricular Run | MDC_ECG_RHY_V_P_C_RUN
MDC | 10:9984 | Ventricular Tachycardia (nonparoxysmal) | MDC_ECG_RHY_V_TACHY
MDC | 10:10000 | Ventricular Flutter | MDC_ECG_RHY_V_FLUT
MDC | 10:10016 | Ventricular Fibrillation | MDC_ECG_RHY_V_FIB
MDC | 10:10032 | Nonsustained Ventricular Tachycardia (paroxysmal) | MDC_ECG_RHY_V_TACHY_PAROX
MDC | 10:10048 | Sustained Monomorphic Ventricular Tachycardia | MDC_ECG_RHY_V_TACHY_MONO
MDC | 10:10064 | Polymorphic Ventricular Tachycardia | MDC_ECG_RHY_V_TACHY_POLY
MDC | 10:10080 | Torsades de Pointes Ventricular Tachycardia | MDC_ECG_RHY_V_TACHY_TDP
MDC | 10:10096 | pre-excitation | MDC_ECG_RHY_PREX
MDC | 10:10112 | Wolf-Parkinson-White syndrome | MDC_ECG_RHY_WPW_UNK
MDC | 10:10128 | Wolf-Parkinson type A | MDC_ECG_RHY_WPW_A
MDC | 10:10144 | Wolf-Parkinson type B | MDC_ECG_RHY_WPW_B
MDC | 10:10160 | Lown-Ganong-Levine syndrome | MDC_ECG_RHY_LGL
MDC | 10:10336 | Asystole | MDC_ECG_RHY_ASYSTOLE
MDC | 10:10352 | Irregular rhythm | MDC_ECG_RHY_IRREG
MDC | 10:10368 | Low Heart Rate Variability | MDC_ECG_RHY_LHRV
MDC | 10:10416 | T-wave alternans | MDC_ECG_RHY_TALT
MDC | 10:10432 | Bradycardia | MDC_ECG_RHY_BRADY
MDC | 10:10448 | Calibration signal (sustained) | MDC_ECG_RHY_CALS
MDC | 10:10176 | Atrial Demand Mode Pacing | MDC_ECG_RHY_EPADM
MDC | 10:10240 | Ventricular Demand Mode Pacing | MDC_ECG_RHY_EPVDM
MDC | 10:10304 | Anti-Tachycardia Pacing | MDC_ECG_RHY_EPAVT

### Note

A prior version of this context group used codes from the SCP-ECG vocabulary.

## CID 3416 Respiration Rhythms

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Table CID 3416. Respiration Rhythms

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 5467003 | normal respiratory rhythm | F-21301 | C0231843
SCT | 248585001 | irregular breathing | F-21303 | C0425492
SCT | 23141003 | gasping respiration | F-20130 | C0425449
SCT | 248584002 | abnormal respiratory rhythm | F-21334 | C0425491
SCT | 271824009 | respiration intermittent | F-21331 | C1313952

## CID 3418 Lesion Risk

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  1.2.840.10008.6.1.82

Table CID 3418. Lesion Risk

Coding Scheme Designator | Coding Scheme Version | Code Value | Code Meaning
--- | --- | --- | ---
NCDR | 2.0b | 111-1 | Low Risk Lesion
NCDR | 2.0b | 111-2 | Moderate Risk Lesion
NCDR | 2.0b | 111-3 | High Risk Lesion

## CID 3419 Findings Titles

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  1.2.840.10008.6.1.83

Table CID 3419. Findings Titles

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 121071 | Finding
DCM | 121073 | Impression
DCM | 121075 | Recommendation

## CID 3421 Procedure Action

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  1.2.840.10008.6.1.84

Table CID 3421. Procedure Action

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 121130 | Start Procedure Action
DCM | 121131 | End Procedure Action
DCM | 121132 | Suspend Procedure Action
DCM | 121133 | Resume Procedure Action

## CID 3422 Device Use Actions

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  1.2.840.10008.6.1.85

Table CID 3422. Device Use Actions

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 371877003 | Device inserted into sheath | R-002F8 | C1299350
SCT | 371876007 | Device at site of interest | R-002F7 | C1299349
SCT | 371875006 | Device withdrawn / removed | R-002FB | C1299348
SCT | 373061006 | Device applied to patient | R-002F6 | C1298903
SCT | 373062004 | Device used | R-002FA | C1298904
SCT | 386125002 | Device crossed septum | R-10042 | C1272581
DCM | 122089 | Device crossed lesion |  |

## CID 3423 Numeric Device Characteristics

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  20160314

UID:

  1.2.840.10008.6.1.86

Table CID 3423. Numeric Device Characteristics

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 410668003 | Length | G-D7FE | C1444754
SCT | 81827009 | Diameter | M-02550 | C1301886
DCM | 122097 | Catheter Curve |  |
DCM | 122098 | Transmit Frequency |  |
SCT | 118565006 | Volume | G-D705 | C0449468
DCM | 121208 | Inter-Marker Distance |  |

## CID 3425 Intervention Parameters

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  1.2.840.10008.6.1.87

Table CID 3425. Intervention Parameters

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 371851006 | Angioplasty Inflation pressure | R-002D0 | C1299326
SCT | 371852004 | Angioplasty Inflation duration | R-002CF | C1299327
SCT | 371854003 | Rotational Atherectomy Speed | R-0036C | C1299329
SCT | 371892002 | Delivered Radiation Dose | R-002F2 | C1299361
SCT | 386131004 | Ablation power | R-10043 | C1272583
SCT | 386132006 | Ablation frequency | R-10044 | C1272584

## CID 3426 Consumables Parameters

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  1.2.840.10008.6.1.88

Table CID 3426. Consumables Parameters

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 121145 | Description of Material
DCM | 121148 | Unit Serial Identifier
DCM | 121149 | Lot Identifier

## CID 3427 Equipment Events

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  20100608

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  1.2.840.10008.6.1.89

Table CID 3427. Equipment Events

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 110501 | Equipment failure
DCM | 122047 | Equipment brought to procedure room
DCM | 122048 | Equipment ready
DCM | 122049 | Equipment removed

## CID 3428 Imaging Procedures

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  20180325

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  1.2.840.10008.6.1.90

Table CID 3428. Imaging Procedures

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 77343006 | Angiography | P5-009A0 | C0002978
SCT | 54640009 | Aortography | P5-32130 | C0003515
SCT | 33367005 | Coronary Arteriography | P5-30100 | C0085532
SCT | 252426003 | Cardiac ventriculography | P5-3003A | C0596683
SCT | 265484009 | Left Ventriculography | P5-30041 | C0412219
SCT | 265483003 | Right Ventriculography | P5-3003F | C0412220
SCT | 252427007 | Bypass graft angiography | P5-30107 | C0430469
DCM | 122058 | Arterial conduit angiography |  |
SCT | 105376000 | Transesophageal echocardiography | P5-B3002 | C0206054
SCT | 433236007 | Transthoracic echocardiography | P5-B3012 | C0430462
SCT | 433232009 | Epicardial echocardiography | P0-05F95 | C0430465
SCT | 241466007 | Intravascular ultrasound | P5-B001D | C0412530
SCT | 252421008 | Intracardiac echocardiography | P5-B3006 | C0430464

### Note

In a prior version of this context group, Transthoracic echocardiography was assigned the code P5-B3003 and Epicardial echocardiography was assigned the code P5-B3004; these codes conflict with other SNOMED code assignments. Receiving applications should be aware of this change, and the possibility of misinterpretation of SOP Instances that may include the deprecated codes; see Annex J.

## CID 3429 Catheterization Devices

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  20190817

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  1.2.840.10008.6.1.91

Table CID 3429. Catheterization Devices

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 129113006 | Intra-Aortic Balloon Pump (IABP) | A-28051 | C0702122
SCT | 371798007 | Fluid filled catheter | R-00306 | C1299428
SCT | 371801001 | Fiberoptic catheter | R-00304 | C1300076
SCT | 371799004 | Hall catheter | R-0030A | C1299429
SCT | 371800000 | Thermistor catheter | R-00379 | C1299430
SCT | 371802008 | Tip manometer | R-00383 | C1299431
SCT | 397755005 | Swann-Ganz catheter | A-1450C | C0179790
SCT | 268461001 | Sheath | F-9B75C | C0419524
SCT | 386124003 | Transseptal catheter | R-10041 | C1272580
DCM | 122052 | Bioptome |  |
Include CID 3411 “Intracoronary Devices” |  |

## CID 3430 DateTime Qualifiers

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  1.2.840.10008.6.1.92

Table CID 3430. DateTime Qualifiers

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 121136 | DateTime Unsynchronized
DCM | 121137 | DateTime Estimated

## CID 3440 Peripheral Pulse Locations

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  20170914

UID:

  1.2.840.10008.6.1.93

Table CID 3440. Peripheral Pulse Locations

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 17137000 | Brachial Artery | T-47160 | C0006087
SCT | 69105007 | Carotid Artery | T-45010 | C0007272
SCT | 86547008 | Dorsalis Pedis Artery | T-47740 | C0226492
SCT | 7657000 | Femoral Artery | T-47400 | C0015801
SCT | 43899006 | Popliteal Artery | T-47500 | C0032649
SCT | 13363002 | Posterior Tibial Artery | T-47600 | C0086835
SCT | 45631007 | Radial Artery | T-47300 | C0162857
SCT | 44984001 | Ulnar Artery | T-47200 | C0162858

## CID 3441 Patient Assessments

Resources:

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Type:

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Version:

  20030327

UID:

  1.2.840.10008.6.1.94

Table CID 3441. Patient Assessments

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
LN | 8884-9 | Cardiac Rhythm |  | C0488795
LN | 9304-7 | Respiration Rhythm |  | C0489261
SCT | 364528001 | Skin condition assessment | F-046D8 | C1286230
SCT | 364062005 | Respiration assessment | F-043E6 | C1285809
SCT | 363871006 | Patient mental state assessment | F-04317 | C0278060

## CID 3442 Peripheral Pulse Methods

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  20030327

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  1.2.840.10008.6.1.95

Table CID 3442. Peripheral Pulse Methods

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 113011001 | Palpation | P2-01510 | C0030247
SCT | 83422003 | Doppler | P1-30022 | C0189575

## CID 3446 Skin Condition

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  1.2.840.10008.6.1.96

Table CID 3446. Skin Condition

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122271 | skin condition Warm
DCM | 122272 | skin condition Cool
DCM | 122273 | skin condition Cold
DCM | 122274 | skin condition Dry
DCM | 122275 | skin condition Clammy
DCM | 122276 | skin condition Diaphoretic
DCM | 122277 | skin condition Flush
DCM | 122278 | skin condition Mottled
DCM | 122279 | skin condition Pale

## CID 3448 Airway Assessment

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  1.2.840.10008.6.1.97

Table CID 3448. Airway Assessment

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122281 | airway unobstructed
DCM | 122282 | airway partially obstructed
DCM | 122283 | airway severely obstructed

## CID 3451 Calibration Objects

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  1.2.840.10008.6.1.98

Table CID 3451. Calibration Objects

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 19923001 | Catheter | A-26800 | C0085590
SCT | 102304005 | Measuring Ruler | A-10141 | C0522637
DCM | 122485 | Sphere |  |

## CID 3452 Calibration Methods

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  1.2.840.10008.6.1.99

Table CID 3452. Calibration Methods

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122486 | Geometric Isocenter
DCM | 122487 | Geometric Non-Isocenter
DCM | 122488 | Calibration Object Used

## CID 3453 Cardiac Volume Methods

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  1.2.840.10008.6.1.100

Table CID 3453. Cardiac Volume Methods

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122558 | Area Length Kennedy
DCM | 122559 | Area Length Dodge
DCM | 122560 | Area Length Wynne
DCM | 122562 | Multiple Slices
DCM | 122563 | Boak
DCM | 122564 | TS Pyramid
DCM | 122565 | Two Chamber
DCM | 122566 | Parallelepiped

## CID 3455 Index Methods

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  1.2.840.10008.6.1.101

Table CID 3455. Index Methods

Coding Scheme Designator | Code Value | Code Meaning | UMLS Concept Unique ID
--- | --- | --- | ---
LN | 8277-6 | BSA | C0487992
DCM | 122572 | BSA^1.219 |

## CID 3456 Sub-segment Methods

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  1.2.840.10008.6.1.102

Table CID 3456. Sub-segment Methods

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122574 | Equidistant method
DCM | 122575 | User selected method

## CID 3458 Contour Realignment

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  1.2.840.10008.6.1.103

Table CID 3458. Contour Realignment

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122475 | Center of Gravity
DCM | 122476 | Long Axis Based
DCM | 122477 | No Realignment

## CID 3460 Circumferential Extent

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  1.2.840.10008.6.1.104

Table CID 3460. Circumferential Extent

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122464 | LAD Region in RAO Projection
DCM | 122465 | RCA Region in RAO Projection

## CID 3461 Regional Extent

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  1.2.840.10008.6.1.105

Table CID 3461. Regional Extent

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122466 | Single LAD Region in RAO Projection
DCM | 122467 | Single RCA Region in RAO Projection
DCM | 122468 | Multiple LAD Region in RAO Projection
DCM | 122469 | Multiple RCA Region in RAO Projection
DCM | 122470 | LAD Region in LAO Projection
DCM | 122471 | RCA Region in LAO Projection
DCM | 122472 | CFX Region in LAO Projection

## CID 3462 Chamber Identification

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  1.2.840.10008.6.1.106

Table CID 3462. Chamber Identification

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 87878005 | Left Ventricle | T-32600 | C0225897
SCT | 53085002 | Right Ventricle | T-32500 | C0225883
SCT | 82471001 | Left Atrium | T-32300 | C0225860
SCT | 73829009 | Right Atrium | T-32200 | C0225844

## CID 3463 Ventricle Identification

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  20080927

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  1.2.840.10008.6.1.786

Table CID 3463. Ventricle Identification

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 87878005 | Left Ventricle | T-32600 | C0225897
SCT | 53085002 | Right Ventricle | T-32500 | C0225883

## CID 3465 QA Reference Methods

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  1.2.840.10008.6.1.107

Table CID 3465. QA Reference Methods

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122489 | Curve Fitted Reference
DCM | 122490 | Interpolated Local Reference
DCM | 122491 | Mean Local Reference

## CID 3466 Plane Identification

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Version:

  20130806

UID:

  1.2.840.10008.6.1.108

Table CID 3466. Plane Identification

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 399356000 | Right Anterior Oblique | R-40985 | C1275852
SCT | 399135007 | Left Anterior Oblique | R-10220 | C1275823
SCT | 399348003 | Antero-posterior | R-10206 | C0442212
SCT | 399173006 | Left Lateral | R-10236 | C0442198
SCT | 408723005 | Cranial LAO | R-101C3 | C1443272
SCT | 408725003 | Cranial RAO | R-101C5 | C1443274
SCT | 408724004 | Caudal LAO | R-101C4 | C1443273
SCT | 408726002 | Caudal RAO | R-101C6 | C1443275

### Note

In a prior version of this Context Group, "right anterior oblique" was assigned the code SRT: R-10218, which in SNOMED is actually "Indirect iris transillumination"; this code has been replaced with the correct code (399356000, SCT, "Right Anterior Oblique").

## CID 3467 Ejection Fraction

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  1.2.840.10008.6.1.109

Table CID 3467. Ejection Fraction

Coding Scheme Designator | Code Value | Code Meaning | UMLS Concept Unique ID
--- | --- | --- | ---
LN | 8808-8 | Left Ventricular Ejection Fraction by Angiography | C0488723
LN | 8815-3 | Right Ventricular Ejection Fraction by Angiography | C0488731
DCM | 122406 | Left Atrial Ejection Fraction by Angiography |

## CID 3468 ED Volume

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Version:

  20110124

UID:

  1.2.840.10008.6.1.110

Table CID 3468. ED Volume

Coding Scheme Designator | Code Value | Code Meaning | UMLS Concept Unique ID
--- | --- | --- | ---
LN | 8821-1 | Left Ventricular ED Volume | C0488738
LN | 8822-9 | Right Ventricular ED Volume | C0488739
DCM | 122407 | Left Atrial ED Volume |

## CID 3469 ES Volume

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  1.2.840.10008.6.1.111

Table CID 3469. ES Volume

Coding Scheme Designator | Code Value | Code Meaning | UMLS Concept Unique ID
--- | --- | --- | ---
LN | 8823-7 | Left Ventricular ES Volume | C0488740
LN | 8824-5 | Right Ventricular ES Volume | C0488741
DCM | 122408 | Left Atrial ES Volume |

## CID 3470 Vessel Lumen Cross-sectional Area Calculation Methods

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  1.2.840.10008.6.1.112

Table CID 3470. Vessel Lumen Cross-sectional Area Calculation Methods

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122473 | Circular method
DCM | 122474 | Densitometric method

## CID 3471 Estimated Volumes

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  1.2.840.10008.6.1.113

Table CID 3471. Estimated Volumes

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 121216 | Volume estimated from single 2D region
DCM | 121218 | Volume estimated from two non-coplanar 2D regions

## CID 3472 Cardiac Contraction Phase

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Version:

  20071031

UID:

  1.2.840.10008.6.1.114

Table CID 3472. Cardiac Contraction Phase

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 111973004 | Systolic | F-32020 | C0039155
SCT | 90892000 | Diastolic | F-32010 | C0012000

## CID 3480 IVUS Procedure Phases

This context group outlines the phases of a catheterization procedure in which measurements are performed.

Resources:

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Type:

  Extensible

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  20040614

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  1.2.840.10008.6.1.115

Table CID 3480. IVUS Procedure Phases

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 128960007 | Cardiac catheterization post-intervention phase | G-7298 | C1292437
SCT | 128958005 | Cardiac catheterization pre-intervention phase | G-7296 | C1292435

## CID 3481 IVUS Distance Measurements

This context group is the set of distance measurements made in an IVUS procedure.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20050110

UID:

  1.2.840.10008.6.1.116

Table CID 3481. IVUS Distance Measurements

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 122330 | EEM Diameter |  |
SCT | 397413000 | Vessel lumen diameter | G-0364 | C1301408
SCT | 408706001 | Stent Diameter | R-101AD | C1443256
DCM | 122331 | Plaque Plus Media Thickness |  |
DCM | 122332 | Lumen Perimeter |  |

## CID 3482 IVUS Area Measurements

This context group is the set of cross-sectional area measurements made in an IVUS procedure.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20040614

UID:

  1.2.840.10008.6.1.117

Table CID 3482. IVUS Area Measurements

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 122333 | EEM Cross-Sectional Area |  |
SCT | 397415007 | Vessel lumen cross-sectional area | G-0366 | C1301410
SCT | 408705002 | Stent Cross-Sectional Area | R-101AF | C1443255
DCM | 122334 | Plaque plus Media Cross-Sectional Area |  |
DCM | 122335 | In-Stent Neointimal Cross-Sectional Area |  |

## CID 3483 IVUS Longitudinal Measurements

This context group is a set of measurements that are made on a longitudinal image. A longitudinal image is a perpendicular cut plane reconstructed from an IVUS pullback multi-frame image.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20050110

UID:

  1.2.840.10008.6.1.118

Table CID 3483. IVUS Longitudinal Measurements

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 408703009 | Stent Length | R-101B0 | C1443253
SCT | 408716009 | Stenotic Lesion Length | R-101BC | C1443266
DCM | 122341 | Calcium Length |  |
DCM | 122364 | Stent Gap |  |

## CID 3484 IVUS Indices and Ratios

This context group is the set of index and ratio calculations made in an IVUS procedure.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20040614

UID:

  1.2.840.10008.6.1.119

Table CID 3484. IVUS Indices and Ratios

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122343 | Lumen Eccentricity Index
DCM | 122344 | Plaque plus Media Eccentricity Index
DCM | 122345 | Remodeling Index
DCM | 122346 | Stent Symmetry Index
DCM | 122347 | Stent Expansion Index
DCM | 122348 | Lumen Shape Index
DCM | 122350 | Lumen Diameter Ratio
DCM | 122351 | Stent Diameter Ratio
DCM | 122352 | EEM Diameter Ratio

## CID 3485 IVUS Volume Measurements

This context group is the set of volume measurements made from an IVUS procedure.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20040614

UID:

  1.2.840.10008.6.1.120

Table CID 3485. IVUS Volume Measurements

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 122371 | EEM Volume |  |
DCM | 122372 | Lumen Volume |  |
SCT | 408704003 | Stent Volume | R-101B2 | C1443254
DCM | 122374 | In-Stent Neointimal Volume |  |
DCM | 122375 | Native Plaque Volume |  |
DCM | 122376 | Total Plaque Volume |  |

## CID 3486 Vascular Measurement Sites

This context group is the set of sites where vascular measurements can be made.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20051103

UID:

  1.2.840.10008.6.1.121

Table CID 3486. Vascular Measurement Sites

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122380 | Proximal Reference
DCM | 122381 | Distal Reference
DCM | 122382 | Site of Lumen Minimum
DCM | 122687 | Site of Lumen Maximum

## CID 3487 Intravascular Volumetric Regions

This context group is the set of regions where intravascular volumetric measurements can be made.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20170413

UID:

  1.2.840.10008.6.1.122

Table CID 3487. Intravascular Volumetric Regions

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 122383 | Stented Region |  |
DCM | 122384 | Entire Pullback |  |
DCM | 122385 | Proximal Stent Margin |  |
DCM | 122386 | Distal Stent Margin |  |
SCT | 49755003 | Morphologically Abnormal Structure | M-01000 | C0332447
SCT | 52988006 | Lesion | M-01100 | C0221198
SCT | 371895000 | Culprit Lesion | R-002EF | C1299364

### Note

(49755003, SCT, "Morphologically Abnormal Structure") was previously described with a Code Meaning of "Lesion", but that synonym has been retired as "inappropriate" in SNOMED. The Code Meaning has been replaced with the preferred SNOMED term, and the separate concept (52988006, SCT, "Lesion") added.

## CID 3488 Min/Max/Mean

This context group contains modifiers that indicate whether the measurement is a minimum, maximum or averaged value.

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  Extensible

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  20040614

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  1.2.840.10008.6.1.123

Table CID 3488. Min/Max/Mean

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 56851009 | Maximum | G-A437 | C0205289
SCT | 255605001 | Minimum | R-404FB | C0547040
SCT | 373098007 | Mean | R-00317 | C1298794

## CID 3489 Calcium Distribution

This context group is a set of modifiers specifying the distribution of a calcium deposit in an arc of calcium measurement.

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  Extensible

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  20040614

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  1.2.840.10008.6.1.124

Table CID 3489. Calcium Distribution

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 26283006 | Superficial | G-A139 | C0205124
SCT | 795002 | Deep | G-A140 | C0205125

## CID 3491 IVUS Lesion Morphologies

This context group is a set of qualitative assessments for lesion morphology.

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  Extensible

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  20040614

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  1.2.840.10008.6.1.125

Table CID 3491. IVUS Lesion Morphologies

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 3495 “IVUS Plaque Composition” |  |
DCM | 122356 | Soft plaque |  |
DCM | 122357 | In-Stent Neointima |  |
SCT | 233981004 | Arterial (True) Aneurysm | D3-80027 | C0340613
SCT | 22036004 | Pseudo Aneurysm | M-32390 | C1510412
DCM | 122361 | False Lumen |  |
SCT | 255465008 | Concentric | R-4047B | C0439744
SCT | 255380003 | Eccentric | R-40416 | C0439740
SCT | 62189002 | Plaque Ulceration | M-52103 | C0333481
DCM | 122363 | Plaque Rupture |  |
DCM | 122389 | Vulnerable Plaque |  |
DCM | 122390 | Eroded Plaque |  |

## CID 3492 Vascular Dissection Classifications

This context group is a set of dissection classifications commonly detected with IVUS or CT/MR angiography.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20180325

UID:

  1.2.840.10008.6.1.126

Table CID 3492. Vascular Dissection Classifications

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 122399 | Medial Dissection |  |
DCM | 122398 | Intimal Dissection |  |
DCM | 122397 | Adventitial Dissection |  |
SCT | 54493002 | Intramural hematoma | M-35063 | C0333200
DCM | 122388 | Intra-stent Dissection |  |

## CID 3493 IVUS Relative Stenosis Severities

This context group is a set of stenosis severity classifications for multiple lesions within a segment. There will always be a worst stenosis (T-1), the stenosis with the smallest lumen size.

There can be multiple secondary stenoses (T-2, T-3, etc.), which are lesions meeting the definition of a stenosis, but with lumen sizes larger than the worst stenosis. Reference "American College of Cardiology Clinical Expert Consensus Document on Standards for Acquisition, Measurement and Reporting of Intravascular Ultrasound Studies (IVUS) ".

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  1.2.840.10008.6.1.127

Table CID 3493. IVUS Relative Stenosis Severities

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122367 | T-1 Worst
DCM | 122368 | T-2 Secondary
DCM | 122369 | T-3 Secondary
DCM | 122370 | T-4 Secondary

## CID 3494 IVUS Non Morphological Findings

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  1.2.840.10008.6.1.128

Table CID 3494. IVUS Non Morphological Findings

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 122360 | True Lumen |  |
SCT | 408707005 | Arterial Blood Stasis | R-101B3 | C1443257
SCT | 408709008 | Incomplete Stent apposition | R-101B5 | C1443259
SCT | 408710003 | Acquired Incomplete stent apposition | R-101B6 | C1443260

## CID 3495 IVUS Plaque Composition

This context group is a set of qualitative assessments defining the composition of plaque.

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  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

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  20040614

UID:

  1.2.840.10008.6.1.129

Table CID 3495. IVUS Plaque Composition

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 40772000 | Fibrous Plaque | M-78260 | C0334146
SCT | 237897009 | Vascular Calcification | D6-34737 | C0342649
SCT | 396339007 | Thrombus | M-35001 | C0087086
DCM | 122394 | Fibro-Lipidic Plaque |  |
DCM | 122395 | Necrotic-Lipidic Plaque |  |

## CID 3496 IVUS Fiducial Points

This context group is a set of fiducial points (anatomical markers). Fiducial points are used as identifiable axial landmarks in determining the location of a measurement in a vessel.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

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  20040614

UID:

  1.2.840.10008.6.1.130

Table CID 3496. IVUS Fiducial Points

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 397406000 | Collateral Branch of vessel | G-035D | C1275670
SCT | 65818007 | Stent | A-25500 | C0038257
SCT | 237897009 | Vascular Calcification | D6-34737 | C0342649
SCT | 40772000 | Fibrous Plaque | M-78260 | C0334146
SCT | 29092000 | Vein | T-48000 | C0042449
SCT | 397421006 | Vessel Origin | G-036A | C1301415

## CID 3497 IVUS Arterial Morphology

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  HTML | FHIR JSON | FHIR XML | IHE SVS XML

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  Extensible

Version:

  20050110

UID:

  1.2.840.10008.6.1.131

Table CID 3497. IVUS Arterial Morphology

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 67170007 | Lumen of artery | T-41100 | C0225997
SCT | 414165007 | External Elastic Membrane | R-102AE | C1532733
Include CID 3495 “IVUS Plaque Composition” |  |

## CID 3500 Pressure Units

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Type:

  Non-Extensible

Version:

  20030327

UID:

  1.2.840.10008.6.1.132

Table CID 3500. Pressure Units

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
UCUM | mm[Hg] | mmHg
UCUM | kPa | kPa

## CID 3502 Hemodynamic Resistance Units

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Non-Extensible

Version:

  20120327

UID:

  1.2.840.10008.6.1.133

Table CID 3502. Hemodynamic Resistance Units

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
UCUM | [PRU] | P.R.U.
UCUM | [wood'U] | Wood U
UCUM | dyn.s.cm-5 | dyn.s.cm-5

### Note

P.R.U. is in units of mm[Hg].s/ml; Wood Units is in mm[Hg].min/l

## CID 3503 Indexed Hemodynamic Resistance Units

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Non-Extensible

Version:

  20120327

UID:

  1.2.840.10008.6.1.134

Table CID 3503. Indexed Hemodynamic Resistance Units

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
UCUM | [PRU]/m2 | P.R.U./m2
UCUM | [wood'U]/m2 | Wood U/m2
UCUM | dyn.s.cm-5/m2 | dyn.s.cm-5/m2

## CID 3510 Catheter Size Units

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Type:

  Extensible

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  20030327

UID:

  1.2.840.10008.6.1.135

Table CID 3510. Catheter Size Units

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
UCUM | [Ch] | french
UCUM | mm | mm

## CID 3515 Specimen Collection

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Type:

  Extensible

Version:

  20030327

UID:

  1.2.840.10008.6.1.136

Table CID 3515. Specimen Collection

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 17636008 | specimen collection | P3-02000 | C0200345
SCT | 82078001 | collection of blood specimen for laboratory | PA-20110 | C0005834
SCT | 243776001 | blood sampling from extracorporeal blood circuit | PA-2011E | C0419352

## CID 3520 Blood Source Type

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Type:

  Extensible

Version:

  20030327

UID:

  1.2.840.10008.6.1.137

Table CID 3520. Blood Source Type

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 371952000 | Systemic Artery Blood | R-00376 | C1299266
SCT | 116176007 | Mixed Venous Blood | T-C2007 | C0440739
SCT | 371953005 | Pulmonary Artery Blood | R-0035B | C1299267
SCT | 371954004 | Pulmonary Vein Blood | R-0035E | C1299268

## CID 3524 Blood Gas Pressures

Resources:

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Type:

  Extensible

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  20030327

UID:

  1.2.840.10008.6.1.138

Table CID 3524. Blood Gas Pressures

Coding Scheme Designator | Code Value | Code Meaning | UMLS Concept Unique ID
--- | --- | --- | ---
LN | 11557-6 | Blood Carbon dioxide partial pressure | C0550246
LN | 2019-8 | Arterial Blood Carbon dioxide partial pressure | C0364151
LN | 2021-4 | Venous Blood Carbon dioxide partial pressure | C0364153
LN | 11556-8 | Blood Oxygen partial pressure | C0550440
LN | 2703-7 | Arterial Oxygen partial pressure | C1145645
LN | 2705-2 | Venous Oxygen partial pressure | C1145647
LN | 19217-9 | Oxygen partial pressure at 50% saturation (P50) | C0802130
LN | 19214-6 | Arterial Oxygen partial pressure at 50% saturation | C1153749
LN | 19216-1 | Venous Oxygen partial pressure at 50% saturation | C1153751

## CID 3525 Blood Gas Content

Resources:

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Type:

  Extensible

Version:

  20030327

UID:

  1.2.840.10008.6.1.139

Table CID 3525. Blood Gas Content

Coding Scheme Designator | Code Value | Code Meaning | UMLS Concept Unique ID
--- | --- | --- | ---
LN | 20565-8 | Blood Carbon dioxide content | C0803374
LN | 2026-3 | Arterial Blood Carbon dioxide content | C0364158
LN | 2027-1 | Venous Blood Carbon dioxide content | C0364159
DCM | 122185 | Blood Oxygen content |
LN | 19218-7 | Arterial Oxygen content | C0802131
LN | 19220-3 | Venous Oxygen content | C0802133
LN | 10232-7 | Aortic Root Oxygen content | C0488752
LN | 10245-9 | Pulmonary Artery Main Oxygen content | C0488765
LN | 10247-5 | Pulmonary Wedge Oxygen content | C0488767

## CID 3526 Blood Gas Saturation

Resources:

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Type:

  Extensible

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  20030327

UID:

  1.2.840.10008.6.1.140

Table CID 3526. Blood Gas Saturation

Coding Scheme Designator | Code Value | Code Meaning | UMLS Concept Unique ID
--- | --- | --- | ---
DCM | 122187 | Blood Carbon dioxide saturation |
LN | 20564-1 | Blood Oxygen saturation | C0803373
LN | 2708-6 | Arterial Oxygen saturation | C0364851
LN | 2711-0 | Venous Oxygen saturation | C0364854
LN | 2709-4 | Capillary Blood Oxygen Saturation | C0364852
LN | 2710-2 | Capillary Blood Oxygen Saturation, by Oximetry | C0364853

## CID 3527 Blood Base Excess

Resources:

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Type:

  Extensible

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  20030327

UID:

  1.2.840.10008.6.1.141

Table CID 3527. Blood Base Excess

Coding Scheme Designator | Code Value | Code Meaning | UMLS Concept Unique ID
--- | --- | --- | ---
LN | 11555-0 | Blood Base Excess | C0550221
LN | 1925-7 | Arterial Blood Base Excess | C0364060
LN | 1927-3 | Venous Blood Base Excess | C0364062

## CID 3528 Blood pH

Resources:

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Type:

  Extensible

Version:

  20030327

UID:

  1.2.840.10008.6.1.142

Table CID 3528. Blood pH

Coding Scheme Designator | Code Value | Code Meaning | UMLS Concept Unique ID
--- | --- | --- | ---
LN | 11558-4 | Blood pH | C0550447
LN | 2744-1 | Arterial Blood pH | C0364887
LN | 2746-6 | Venous Blood pH | C0364889

## CID 3529 Arterial / Venous Content

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Type:

  Extensible

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  20030327

UID:

  1.2.840.10008.6.1.143

Table CID 3529. Arterial / Venous Content

Coding Scheme Designator | Code Value | Code Meaning | UMLS Concept Unique ID
--- | --- | --- | ---
LN | 19218-7 | Arterial Content (FCa) | C0802131
LN | 19220-3 | Venous Content (FCv) | C0802133
DCM | 122188 | Pulmonary Arterial Content (FCpa) |
DCM | 122189 | Pulmonary Venous Content (FCpv) |

## CID 3530 Oxygen Administration Actions

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20030327

UID:

  1.2.840.10008.6.1.144

Table CID 3530. Oxygen Administration Actions

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 121161 | Begin oxygen administration
DCM | 121162 | End oxygen administration

## CID 3531 Oxygen Administration

Resources:

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Type:

  Extensible

Version:

  20030327

UID:

  1.2.840.10008.6.1.145

Table CID 3531. Oxygen Administration

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 371907003 | Oxygen Administration by nasal cannula | R-0034A | C1299376
SCT | 371908008 | Oxygen Administration by mask | R-00349 | C1299377
DCM | 121163 | Oxygen Administration by ventilator |  |

## CID 3550 Circulatory Support Actions

Resources:

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Type:

  Extensible

Version:

  20030327

UID:

  1.2.840.10008.6.1.146

Table CID 3550. Circulatory Support Actions

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 121157 | Begin Circulatory Support
DCM | 121158 | End Circulatory Support

## CID 3551 Ventilation Actions

Resources:

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Type:

  Extensible

Version:

  20030327

UID:

  1.2.840.10008.6.1.147

Table CID 3551. Ventilation Actions

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 121168 | Begin Ventilation
DCM | 121169 | End Ventilation

## CID 3552 Pacing Actions

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20030327

UID:

  1.2.840.10008.6.1.148

Table CID 3552. Pacing Actions

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 121166 | Begin Pacing
DCM | 121167 | End Pacing

## CID 3553 Circulatory Support

Resources:

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Type:

  Extensible

Version:

  20030327

UID:

  1.2.840.10008.6.1.149

Table CID 3553. Circulatory Support

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 129113006 | Intra-Aortic Balloon Pump | A-28051 | C0702122
SCT | 371790000 | External Counter-Pulsation | R-00303 | C1299423
SCT | 360066001 | Left Ventricular Assist Device | A-11FCD | C0181598
SCT | 182744004 | Extra-corporeal circulation | P2-77110 | C0015354
SCT | 63697000 | Cardiopulmonary bypass | P1-36858 | C0007202

## CID 3554 Ventilation

Resources:

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Type:

  Extensible

Version:

  20030327

UID:

  1.2.840.10008.6.1.150

Table CID 3554. Ventilation

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 371785003 | Ambu Bag | R-002CC | C0221812
SCT | 371786002 | Pressure Support Ventilator | R-00359 | C1299420
SCT | 371787006 | Volume Support Ventilator | R-0038C | C1299421

## CID 3555 Pacing

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20030327

UID:

  1.2.840.10008.6.1.151

Table CID 3555. Pacing

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 18590009 | Pacing | P2-35000 | C0199640
SCT | 371909000 | pacing with magnet | R-00315 | C1299378
SCT | 69158002 | atrial pacing | P2-35200 | C0199647
SCT | 344994008 | ventricular pacing | P2-35002 | C0199648
SCT | 371910005 | A-V sequential pacing | R-002D9 | C1299379
SCT | 59218006 | temporary transcutaneous pacing | P2-35440 | C0199657

## CID 3560 Blood Pressure Methods

Resources:

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Type:

  Extensible

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  20030327

UID:

  1.2.840.10008.6.1.152

Table CID 3560. Blood Pressure Methods

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 371911009 | Blood pressure cuff method | R-00318 | C1299380

## CID 3600 Relative Times

Resources:

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Type:

  Extensible

Version:

  20030327

UID:

  1.2.840.10008.6.1.153

Table CID 3600. Relative Times

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 272113006 | Before | R-407E0 | C0740175
SCT | 272114000 | During | R-407E1 | C0347985
SCT | 288563008 | After | R-42517 | C0687676

## CID 3602 Hemodynamic Patient State

Resources:

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Type:

  Extensible

Version:

  20030327

UID:

  1.2.840.10008.6.1.154

Table CID 3602. Hemodynamic Patient State

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 128974000 | Baseline state | F-01602 | C1290922
SCT | 40199007 | Supine body position | F-10340 | C0038846
SCT | 128975004 | Resting state | F-01604 | C0679218
SCT | 128976003 | Exercise state | F-01606 | C1290923
SCT | 128977007 | Post-exercise state | F-01608 | C1290924

## CID 3604 Arterial Lesion Locations

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20030327

UID:

  1.2.840.10008.6.1.155

Table CID 3604. Arterial Lesion Locations

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 3015 “Coronary Arteries”
Include CID 3606 “Arterial Source Locations”

## CID 3606 Arterial Source Locations

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20200310

UID:

  1.2.840.10008.6.1.156

Table CID 3606. Arterial Source Locations

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 7832008 | Abdominal aorta | T-42500 | C0003484
SCT | 8012006 | anterior communicating artery | T-45530 | C0149562
SCT | 17388009 | anterior spinal artery | T-45730 | C0149603
SCT | 15825003 | Aorta | T-42000 | C0003483
SCT | 57034009 | Aortic Arch | T-42300 | C0003489
SCT | 128551005 | Aortic fistula | D3-81922 | C1290392
SCT | 51114001 | Artery | T-41000 | C0003842
SCT | 54247002 | Ascending aorta | T-42100 | C0003956
SCT | 67937003 | Axillary Artery | T-47100 | C0004455
SCT | 128981007 | Baffle | A-00203 | C1289790
SCT | 59011009 | basilar artery | T-45800 | C0004811
SCT | 17137000 | Brachial artery | T-47160 | C0006087
SCT | 12691009 | brachiocephalic trunk | T-46010 | C0006094
SCT | 69105007 | Carotid Artery | T-45010 | C0007272
SCT | 88556005 | cerebral artery | T-45510 | C0007770
SCT | 32062004 | Common carotid artery | T-45100 | C0162859
SCT | 181347005 | Common Femoral Artery | T-47402 | C0447105
SCT | 41801008 | Coronary Artery | T-43000 | C0205042
SCT | 32672002 | Descending aorta | T-42400 | C3163626
SCT | 23074001 | facial artery | T-45240 | C0226109
SCT | 7657000 | Femoral artery | T-47400 | C0015801
SCT | 128555001 | Fistula coronary to left atrium | D4-32504 | C1290487
SCT | 128556000 | Fistula coronary to left ventricle | D4-32506 | C1290488
SCT | 373095005 | Fistula coronary to right atrium | R-002ED | C1298791
SCT | 128558004 | Fistula coronary to right ventricle | D4-32510 | C1290490
SCT | 128559007 | geniculate artery | T-47490 | C0447108
SCT | 76015000 | Hepatic artery | T-46420 | C0019145
SCT | 10293006 | Iliac artery | T-46700 | C0020887
SCT | 12691009 | Innominate artery | T-46010 | C0006094
SCT | 86117002 | internal carotid artery | T-45300 | C0007276
SCT | 69327007 | Internal mammary artery | T-46200 | C0226276
SCT | 59749000 | lacrimal artery | T-45410 | C0226171
SCT | 44830000 | lateral plantar artery | T-47650 | C0226478
SCT | 113270003 | Left femoral artery | T-47420 | C0226448
SCT | 50408007 | Left pulmonary artery | T-44400 | C0226069
SCT | 113264009 | lingual artery | T-45230 | C0226104
SCT | 34635009 | lumbar artery | T-46960 | C0226408
SCT | 86570000 | mesenteric artery | T-46500 | C0025465
SCT | 74156002 | medial plantar artery | T-47660 | C0226479
SCT | 14944004 | Neo-aorta (primitive aorta) | T-F7001 | C0231136
SCT | 91707000 | Neonatal pulmonary artery (primitive PA) | T-F7040 | C0231157
SCT | 31145008 | occipital artery | T-45250 | C0226117
SCT | 53549008 | ophthalmic artery | T-45400 | C0029078
SCT | 83330001 | patent ductus arteriosus | D4-32012 | C0013274
SCT | 8821006 | peroneal artery | T-47630 | C0226476
SCT | 43899006 | popliteal artery | T-47500 | C0032649
SCT | 43119007 | posterior communicating artery | T-45320 | C0149559
SCT | 31677005 | Profunda Femoris Artery | T-47440 | C0226455
SCT | 111289009 | Pulmonary arteriovenous fistula | D3-40208 | C0155675
SCT | 81040000 | Pulmonary artery | T-44000 | C0034052
SCT | 128584005 | Pulmonary artery conduit | D4-33142 | C1290491
SCT | 371829003 | Pulmonary vein wedge | R-00360 | C1299456
SCT | 45631007 | radial artery | T-47300 | C0162857
SCT | 2841007 | Renal artery | T-46600 | C0035065
SCT | 69833005 | Right femoral artery | T-47410 | C0226447
SCT | 78480002 | Right pulmonary artery | T-44200 | C0226054
SCT | 36765005 | Subclavian Artery | T-46100 | C0038530
SCT | 181349008 | Superficial Femoral Artery | T-47403 | C0447106
SCT | 15672000 | superficial temporal artery | T-45270 | C0226130
SCT | 72021004 | superior thyroid artery | T-45210 | C0226093
SCT | 128589000 | Systemic collateral Artery to lung | T-44007 | C0345096
SCT | 113262008 | Thoracic aorta | T-42070 | C1522460
SCT | 181351007 | tibial artery | T-4704C | C0085427
SCT | 61959006 | Truncus Arteriosus Communis | D4-31400 | C0041207
SCT | 50536004 | Umbilical artery | T-F1810 | C0041632
SCT | 85234005 | Vertebral artery | T-45700 | C0042559

## CID 3607 Venous Source Locations

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20210328

UID:

  1.2.840.10008.6.1.157

Table CID 3607. Venous Source Locations

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 128585006 | Anomalous pulmonary vein | T-48503 | C0265914
SCT | 128553008 | Antecubital Vein | T-49215 | C1276271
SCT | 68705008 | Axillary vein | T-49110 | C0004456
SCT | 72107004 | Azygos vein | T-48340 | C0004526
SCT | 19715009 | Basilic vein | T-49230 | C0226801
SCT | 128548003 | Boyd perforating vein | T-49424 | C1267522
SCT | 20115005 | Brachial vein | T-49350 | C0226812
SCT | 34340008 | Central venous system | T-48003 | C0226503
SCT | 20699002 | cephalic vein | T-49240 | C0226802
SCT | 128554002 | Dodd perforating vein | T-49429 | C1267525
SCT | 83419000 | Femoral vein | T-49410 | C0015809
SCT | 110568007 | gastric vein | T-48820 | C0750610
SCT | 60734001 | Great saphenous vein | T-49530 | C0392907
SCT | 8993003 | hepatic vein | T-48720 | C0019155
SCT | 128560002 | Hunterian perforating vein | T-4942A | C1267526
SCT | 64131007 | Inferior Vena cava | T-48710 | C0042458
SCT | 8887007 | Innominate vein | T-48620 | C0006095
SCT | 12123001 | Internal jugular vein | T-48170 | C0226550
SCT | 128583004 | mesenteric vein | T-4884A | C0025473
SCT | 32764006 | portal vein | T-48810 | C0032718
SCT | 128569001 | posterior medial tributary | T-49535 | C1267527
SCT | 122972007 | Pulmonary vein | T-48581 | C0034090
SCT | 128566008 | Pulmonary vein confluence | D4-33512 | C1290492
SCT | 56400007 | Renal vein | T-48740 | C0035092
SCT | 128587003 | Saphenofemoral junction | T-D930A | C0447132
SCT | 362072009 | Saphenous vein | T-4940B | C0036186
SCT | 35819009 | splenic vein | T-48890 | C0038001
SCT | 9454009 | Subclavian vein | T-48330 | C0038532
SCT | 48345005 | Superior vena cava | T-48610 | C0042459
SCT | 284639000 | Umbilical vein | T-48832 | C0226734
SCT | 29092000 | Vein | T-48000 | C0042449

### Note

In a prior version of this Context Group the code (T-48500, SRT, "Entire pulmonary vein") rather than (122972007, SCT, "Pulmonary Vein") was defined for the concept Pulmonary Vein; this was inconsistent with the DICOM approach of selecting the "structure of" rather than "entire" concept. Although there is minimal possibility of misinterpretation with SOP Instances that may include the deprecated use, receiving applications should be aware of this change; see Annex J.

## CID 3608 Atrial Source Locations

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20160314

UID:

  1.2.840.10008.6.1.158

Table CID 3608. Atrial Source Locations

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 128981007 | Baffle | A-00203 | C1289790
SCT | 253276007 | Common atrium | D4-31005 | C0392482
SCT | 31162003 | Coronary sinus | T-32330 | C0225863
SCT | 128563000 | Juxtaposed appendage | D4-31052 | C1290478
SCT | 82471001 | Left atrium | T-32300 | C0225860
SCT | 128449009 | Pulmonary artery wedge | G-DB27 | C1264742
SCT | 128448001 | Pulmonary capillary wedge | G-DB26 | C1264741
SCT | 128567004 | Pulmonary venous atrium | D4-33514 | C1290493
SCT | 128586007 | Pulmonary chamber in cor triatriatum | T-32190 | C0225841
SCT | 73829009 | Right Atrium | T-32200 | C0225844
SCT | 128568009 | Systemic venous atrium | D4-33516 | C1290494

## CID 3609 Ventricular Source Locations

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20170914

UID:

  1.2.840.10008.6.1.159

Table CID 3609. Ventricular Source Locations

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 45503006 | Common ventricle | D4-31120 | C0152424
SCT | 87878005 | Left ventricle | T-32600 | C0225897
SCT | 128564006 | Left ventricle apex | T-32602 | C0580781
SCT | 70238003 | Left ventricle inflow | T-32640 | C0225911
SCT | 13418002 | Left ventricle outflow tract | T-32650 | C0225912
SCT | 53085002 | Right ventricle | T-32500 | C0225883
SCT | 128565007 | Right ventricle apex | T-32502 | C0445242
SCT | 8017000 | Right ventricle inflow | T-32540 | C0225891
SCT | 44627009 | Right ventricle outflow tract | T-32550 | C0225892

## CID 3610 Gradient Source Locations

Resources:

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Type:

  Extensible

Version:

  20030327

UID:

  1.2.840.10008.6.1.160

Table CID 3610. Gradient Source Locations

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 91134007 | Mitral Valve | T-35300 | C0026264
SCT | 34202007 | Aortic Valve | T-35400 | C0003501
SCT | 46030003 | Tricuspid valve | T-35100 | C0040960
SCT | 39057004 | Pulmonary valve | T-35200 | C0034086
SCT | 81040000 | Pulmonary artery | T-44000 | C0034052
SCT | 13418002 | Left ventricle outflow tract | T-32650 | C0225912
SCT | 44627009 | Right ventricle outflow tract | T-32550 | C0225892
SCT | 30288003 | Ventricular Septal defect | D4-31150 | C0018818
SCT | 70142008 | Atrial Septal defect | D4-31220 | C0018817
SCT | 7305005 | Coarctation of aorta | D4-32014 | C0003492

## CID 3611 Pressure Measurements

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Version:

  20050322

UID:

  1.2.840.10008.6.1.161

Table CID 3611. Pressure Measurements

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 109016 | A wave peak pressure |  |
DCM | 122196 | C wave pressure |  |
LN | 8462-4 | Intravascular diastolic blood pressure |  | C0488052
SCT | 314453003 | Average diastolic blood pressure | F-00E22 | C1282163
SCT | 314451001 | Minimum diastolic blood pressure | F-00E1F | C1282161
DCM | 122191 | Ventricular End Diastolic pressure |  |
DCM | 122197 | Gradient pressure, average |  |
DCM | 122198 | Gradient pressure, peak |  |
SCT | 6797001 | Mean blood pressure | F-31150 | C0428886
DCM | 122199 | Pressure at dp/dt max |  |
LN | 8480-6 | Intravascular Systolic Blood pressure |  | C0488055
SCT | 314440001 | Average systolic blood pressure | F-00E14 | C1282151
SCT | 314439003 | Maximum systolic blood pressure | F-00E11 | C1282150
DCM | 109034 | V wave peak pressure |  |
DCM | 122208 | x-descent pressure |  |
DCM | 122209 | y-descent pressure |  |
DCM | 122210 | z-point pressure |  |

## CID 3612 Blood Velocity Measurements

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  1.2.840.10008.6.1.162

Table CID 3612. Blood Velocity Measurements

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122201 | Diastolic blood velocity, mean
DCM | 122202 | Diastolic blood velocity, peak
DCM | 122203 | Systolic blood velocity, mean
DCM | 122204 | Systolic blood velocity, peak
DCM | 122205 | Blood velocity, mean
DCM | 122206 | Blood velocity, minimum
DCM | 122207 | Blood velocity, peak

## CID 3613 Hemodynamic Time Measurements

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Table CID 3613. Hemodynamic Time Measurements

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122182 | R-R interval
DCM | 109072 | Tau
DCM | 122211 | Left Ventricular ejection time
DCM | 122212 | Left Ventricular filling time
DCM | 122213 | Right Ventricular ejection time
DCM | 122214 | Right Ventricular filling time
DCM | 109071 | Indicator mean transit time

## CID 3614 Valve Areas, Non-mitral

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  1.2.840.10008.6.1.164

Table CID 3614. Valve Areas, Non-mitral

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 251011009 | Aortic Valve Area | F-0231F | C0428817
SCT | 251013007 | Pulmonic Valve Area | F-02321 | C0428819
SCT | 251014001 | Tricuspid Valve Area | F-02322 | C0428820
DCM | 122160 | Derived Non-Valve Area |  |

## CID 3615 Valve Areas

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Table CID 3615. Valve Areas

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 3614 “Valve Areas, Non-mitral” |  |
SCT | 251012002 | Mitral Valve Area | F-02320 | C0221099

## CID 3616 Hemodynamic Period Measurements

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Table CID 3616. Hemodynamic Period Measurements

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 371850007 | Aortic Systolic Ejection Period (SEPa) | R-002D2 | C1269855
SCT | 371848004 | Pulmonary Systolic Ejection Period (SEPp) | R-0035C | C1269854
SCT | 371849007 | Mitral Diastolic Filling Period (DFPm) | R-0032C | C1299325
SCT | 371847009 | Tricuspid Diastolic Filling Period (DFPt) | R-003A9 | C1299324
SCT | 371853009 | Derived Period, Non-Valve | R-002F5 | C1299328

## CID 3617 Valve Flows

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  1.2.840.10008.6.1.167

Table CID 3617. Valve Flows

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 371845001 | Aortic Valve Flow | R-002D3 | C1299322
SCT | 371837006 | Mitral Valve Flow | R-0032D | C1299464
SCT | 371846000 | Pulmonary Valve Flow | R-0035D | C1299323
SCT | 371840006 | Tricuspid Valve Flow | R-00385 | C1299467
SCT | 371839009 | Derived Flow, Non-Valve | R-00394 | C1299466

## CID 3618 Hemodynamic Flows

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Table CID 3618. Hemodynamic Flows

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122161 | Pulmonary Flow
DCM | 122162 | Systemic Flow

## CID 3619 Hemodynamic Resistance Measurements

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  1.2.840.10008.6.1.169

Table CID 3619. Hemodynamic Resistance Measurements

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 276901002 | Pulmonary Vascular Resistance | F-03E86 | C0456261
SCT | 386530009 | Systemic Vascular Resistance | F-02B35 | C1258192
DCM | 122215 | Total Pulmonary Resistance |  |
DCM | 122216 | Total Vascular Resistance |  |

## CID 3620 Hemodynamic Ratios

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  1.2.840.10008.6.1.170

Table CID 3620. Hemodynamic Ratios

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
LN | 8581-1 | Tibial/brachial index |  | C0488220
SCT | 251050008 | Pulmonary/Systemic Flow Ratio | F-0238B | C0428854
DCM | 122217 | Coronary Flow reserve |  |
DCM | 122218 | Diastolic/Systolic velocity ratio |  |
DCM | 122219 | Hyperemic ratio |  |
SCT | 252068008 | Pulsatility Index | F-031A2 | C0429863
DCM | 122220 | Hemodynamic Resistance Index |  |
Include CID 3621 “Fractional Flow Reserve” |  |

## CID 3621 Fractional Flow Reserve

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Table CID 3621. Fractional Flow Reserve

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 371842003 | Fractional flow reserve | R-00307 | C1299469
SCT | 371835003 | Fractional Flow Reserve using intracoronary bolus | R-00308 | C1299462
SCT | 371841005 | Fractional Flow Reserve using intravenous infusion | R-00309 | C1299468

## CID 3627 Measurement Type

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  20060613

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  1.2.840.10008.6.1.172

Table CID 3627. Measurement Type

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 371912002 | Best value | R-002E1 | C1299381
SCT | 373098007 | Mean | R-00317 | C1298794
SCT | 373099004 | Median | R-00319 | C1298795
SCT | 373100007 | Mode | R-0032E | C1298796
SCT | 371913007 | Point source measurement | R-00355 | C1299382
SCT | 371914001 | Peak to peak | R-00353 | C1299383
SCT | 258083009 | Visual estimation | R-41D27 | C0444684
SCT | 414135002 | Estimated | R-10260 | C0750572
SCT | 258090004 | Calculated | R-41D2D | C0444686
SCT | 258104002 | Measured | R-41D41 | C0444706

## CID 3628 Cardiac Output Methods

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Table CID 3628. Cardiac Output Methods

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 371838001 | Thermal Bath | R-002E5 | C1299465
SCT | 371843008 | Thermal Inline | R-002E7 | C1299320
SCT | 373104003 | Dye Dilution | R-002E6 | C1298799

## CID 3629 Procedure Intent

This Context Group specifies the intent for a procedure or a procedure step, depending on the context of invocation. The intent for a procedure step may be different than that of the procedure in which it occurs.

### Note

1. For example, a surgical biopsy procedure may have "Diagnostic Intent", while the imaging procedure step within that procedure may have "Guidance Intent".

2. Collection of specimens is generally "Diagnostic Intent"; "Forensic Intent" is typically used for autopsies; "Palliative Intent" and "Adjuvant Intent" may apply to certain radiotherapy procedures.

3. In SNOMED-CT, "Staging Intent" is a subsidiary concept (refinement) of "Diagnostic Intent". The following are subsidiary concepts of "Therapeutic Intent": Adjunct, Adjuvant, Curative, Neo-adjuvant, Prophylactic, and Supportive. Prophylactic is also a subsidiary concept of Preventive intent.

Resources:

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Version:

  20170914

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  1.2.840.10008.6.1.174

Table CID 3629. Procedure Intent

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 261004008 | Diagnostic Intent | R-408C3 | C0348026
SCT | 262202000 | Therapeutic Intent | R-41531 | C0302350
SCT | 371931008 | Combined Diagnostic and Therapeutic Procedure | R-002E9 | C1299398
DCM | 113680 | Quality Control Intent |  |
SCT | 373825000 | Staging intent | R-408F2 | C1276306
SCT | 363675004 | Guidance Intent | R-40641 | C1285529
SCT | 363676003 | Palliative Intent | R-40642 | C1285530
SCT | 360156006 | Screening Intent | R-42453 | C1305399
SCT | 447295008 | Forensic Intent | R-40644 | C2960804
SCT | 421974008 | Adjunct intent | R-41564 | C1719882
SCT | 373846009 | Adjuvant intent | R-41561 | C1298675
SCT | 373808002 | Curative intent | R-41560 | C1276305
SCT | 373847000 | Neo-adjuvant intent | R-41562 | C1298676
SCT | 399707004 | Supportive intent | R-41563 | C1302630
SCT | 129428001 | Preventive intent | P0-02179 | C1456501
SCT | 360271000 | Prophylactic intent | P0-021FD | C0199176

## CID 3630 Cardiovascular Anatomic Locations

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  1.2.840.10008.6.1.175

Table CID 3630. Cardiovascular Anatomic Locations

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 3606 “Arterial Source Locations”
Include CID 3607 “Venous Source Locations”
Include CID 3608 “Atrial Source Locations”
Include CID 3609 “Ventricular Source Locations”
Include CID 3610 “Gradient Source Locations”

## CID 3640 Hypertension

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Version:

  20040920

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  1.2.840.10008.6.1.176

Table CID 3640. Hypertension

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 70995007 | Pulmonary hypertension | D3-40300 | C0020542
SCT | 38341003 | Systemic arterial hypertension | D3-02000 | C0020538

## CID 3641 Hemodynamic Assessments

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  1.2.840.10008.6.1.177

Table CID 3641. Hemodynamic Assessments

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 276780008 | Left Ventricular Systolic Pressure | F-03E0D | C0456189
SCT | 276781007 | Left Ventricular End-Diastolic Pressure | F-03E0E | C0456190
SCT | 250767002 | Pulmonary Artery Pressure | F-0212C | C0428642
SCT | 276901002 | Pulmonary Vascular Resistance | F-03E86 | C0456261
SCT | 118433006 | Pulmonary Capillary Wedge Pressure | F-31146 | C0086879
SCT | 276772001 | Right Ventricular Systolic Pressure | F-03DFE | C0456181
SCT | 276774000 | Right Ventricular End-Diastolic Pressure | F-03E02 | C0456183
SCT | 276755008 | Right Atrial Pressure | F-03DE9 | C0456165
SCT | 88619007 | Vascular Resistance | F-39790 | C0042380
SCT | 271650006 | Diastolic Pressure | F-008ED | C0428883

## CID 3642 Degree Findings

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  1.2.840.10008.6.1.178

Table CID 3642. Degree Findings

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 1250004 | Decreased | G-A316 | C0205216
SCT | 75540009 | Elevated | G-A373 | C3163633
SCT | 260360000 | Severely Elevated | G-A37A | C0442804
SCT | 260395002 | Normal Range | R-40765 | C0086715

## CID 3651 Hemodynamic Measurement Phase

This context group is a subset of CID 3250 “Catheterization Procedure Phase”.

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Table CID 3651. Hemodynamic Measurement Phase

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 128955008 | Cardiac catheterization baseline phase | G-7293 | C1292432
SCT | 129083002 | Cardiac catheterization post contrast phase | G-729B | C1292440
SCT | 128960007 | Cardiac catheterization post-intervention phase | G-7298 | C1292437
SCT | 373105002 | Cardiac catheterization test/challenge phase | R-002E4 | C1300063
SCT | 371874005 | Cardiac catheterization gradient assessment phase | R-002E3 | C1300078
SCT | 133882006 | Drug Infusion Challenge | P2-71317 | C1297891
SCT | 128967005 | Exercise challenge | P2-71310 | C1293901
SCT | 128975004 | Resting State | F-01604 | C0679218

## CID 3663 Body Surface Area Equations

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  20100609

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  1.2.840.10008.6.1.180

Table CID 3663. Body Surface Area Equations

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122240 | BSA = 0.003207*WT^(0.7285-0.0188*log(WT))*HT^0.3
DCM | 122241 | BSA = 0.007184*WT^0.425*HT^0.725
DCM | 122242 | BSA = 0.0235*WT^0.51456*HTcm^0.42246
DCM | 122243 | BSA = 0.024265*WT^0.5378*HTcm^0.3964
DCM | 122244 | BSA = (HT*WT/36)^0.5
DCM | 122245 | BSA = 1321+0.3433*WT
DCM | 122246 | BSA = 0.0004688*WT^(0.8168-0.0154*log(WT))
DCM | 122266 | BSA = 0.007358*WT^0.425*HT^0.725
DCM | 122267 | BSA = 0.010265*WT^0.423*HT^0.651
DCM | 122268 | BSA = 0.008883*WT^0.444*HT^0.663
DCM | 122269 | BSA = 0.038189*WT^0.423*HT^0.362
DCM | 122270 | BSA = 0.009568*WT^0.473*HT^0.655

## CID 3664 Oxygen Consumption Equations and Tables

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  1.2.840.10008.6.1.181

Table CID 3664. Oxygen Consumption Equations and Tables

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122247 | VO2male = BSA (138.1 - 11.49 * loge(age) + 0.378*HRf)
DCM | 122248 | VO2female = BSA (138.1 - 17.04 * loge(age) + 0.378*HRf)
DCM | 122249 | VO2 = VeSTPD * 10 * (FIO2 - FE02)
DCM | 122250 | VO2 = 152 * BSA
DCM | 122251 | VO2 = 175 * BSA
DCM | 122252 | VO2 = 176 * BSA
DCM | 122253 | Robertson & Reid table
DCM | 122254 | Fleisch table
DCM | 122255 | Boothby table

## CID 3666 P50 Equations

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  1.2.840.10008.6.1.182

Table CID 3666. P50 Equations

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122256 | if (prem age< 3days) P50 = 19.9
DCM | 122257 | if (age < 1day) P50 = 21.6
DCM | 122258 | if (age < 30day) P50 = 24.6
DCM | 122259 | if (age < 18y) P50 = 27.2
DCM | 122260 | if (age < 40y) P50 = 27.4
DCM | 122261 | if (age > 60y) P50 = 29.3

## CID 3667 Framingham Scores

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  1.2.840.10008.6.1.183

Table CID 3667. Framingham Scores

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122230 | 10 Year CHD Risk
DCM | 122231 | Comparative Average10 Year CHD Risk
DCM | 122232 | Comparative Low10 Year CHD Risk

## CID 3668 Framingham Tables

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  1.2.840.10008.6.1.184

Table CID 3668. Framingham Tables

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122233 | LDL Cholesterol Score Sheet for Men
DCM | 122234 | LDL Cholesterol Score Sheet for Women
DCM | 122235 | Total Cholesterol Score Sheet for Men
DCM | 122236 | Total Cholesterol Score Sheet for Women

## CID 3670 ECG Procedure Types

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Type:

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Version:

  20110330

UID:

  1.2.840.10008.6.1.185

Table CID 3670. ECG Procedure Types

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 268400002 | 12-Lead ECG | P2-3120A | C0430456
SCT | 429163003 | 15-Lead ECG | P2-3120E | C1998169
SCT | 425808002 | 18-Lead ECG | P2-3120C | C1961003

## CID 3671 Reason for ECG Exam

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Table CID 3671. Reason for ECG Exam

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 373110003 | Emergency procedure | R-00300 | C1298802
SCT | 110467000 | Pre-Surgery testing | P1-00410 | C1293092
SCT | 371883000 | Outpatient procedure | R-00348 | C1299353
SCT | 373111004 | Procedure in Cardiac Care Unit | R-0035A | C1298803
SCT | 4525004 | Emergency Department patient visit | P2-10700 | C0586082
SCT | 373112006 | Evaluation of murmur | R-00302 | C1298804
SCT | 373113001 | Routine procedure | R-0036E | C1298805

## CID 3672 Pacemakers

This Context Group includes the full set of codes for types of pacemakers specified in the NASPE/BPEG Generic Pacemaker Code (NBG). The Coding Scheme Designator (0008,0102) shall be NBG.

### Note

1. A prior version of this context group used codes from the SCP-ECG vocabulary.

2. Further information at http://www.hrsonline.org/Practice-Guidance/Clinical-Guidelines-Documents/2002-The-Revised-NASPE-BPEG-Generic-Code-for-Antibradycardia-AdaptiveRate-and-Multisite-Pacing. For reference, the scheme is reproduced here:

   Code Position | 1 - Chamber(s) paced | 2 - Chamber(s) sensed | 3 - Response to sensing | 4 - Rate modulation | 5- Multisite pacing
   Code values | O = None A = Atrium V = Ventricle D = Dual (A+V) S = Single(A or V - Mfr designation only) | O = None A = Atrium V = Ventricle D = Dual (A+V) S = Single(A or V - Mfr designation only) | O = None T = Triggered I = Inhibited D = Dual (T+I) | O = None R = Rate modulation | O = None A = Atrium V = Ventricle D = Dual (A+V)

## CID 3673 Diagnosis (Retired)

This Context Group is retired. See PS3.16-2009.

## CID 3675 Other Filters (Retired)

This Context Group is retired. See PS3.16-2009.

## CID 3676 Lead Measurement Technique

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Version:

  20180325

UID:

  1.2.840.10008.6.1.190

Table CID 3676. Lead Measurement Technique

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 373098007 | Averaged | R-00317 | C1298794
SCT | 373115008 | Routine | R-0036D | C1298806
SCT | 373099004 | Median | R-00319 | C1298795
SCT | 371916004 | Representative | R-0036A | C1299385
SCT | 371871002 | Single Beats | R-00373 | C1299345

## CID 3677 Summary Codes ECG

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Type:

  Extensible

Version:

  20111028

UID:

  1.2.840.10008.6.1.191

Table CID 3677. Summary Codes ECG

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 164854000 | Normal ECG | F-000B7 | C0522054
SCT | 102594003 | Abnormal ECG | F-38002 | C0522055
SCT | 251135002 | Borderline Normal ECG | F-38056 | C0428951
SCT | 370359005 | ECG Equivocal | F-38095 | C0438155
DCM | 122753 | Non-diagnostic ECG |  |

### Note

A prior version of this context group used codes from the SCP-ECG vocabulary.

## CID 3678 QT Correction Algorithms

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20081029

UID:

  1.2.840.10008.6.1.192

Table CID 3678. QT Correction Algorithms

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122730 | Bazett QT Correction Algorithm
DCM | 122731 | Hodges QT Correction Algorithm
DCM | 122732 | Fridericia QTc Algorithm
DCM | 122733 | Framingham QTc Algorithm

### Note

A prior version of this context group used codes from the SCP-ECG vocabulary.

## CID 3679 ECG Morphology Descriptions (Retired)

This Context Group is retired. See PS3.16-2009.

## CID 3680 ECG Lead Noise Descriptions

This Context Group comprises the ECG noise annotations of ISO/IEEE 11073-10102. The terms included in the table below may not constitute the complete list; see the ISO/IEEE Standard.

### Note

Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10102 available through http://standards.ieee.org/.

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  1.2.840.10008.6.1.194

Table CID 3680. ECG Lead Noise Descriptions

Coding Scheme Designator | Code Value | Code Meaning | ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)
--- | --- | --- | ---
MDC | 10:11200 | No noise | MDC_ECG_NOISE_CLEAN
MDC | 10:11216 | Moderate noise | MDC_ECG_NOISE_MODERATE
MDC | 10:11232 | Severe noise | MDC_ECG_NOISE_SEVERE
MDC | 10:11248 | No signal | MDC_ECG_NOISE_NOSIGNAL

A prior version of this context group used codes from the SCP-ECG vocabulary.

## CID 3681 ECG Lead Noise Modifiers (Retired)

This Context Group is retired. See PS3.16-2009.

## CID 3682 Probability (Retired)

This Context Group is retired. See PS3.16-2009.

## CID 3683 Modifiers (Retired)

This Context Group is retired. See PS3.16-2009.

## CID 3684 Trend (Retired)

This Context Group is retired. See PS3.16-2009.

## CID 3685 Conjunctive Terms (Retired)

This Context Group is retired. See PS3.16-2009.

## CID 3686 ECG Interpretive Statements (Retired)

This Context Group is retired. See PS3.16-2009.

## CID 3687 Electrophysiology Waveform Durations

This Context Group consists of the per-lead terms under the hierarchy of Reference ID MDC_ECG_TIME_PD in the ISO/IEEE 11073-10102 nomenclature.

The base terms from that hierarchy are included in the table below for reference. The per-lead base terms are pre-coordinated with concept discriminators for specific leads, and the code values for those pre-coordinated terms are arithmetically derived from the code values of the base terms. For the complete current list of terms and discriminator values, see the ISO/IEEE Standard. All pre-coordinated terms (measurements plus discriminators) within the identified hierarchy are part of this Context Group.

### Note

1. A prior version of this context group used codes from the SCP-ECG coding system.

2. Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10102 available through http://standards.ieee.org/.

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Version:

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  1.2.840.10008.6.1.201

Table CID 3687. Electrophysiology Waveform Durations

Coding Scheme Designator | Code Value | Code Meaning | ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)
--- | --- | --- | ---
MDC | 2:6656 | P duration, per lead | MDC_ECG_TIME_PD_P
MDC | 2:4608 | P onset to P1 duration, per lead | MDC_ECG_TIME_PD_P1
MDC | 2:4864 | P onset to P2 duration, per lead | MDC_ECG_TIME_PD_P2
MDC | 2:5120 | P onset to P3 duration, per lead | MDC_ECG_TIME_PD_P3
MDC | 2:7168 | P offset to QRS onset duration, per lead | MDC_ECG_TIME_PD_PR
MDC | 2:7680 | Q duration, per lead | MDC_ECG_TIME_PD_Q
MDC | 2:7936 | QRS duration, per lead | MDC_ECG_TIME_PD_QRS
MDC | 2:8192 | QT duration, per lead | MDC_ECG_TIME_PD_QT
MDC | 2:11264 | R1 duration, per lead | MDC_ECG_TIME_PD_R_1
MDC | 2:11520 | R2 duration, per lead | MDC_ECG_TIME_PD_R_2
MDC | 2:11776 | R3 duration, per lead | MDC_ECG_TIME_PD_R_3
MDC | 2:12032 | S1 duration, per lead | MDC_ECG_TIME_PD_S_1
MDC | 2:12288 | S2 duration, per lead | MDC_ECG_TIME_PD_S_2
MDC | 2:12544 | S3 duration, per lead | MDC_ECG_TIME_PD_S_3
MDC | 2:11008 | Ventricular activation time, per lead | MDC_ECG_TIME_PD_VENT_ACTIV
MDC | 2:32768 | PP time period, per lead | MDC_ECG_TIME_PD_PP
MDC | 2:33024 | RR time period, per lead | MDC_ECG_TIME_PD_RR
MDC | 2:33280 | PQ time period, per lead | MDC_ECG_TIME_PD_PQ
MDC | 2:33536 | PQ segment time period, per lead | MDC_ECG_TIME_PD_PQ_SEG
MDC | 2:34560 | QTU time period, per lead | MDC_ECG_TIME_PD_QTU

## CID 3688 Electrophysiology Waveform Voltages

This Context Group consists of the codes of the hierarchies under Reference IDs MDC_ECG_ELEC_POTL and MDC_ECG_AMPL of the ISO/IEEE 11073-10102 nomenclature.

The base terms from those hierarchies are included in the table below for reference. The per lead base terms are pre-coordinated with concept discriminators for specific leads, and the code values for those pre-coordinated terms are arithmetically derived from the code values of the base terms. For the complete current list of terms and discriminator values, see the ISO/IEEE Standard. All pre-coordinated terms (measurements plus discriminators) within the identified hierarchies are part of this Context Group.

### Note

1. A prior version of this context group used codes from the SCP-ECG coding system.

2. Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10102 available through http://standards.ieee.org/.

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Table CID 3688. Electrophysiology Waveform Voltages

Coding Scheme Designator | Code Value | Code Meaning | ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)
--- | --- | --- | ---
MDC | 2:1024 | J point Amplitude, per lead | MDC_ECG_AMPL_J
MDC | 2:14848 | Amplitude at 20 ms into ST segment, per lead | MDC_ECG_ELEC_POTL_ST_20
MDC | 2:15104 | Amplitude at 40 ms into ST segment, per lead | MDC_ECG_ELEC_POTL_ST_40
MDC | 2:14336 | Amplitude at 60 ms into ST segment, per lead | MDC_ECG_ELEC_POTL_ST_60
MDC | 2:14592 | Amplitude at 80 ms into ST segment, per lead | MDC_ECG_ELEC_POTL_ST_80
MDC | 2:1280 | P maximum amplitude, per lead | MDC_ECG_AMPL_P_MAX
MDC | 2:1536 | P minimum amplitude, per lead | MDC_ECG_AMPL_P_MIN
MDC | 2:3072 | P3 amplitude, per lead | MDC_ECG_AMPL_P3
MDC | 2:1792 | Q amplitude, per lead | MDC_ECG_AMPL_Q
MDC | 2:2048 | R amplitude, per lead | MDC_ECG_AMPL_R
MDC | 2:12800 | R1 amplitude, per lead | MDC_ECG_ELEC_POTL_R_1
MDC | 2:13056 | R2 amplitude, per lead | MDC_ECG_ELEC_POTL_R_2
MDC | 2:13312 | R3 amplitude, per lead | MDC_ECG_ELEC_POTL_R_3
MDC | 2:2304 | S amplitude, per lead | MDC_ECG_AMPL_S
MDC | 2:13568 | S1 amplitude, per lead | MDC_ECG_ELEC_POTL_S_1
MDC | 2:13824 | S2 amplitude, per lead | MDC_ECG_ELEC_POTL_S_2
MDC | 2:14080 | S3 amplitude, per lead | MDC_ECG_ELEC_POTL_S_3
MDC | 2:2560 | T maximum amplitude, per lead | MDC_ECG_AMPL_T_MAX
MDC | 2:2816 | T minimum amplitude, per lead | MDC_ECG_AMPL_T_MIN
MDC | 2:768 | ST amplitude, per lead | MDC_ECG_AMPL_ST

## CID 3689 ECG Global Waveform Durations

This Context Group consists of the global terms under the hierarchy of Reference ID MDC_ECG_TIME_PD in the ISO/IEEE 11073-10102 nomenclature.

The base terms from that hierarchy are included in the table below for reference. The base terms may be pre-coordinated with concept discriminators, and the code values for those pre-coordinated terms are arithmetically derived from the code values of the base terms. For the complete current list of terms and discriminator values, see the ISO/IEEE Standard. All pre-coordinated terms (measurements plus discriminators) within the identified hierarchy are part of this Context Group.

### Note

Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10102 available through http://standards.ieee.org/.

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Table CID 3689. ECG Global Waveform Durations

Coding Scheme Designator | Code Value | Code Meaning | ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)
--- | --- | --- | ---
MDC | 2:16184 | P duration, global | MDC_ECG_TIME_PD_P_GL
MDC | 2:16140 | PP time period, global | MDC_ECG_TIME_PD_PP_GL
MDC | 2:16144 | PQ time period, global | MDC_ECG_TIME_PD_PQ_GL
MDC | 2:15872 | PR time period, global | MDC_ECG_TIME_PD_PR_GL
MDC | 2:16148 | PQ segment time period, global | MDC_ECG_TIME_PD_PQ_SEG_GL
MDC | 2:16156 | QRS duration, global | MDC_ECG_TIME_PD_QRS_GL
MDC | 2:16160 | QT duration, global | MDC_ECG_TIME_PD_QT_GL
MDC | 2:16000 | RR time period, global | MDC_ECG_TIME_PD_RR_GL
MDC | 2:16004 | QTU time period, global | MDC_ECG_TIME_PD_QTU_GL

## CID 3690 ECG Control Variables Numeric

This Context Group includes the ECG control variables specified in the ISO/IEEE 11073-10102 nomenclature that take numeric values. The terms are included in the table below for reference; these may not constitute the complete current list (see the ISO/IEEE Standard).

### Note

Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10102 available through http://standards.ieee.org/.

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  1.2.840.10008.6.1.895

Table CID 3690. ECG Control Variables Numeric

Coding Scheme Designator | Code Value | Code Meaning | ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)
--- | --- | --- | ---
MDC | 10:11393 | Sample rate | MDC_ECG_CTL_VBL_SAMPLE_RATE
MDC | 10:11394 | Sensitivity | MDC_ECG_CTL_VBL_SENSITIVITY
MDC | 10:11395 | Zero offset | MDC_ECG_CTL_VBL_ZERO_OFFSET
MDC | 10:11397 | Pad value | MDC_ECG_CTL_VBL_PAD_VALUE
MDC | 10:11398 | Time skew | MDC_ECG_CTL_VBL_TIME_SKEW
MDC | 10:11399 | Sample skew | MDC_ECG_CTL_VBL_SAMPLE_SKEW
MDC | 10:11400 | Time offset | MDC_ECG_CTL_VBL_TIME_OFFSET
MDC | 10:11403 | Low pass filter cutoff freq | MDC_ECG_CTL_VBL_ATTR_FILTER_CUTOFF_FREQ
MDC | 10:11408 | Notch filter frequency | MDC_ECG_CTL_VBL_ATTR_FILTER_NOTCH_FREQ
MDC | 10:11409 | Notch filter bandwidth | MDC_ECG_CTL_VBL_ATTR_FILTER_NOTCH_BANDWIDTH
MDC | 10:11418 | Interpolator SNR | MDC_ECG_CTL_VBL_INTERPOLATOR_SNR

## CID 3691 ECG Control Variables Text

This Context Group includes the ECG control variables specified in the ISO/IEEE 11073-10102 nomenclature that take text or coded values. The terms are included in the table below for reference; these may not constitute the complete current list (see the ISO/IEEE Standard).

### Note

Codes reprinted by permission of IEEE, Copyright 2004 by IEEE. ISO/IEEE 11073-10102 available through http://standards.ieee.org/.

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Table CID 3691. ECG Control Variables Text

Coding Scheme Designator | Code Value | Code Meaning | ISO/IEEE 11073 MDC Equivalent Reference ID (Informative)
--- | --- | --- | ---
MDC | 10:11402 | Low pass filter | MDC_ECG_CTL_VBL_ATTR_FILTER_LOW_PASS
MDC | 10:11404 | High pass filter | MDC_ECG_CTL_VBL_ATTR_FILTER_HIGH_PASS
MDC | 10:11406 | High pass filter description | MDC_ECG_CTL_VBL_ATTR_FILTER_DESCRIPTION
MDC | 10:11407 | Notch filter | MDC_ECG_CTL_VBL_ATTR_FILTER_NOTCH
MDC | 10:11410 | Notch filter description | MDC_ECG_CTL_VBL_ATTR_FILTER_NOTCH _DESCRIPTION
MDC | 10:11412 | Baseline description | MDC_ECG_CTL_VBL_BASELINE_DESC
MDC | 10:11414 | Interpolator | MDC_ECG_CTL_VBL_INTERPOLATOR
MDC | 10:11416 | Interpolator description | MDC_ECG_CTL_VBL_INTERPOLATOR_DESC

## CID 3692 ICDs

This Context Group includes the full set of codes for types of implanted cardioverter/defibrillators (ICDs) specified in the NASPE/BPEG Defibrillator Code (NBD). The Coding Scheme Designator (0008,0102) shall be NBD.

### Note

Further information at http://www.hrsonline.org/News/ep-history/topics-in-depth/modecodehistory.cfm. For reference, the scheme is reproduced here:

Code Position | Shock chamber | Antitachycardia pacing chamber | Tachycardia detection | Antibradycardia pacing chamber
Code values | O = None A = Atrium V = Ventricle D = Dual (A+V) | O = None A = Atrium V = Ventricle D = Dual (A+V) | E = Electrogram H = Hemodynamic | O = None A = Atrium V = Ventricle D = Dual (A+V)

Short Form
ICD-S = ICD with shock capability only ICD-B = ICD with bradycardia pacing as well as shock ICD-T = ICD with tachycardia (and bradycardia) pacing as well as shock

## CID 3700 Cath Diagnosis

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Table CID 3700. Cath Diagnosis

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 53741008 | Coronary artery disease | D3-13040 | C1956346
SCT | 57054005 | Acute myocardial infarction | D3-15100 | C0155626
SCT | 102589003 | Atypical chest pain | F-37012 | C0262384
SCT | 233819005 | Stable Angina | D3-13020 | C0340288
SCT | 87343002 | Atypical Angina, Variant Angina | D3-12400 | C0002963
SCT | 4557003 | Unstable Angina, Progressive Angina | D3-12700 | C0002965
SCT | 314116003 | Post-infarction angina | D3-13014 | C1278535
SCT | 371808007 | Recurrent angina Post-PTCA | R-00368 | C1299436
SCT | 371812001 | Recurrent angina Post-DCA | R-00367 | C1299440
SCT | 371811008 | Recurrent angina Post-Rotational Atherectomy | R-00369 | C1299439
SCT | 371809004 | Recurrent angina Post-Stent | R-00366 | C1299437
SCT | 371810009 | Recurrent angina Post-CABG | R-00365 | C1299438
SCT | 42343007 | Congestive heart failure | D3-16010 | C0018802
SCT | 19242006 | Pulmonary edema | D2-61100 | C0034063
SCT | 89138009 | cardiogenic shock | D3-00200 | C0036980
SCT | 371817007 | Acute ventricular septal rupture | R-002CB | C1299445
SCT | 11851006 | Mitral valve disease | D3-29010 | C0026265
SCT | 79619009 | Mitral stenosis | D3-29011 | C0026269
SCT | 48724000 | Mitral regurgitation | D3-29012 | C0026266
SCT | 373116009 | Acute mitral regurgitation | D3-29096 | C1298807
SCT | 233823002 | Silent ischemia | D3-13021 | C0340291
SCT | 371824008 | s/p MI positive stress for ischemia | R-00336 | C1300077
SCT | 50920009 | Myocarditis | D3-26000 | C0027059
SCT | 73774007 | Subacute bacterial endocarditis | D3-28102 | C0014122
SCT | 360465008 | Idiopathic hypertrophic subaortic stenosis | D3-2906A | C0700053
SCT | 70995007 | Pulmonary hypertension | D3-40300 | C0020542
SCT | 20721001 | Tricuspid valve disease | D3-29040 | C0264882
SCT | 111287006 | Tricuspid regurgitation | D3-29042 | C0040961
SCT | 409712001 | Mitral valve prolapse | D3-1081C | C0026267
SCT | 25569003 | Ventricular tachycardia | D3-31700 | C0042514
SCT | 71908006 | Ventricular fibrillation | D3-31720 | C0042510
SCT | 399020009 | Congestive cardiomyopathy | D3-20021 | C0007193
SCT | 64715009 | Hypertensive heart disease | D3-02500 | C0152105
SCT | 90828009 | Restrictive cardiomyopathy | D3-22100 | C0007196
SCT | 55855009 | Pericardial disease | D3-90000 | C0265122
SCT | 35304003 | Pericardial tamponade | D3-90100 | C0007177
SCT | 8722008 | Aortic valve disease | D3-29020 | C1260873
SCT | 60573004 | Aortic stenosis | D3-29021 | C0003507
SCT | 194983005 | Aortic insufficiency | D3-29025 | C0340377
SCT | 70142008 | Atrial septal defect | D4-31220 | C0018817
SCT | 308546005 | Aortic dissection | D3-80016 | C0340643
SCT | 76267008 | Pulmonic valve disease | D3-29050 | C0034087
SCT | 30288003 | Ventricular septal defect | D4-31150 | C0018818
SCT | 67362008 | Aortic aneurysm | D3-83300 | C0003486
SCT | 698247007 | Arrhythmia | R-FAE6C | C0003811
SCT | 49436004 | Atrial fibrillation | D3-31520 | C0004238
SCT | 13213009 | heart disease, congenital | D4-31000 | C0152021
SCT | 85598007 | Constrictive pericarditis | D3-91030 | C0031048

## CID 3701 Cardiac Valves and Tracts

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Table CID 3701. Cardiac Valves and Tracts

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 91134007 | Mitral Valve | T-35300 | C0026264
SCT | 34202007 | Aortic Valve | T-35400 | C0003501
SCT | 46030003 | Tricuspid valve | T-35100 | C0040960
SCT | 39057004 | Pulmonary valve | T-35200 | C0034086
SCT | 13418002 | Left ventricle outflow tract | T-32650 | C0225912

## CID 3703 Wall Motion

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Table CID 3703. Wall Motion

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 373121007 | Not Evaluated | R-00378 | C1298808
SCT | 261665006 | Unknown | R-41198 | C0439673
DCM | 122288 | Not visualized |  |
SCT | 373122000 | Normal wall motion | R-00344 | C1298809
SCT | 373123005 | Hyperkinetic region | R-0030D | C1298810
SCT | 37706002 | Hypokinesis | F-32056 | C0232172
SCT | 371868005 | Mild Hypokinesis | R-00327 | C1299342
SCT | 371869002 | Moderate Hypokinesis | R-0032F | C1299343
SCT | 371870001 | Severe Hypokinesis | R-00370 | C1299344
SCT | 195675009 | Akinesis | F-30004 | C0232171
SCT | 25437005 | Dyskinesis | F-32052 | C0232168

### Note

In prior editions, this Context Group included incorrect codes for "Hypokinesis" and "Mild Hypokinesis" (see PS3.16-2011).

## CID 3704 Myocardium Wall Morphology Findings

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Table CID 3704. Myocardium Wall Morphology Findings

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 122112 | Normal Myocardium |  |
SCT | 90539001 | Ventricular Aneurysm | D3-10510 | C0392464
DCM | 122113 | Scarred Myocardium |  |
DCM | 122114 | Thinning Myocardium |  |

## CID 3705 Chamber Size

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Table CID 3705. Chamber Size

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 373124004 | Normal size cardiac chamber | R-00343 | C1298811
SCT | 373125003 | Abnormally small cardiac chamber | R-002C6 | C1298812
SCT | 373126002 | Mildly Enlarged cardiac chamber | R-0032A | C1298813
SCT | 373127006 | Moderately Enlarged cardiac chamber | R-00331 | C1298814
SCT | 373128001 | Markedly Enlarged cardiac chamber | R-00316 | C1298815

## CID 3706 Overall Contractility

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Table CID 3706. Overall Contractility

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 373129009 | Normal wall contractility | R-00341 | C1298816
SCT | 371855002 | Hyperkinesis | R-00398 | C1299330
SCT | 37706002 | Hypokinesis | F-32056 | C0232172
SCT | 195675009 | Akinesis | F-30004 | C0232171

## CID 3707 VSD Description

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Table CID 3707. VSD Description

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 94150003 | Membranous | D4-31154 | C0685706
SCT | 373131000 | Non-restrictive | R-0033B | C1298817
SCT | 253551005 | Restrictive | D4-31166 | C0344924
SCT | 260413007 | None | R-40775 | C0549184

## CID 3709 Aortic Root Description

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Table CID 3709. Aortic Root Description

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 373132007 | Normal Aortic Root | R-0033C | C1298818
SCT | 373133002 | Enlarged Aortic Root | R-00301 | C1298819
SCT | 373134008 | Aneurysm of Aortic Root | R-002CD | C1298820
SCT | 373135009 | Annular Abscess of Aortic Root | R-002D1 | C1298821
SCT | 371872009 | Post Stenotic Dilation | R-003A1 | C1299346
SCT | 21379009 | Ruptured Sinus of Valsalva | D3-83660 | C0265019

## CID 3710 Coronary Dominance

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Table CID 3710. Coronary Dominance

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 253729004 | Left Coronary Dominance | D4-3252C | C0345136
SCT | 253728007 | Right Coronary Dominance | D4-3252B | C0345135
SCT | 253730009 | Balanced Coronary Dominance | D4-3252D | C0345137

### Note

In prior editions, this Context Group included NCDR 2.0b codes as the primary set. These have been replaced with equivalent SNOMED codes (see PS3.16-2011).

## CID 3711 Valvular Abnormalities

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Table CID 3711. Valvular Abnormalities

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 44241007 | Stenosis | D3-29001 | C0264878
SCT | 10337008 | Regurgitation | F-32400 | C0042300
SCT | 373136005 | Calcified Heart Valve | R-0030B | C1142152
SCT | 373137001 | Immobile Heart Valve | R-0030F | C1298822
DCM | 127856 | Heart Valve Flail |  |
SCT | 89736004 | Valvular endocarditis | D3-28005 | C0264865

## CID 3712 Vessel Descriptors

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Table CID 3712. Vessel Descriptors

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 373138006 | Ulcerated | R-00389 | C1298823
SCT | 371893007 | Restenotic | R-0036B | C1299362
SCT | 371894001 | Bifurcation | R-002E2 | C1299363
SCT | 371895000 | Culprit | R-002EF | C1299364
SCT | 255378009 | Aneurysmal | R-40411 | C0439651
SCT | 371915000 | Diffuse Disease | R-002FC | C1299384
SCT | 371873004 | Luminal Irregularities | R-00314 | C1299347
SCT | 424045003 | Muscle Bridge | D4-31B68 | C1827939
SCT | 386139002 | Stenotic | R-10050 | C1272588
SCT | 386140000 | Ectatic | R-10051 | C1272589
SCT | 237897009 | Calcified | D6-34737 | C0342649
SCT | 396339007 | Thrombus | M-35001 | C0087086
SCT | 386137000 | Tortuous | R-10048 | C1272586
SCT | 386138005 | Stented | R-10049 | C1272587

## CID 3713 TIMI Flow Characteristics

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Table CID 3713. TIMI Flow Characteristics

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | NCDR Equivalent
--- | --- | --- | --- | --- | ---
SCT | 371867000 | 0: No Perfusion | R-0037E | C1299341 | 106-0, 107-0
SCT | 371866009 | 1: Penetration without Perfusion | R-0037F | C1299340 | 106-1, 107-1
SCT | 371864007 | 2: Partial Perfusion | R-00381 | C1299338 | 106-2, 107-2
SCT | 371865008 | 3: Complete Perfusion | R-00382 | C1299339 | 106-3, 107-3

## CID 3714 Thrombus

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Table CID 3714. Thrombus

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 373140001 | No Thrombus | R-0033A | C1276764
SCT | 373141002 | Possible Thrombus | R-00356 | C1298825
SCT | 373142009 | Definite Thrombus | R-002F1 | C1298826
SCT | 373143004 | Severe Thrombus | R-00371 | C1298827

## CID 3715 Lesion Margin

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Table CID 3715. Lesion Margin

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 82280004 | Smooth | G-A545 | C0205357
SCT | 49608001 | Irregular | G-A402 | C0205271
SCT | 371922008 | Multiple Irregularities | R-00335 | C1299391
SCT | 255321001 | Ulcerative | R-403CC | C0041582

## CID 3716 Severity

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Table CID 3716. Severity

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 260413007 | None | R-40775 | C0549184
SCT | 255604002 | Mild | R-404FA | C2945599
SCT | 371923003 | Mild to Moderate | R-00329 | C1299392
SCT | 6736007 | Moderate | G-A002 | C0205081
SCT | 371924009 | Moderate to Severe | R-00330 | C1299393
SCT | 24484000 | Severe | G-A003 | C0205082
SCT | 399166001 | Fatal | R-4099D | C1302234

## CID 3717 Left Ventricle Myocardial Wall 17 Segments

This 17-segment model of left ventricular myocardial wall segments uses the terminology specified in [Cerqueira 2002].

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Table CID 3717. Left Ventricle Myocardial Wall 17 Segments

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 3782 “Left Ventricle Basal Wall 6 Segments”
Include CID 3783 “Left Ventricle Midlevel Wall 6 Segments”
Include CID 3784 “Left Ventricle Apical Wall 4 Segments”
SCT | 128564006 | apex of left ventricle | T-32602 | C0580781

## CID 3718 Myocardial Wall Segments in Projection

This context group specifies the left ventricular myocardial wall segments as seen in typical right anterior oblique (RAO) and left anterior oblique (LAO) angiographic projections.

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Table CID 3718. Myocardial Wall Segments in Projection

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 264850008 | left ventricle basal anterior segment | T-32619 | C0555926
SCT | 73050001 | myocardium of anterolateral region | T-32634 | C0225907
SCT | 47962008 | myocardium of apex of heart | T-32636 | C0225909
SCT | 72542009 | myocardium of diaphragmatic region | T-32632 | C0225905
SCT | 264846001 | left ventricle basal inferior segment | T-32615 | C0555929
SCT | 33272004 | myocardium of posterolateral region | T-32633 | C0225906
SCT | 16239001 | myocardium of inferolateral region | T-32637 | C0225910
SCT | 264845002 | left ventricle apical septal segment | T-32614 | C0555923

## CID 3719 Canadian Clinical Classification

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Table CID 3719. Canadian Clinical Classification

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | NCDR [2.0b] Equivalent
--- | --- | --- | --- | --- | ---
SCT | 161971004 | Chest pain not present | F-A265A | C0423635 | 50-0
SCT | 61490001 | Angina Class I | D3-12001 | C0264675 | 50-I
SCT | 41334000 | Angina Class II | D3-12002 | C0264676 | 50-II
SCT | 85284003 | Angina Class III | D3-12003 | C0264677 | 50-IIII
SCT | 89323001 | Angina Class IV | D3-12004 | C0264678 | 50-IV

### Note

In prior editions, this Context Group included the NCDR 2.0b codes as the primary set. These have been replaced with equivalent SNOMED codes.

## CID 3720 Cardiac History Dates (Retired)

This Context Group is retired. See PS3.16-2007.

## CID 3721 Cardiovascular Surgeries

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Table CID 3721. Cardiovascular Surgeries

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | NCDR [2.0b] Equivalent
--- | --- | --- | --- | --- | ---
SCT | 415070008 | Percutaneous coronary intervention | R-102B4 | C1532338 | 40
SCT | 232717009 | Coronary artery bypass graft | P1-3301A | C0010055 | 42
SCT | 73544002 | Operation on heart valve | P1-32000 | C0190065 | 44
SCT | 233159005 | Ablation operation for arrhythmia | P1-31C03 | C0397403 |
SCT | 307280005 | Implantation of cardiac pacemaker | P0-004BA | C0189842 |
SCT | 233170003 | Implantation of automatic cardiac defibrillator | P1-3157D | C0397417 |
SCT | 771453009 | Abdominal aortic aneurysm stenting |  |  |
SCT | 32413006 | Heart transplant | P1-31D00 | C0018823 |
SCT | 428613004 | Correction of congenital cardiovascular deformity | P1-080B4 | C1997888 |

### Note

In prior editions, this Context Group included the NCDR 2.0b codes as the primary set. These have been replaced with equivalent SNOMED codes.

## CID 3722 Diabetic Therapy

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Table CID 3722. Diabetic Therapy

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 170745003 | Diabetic on Dietary Treatment | F-02F14 | C0421246
SCT | 170746002 | Diabetic on Oral Treatment | F-02F15 | C0421247
SCT | 170747006 | Diabetic on Insulin | F-02F16 | C0421248

### Note

In prior editions, this Context Group included the NCDR 2.0b codes as the primary set. These have been replaced with equivalent SNOMED codes.

## CID 3723 MI Types

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Table CID 3723. MI Types

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | NCDR [2.0b] Equivalent
--- | --- | --- | --- | --- | ---
SCT | 401314000 | Non ST Elevation Myocardial Infarction | D3-1511A | C1276061 | 94-1
SCT | 401303003 | ST Elevation Myocardial Infarction | D3-15119 | C1303258 | 94-2

### Note

In prior editions, this Context Group included the NCDR 2.0b codes as the primary set. These have been replaced with equivalent SNOMED codes.

## CID 3724 Smoking History

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Table CID 3724. Smoking History

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | NCDR [2.0b] Equivalent
--- | --- | --- | --- | --- | ---
SCT | 266919005 | No History of Smoking | F-9321F | C0425293 | 38-0
SCT | 77176002 | Current Smoker | S-32000 | C3241966 | 38-1
SCT | 8517006 | Former Smoker | S-32070 | C0337671 | 38-2

### Note

In prior editions, this Context Group included the NCDR 2.0b codes as the primary set. These have been replaced with equivalent SNOMED codes.

## CID 3726 Indications for Coronary Intervention

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Table CID 3726. Indications for Coronary Intervention

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | NCDR Equivalent
--- | --- | --- | --- | --- | ---
DCM | 122171 | Coronary lesion > = 50% stenosis |  |  |
SCT | 89138009 | Cardiogenic Shock | D3-00200 | C0036980 | 123

## CID 3727 Indications for Catheterization

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Table CID 3727. Indications for Catheterization

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 89138009 | cardiogenic shock | D3-00200 | C0036980
SCT | 368009 | valvular heart disease | D3-10800 | C0018824
SCT | 44808001 | Arrhythmia | D3-30000 | C0264886
SCT | 414545008 | ischemic heart disease | D3-10030 | C0151744
SCT | 165076002 | cardiac function test abnormal | F-000FF | C0438177
SCT | 32413006 | heart transplant | P1-31D00 | C0018823
SCT | 13213009 | heart disease - congenital | D4-31000 | C0152021
SCT | 85898001 | cardiomyopathy | D3-20000 | C0878544
SCT | 56265001 | heart disease | D3-10000 | C0018799

### Note

1. (56265001, SCT, "heart disease") should be used only when a more specific characterization of the disease is not applicable.

2. In prior editions, this Context Group included NCDR 2.0b codes as the primary set. These have been replaced with equivalent SNOMED codes (see PS3.16-2011).

## CID 3728 Cath Findings

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Table CID 3728. Cath Findings

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 371856001 | Normal left heart hemodynamics | R-0033F | C1299331
SCT | 371859008 | Normal right heart hemodynamics | R-00342 | C1299334
SCT | 371858000 | Normal left and right heart hemodynamics | R-0033E | C1299333
SCT | 371857005 | Normal left ventricular systolic function and wall motion | R-00340 | C1299332
SCT | 371860003 | Normal coronary arteries | R-0033D | C1299335
SCT | 371861004 | Mild intimal coronary irregularities, no significant stenoses | R-00328 | C1299336
SCT | 194842008 | Single vessel coronary artery disease. | D3-13001 | C0581374
SCT | 194843003 | Double vessel coronary artery disease. | D3-13013 | C0581375
SCT | 233817007 | Triple vessel coronary artery disease. | D3-1301F | C0340285
SCT | 371803003 | Multi vessel coronary artery disease. | R-00334 | C1299432
SCT | 371804009 | Left main coronary artery disease | R-00313 | C1299433
SCT | 371805005 | Significant coronary bypass graft disease | R-00372 | C1299434
SCT | 60573004 | Aortic stenosis | D3-29021 | C0003507
SCT | 194983005 | Aortic insufficiency | D3-29025 | C0340377
SCT | 79619009 | Mitral stenosis | D3-29011 | C0026269
SCT | 48724000 | Mitral regurgitation | D3-29012 | C0026266
SCT | 371862006 | Depression of left ventricular systolic function | R-002F3 | C1299337
SCT | 371813006 | Acute mitral regurgitation from chordal rupture | R-002C8 | C1299441
SCT | 371814000 | Acute mitral regurgitation from chordal dysfunction | R-002C7 | C1299442
SCT | 371816003 | Acute mitral regurgitation from papillary muscle rupture | R-002CA | C1299444
SCT | 371815004 | Acute mitral regurgitation from papillary muscle dysfunction | R-002C9 | C1299443
SCT | 409712001 | Mitral valve prolapse | D3-1081C | C0026267
SCT | 399020009 | Congestive cardiomyopathy | D3-20021 | C0007193
SCT | 45227007 | Hypertrophic cardiomyopathy with obstruction | D3-23000 | C0007194
SCT | 195020003 | Hypertrophic cardiomyopathy without obstruction | D3-20003 | C0340425
SCT | 64715009 | Hypertensive heart disease | D3-02500 | C0152105
SCT | 90828009 | Restrictive cardiomyopathy | D3-22100 | C0007196
SCT | 35304003 | Pericardial tamponade | D3-90100 | C0007177
SCT | 85598007 | Constrictive pericarditis | D3-91030 | C0031048
SCT | 70995007 | Pulmonary hypertension | D3-40300 | C0020542
SCT | 70142008 | Atrial septal defect | D4-31220 | C0018817
SCT | 30288003 | Ventricular septal defect | D4-31150 | C0018818
SCT | 371817007 | Acute ventricular septal rupture | R-002CB | C1299445
SCT | 13213009 | heart disease - congenital | D4-31000 | C0152021

## CID 3729 Admission Status

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Table CID 3729. Admission Status

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | NCDR [2.0b] Equivalent
--- | --- | --- | --- | --- | ---
SCT | 8715000 | Elective | P0-10010 | C0184667 | 17-1
SCT | 50849002 | Emergency Department | P0-10800 | C0583237 | 17-2
SCT | 4563007 | Transfer | P0-10210 | C0184681 | 17-3

### Note

In prior editions, this Context Group included the NCDR 2.0b codes as the primary set. These have been replaced with equivalent SNOMED codes.

## CID 3730 Insurance Payor

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Table CID 3730. Insurance Payor

Coding Scheme Designator | Coding Scheme Version | Code Value | Code Meaning
--- | --- | --- | ---
NCDR | 2.0b | 18-1 | Government
NCDR | 2.0b | 18-2 | Commercial
NCDR | 2.0b | 18-3 | Health Maintenance Organization
NCDR | 2.0b | 18-4 | None

## CID 3733 Primary Cause of Death

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Table CID 3733. Primary Cause of Death

Coding Scheme Designator | Coding Scheme Version | Code Value | Code Meaning
--- | --- | --- | ---
NCDR | 2.0b | 25-1 | Cardiac
NCDR | 2.0b | 25-2 | Neurologic
NCDR | 2.0b | 25-3 | Renal
NCDR | 2.0b | 25-4 | Vascular
NCDR | 2.0b | 25-5 | Infection
NCDR | 2.0b | 25-6 | Pulmonary
NCDR | 2.0b | 25-7 | Valvular
NCDR | 2.0b | 25-8 | Other

## CID 3735 Acute Coronary Syndrome Time Period

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Table CID 3735. Acute Coronary Syndrome Time Period

Coding Scheme Designator | Coding Scheme Version | Code Value | Code Meaning
--- | --- | --- | ---
NCDR | 2.0b | 51-1 | < = 6 hours
NCDR | 2.0b | 51-2 | between 6 hours and 24 hours
NCDR | 2.0b | 51-3 | between 24 hours and 7 days

## CID 3736 NYHA Classification

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Table CID 3736. NYHA Classification

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | NCDR [2.0b] Equivalent
--- | --- | --- | --- | --- | ---
SCT | 420300004 | NYHA Class I | F-3018B | C1319793 | 47-I
SCT | 421704003 | NYHA Class II | F-3018C | C1319794 | 47-II
SCT | 420913000 | NYHA Class III | F-3018D | C1319795 | 47-III
SCT | 422293003 | NYHA Class IV | F-3018E | C1319796 | 47-IV

### Note

In prior editions, this Context Group included the NCDR 2.0b codes as the primary set. These have been replaced with equivalent SNOMED codes.

## CID 3737 Non-invasive Test - Ischemia

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Table CID 3737. Non-invasive Test - Ischemia

Coding Scheme Designator | Coding Scheme Version | Code Value | Code Meaning
--- | --- | --- | ---
NCDR | 2.0b | 48-1 | Not Done
NCDR | 2.0b | 48-2 | Positive
NCDR | 2.0b | 48-3 | Negative
NCDR | 2.0b | 48-4 | Equivocal
NCDR | 2.0b | 48-5 | Arrhythmia

## CID 3738 Pre-Cath Angina Type

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Table CID 3738. Pre-Cath Angina Type

Coding Scheme Designator | Coding Scheme Version | Code Value | Code Meaning
--- | --- | --- | ---
NCDR | 2.0b | 49-I | Atypical Chest Pain
NCDR | 2.0b | 49-II | Stable Angina
NCDR | 2.0b | 49-IIIa | Acute Coronary Syndrome: Unstable Angina
NCDR | 2.0b | 49-IIIb | Acute Coronary Syndrome: Non ST-Elevation Myocardial Infarction
NCDR | 2.0b | 49-IIIc | Acute Coronary Syndrome: ST-Elevation Myocardial Infarction

## CID 3739 Cath Procedure Type

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Table CID 3739. Cath Procedure Type

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | NCDR Equivalent
--- | --- | --- | --- | --- | ---
SCT | 40403005 | Catheterization of right heart | P1-31602 | C0189896 | 54-1
SCT | 67629009 | Catheterization of left heart | P1-31604 | C0189897 | 54-2
SCT | 128952006 | Catheterization of both left and right heart with graft | P1-3160A | C1293383 |
SCT | 128953001 | Catheterization of both left and right heart without graft | P1-3160B | C1293384 |
DCM | 122061 | Percutaneous Coronary Intervention |  |  | 54-3

## CID 3740 Thrombolytic Administration

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Table CID 3740. Thrombolytic Administration

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | NCDR Equivalent
--- | --- | --- | --- | --- | ---
SCT | 373148008 | Contraindicated | R-0037D | C1276287 | 57-1
SCT | 371896004 | Administered less than 3 hours before PCI | R-0037C | C1299365 | 57-2
SCT | 371897008 | Administered between 3 and 6 hours before PCI | R-0037A | C1299366 | 57-3
SCT | 371906007 | Administered between 6 hours and 7 days before PCI | R-0037B | C1299375 | 57-4

## CID 3741 Medication Administration, Lab Visit

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Table CID 3741. Medication Administration, Lab Visit

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | NCDR Equivalent
--- | --- | --- | --- | --- | ---
SCT | 373147003 | Contraindicated | R-00321 | C1298831 | 58-1
SCT | 371898003 | Administered before lab visit | R-0031B | C1299367 | 58-2
SCT | 371905006 | Administered during lab visit | R-0031C | C1299374 | 58-3
SCT | 371899006 | Administered after lab visit | R-0031A | C1299368 | 58-4

## CID 3742 Medication Administration, PCI

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Table CID 3742. Medication Administration, PCI

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | NCDR Equivalent
--- | --- | --- | --- | --- | ---
SCT | 371900001 | Not Administered | R-00320 | C1299369 |
SCT | 373147003 | Contraindicated | R-00321 | C1298831 | 59-1
SCT | 371904005 | Administered Prior to Percutaneous Coronary Intervention | R-0031F | C1299373 | 59-2
SCT | 371903004 | Administered During Percutaneous Coronary Intervention | R-0039A | C1299372 | 59-3
SCT | 371902009 | Administered After Percutaneous Coronary Intervention | R-00399 | C1299371 | 59-4

## CID 3743 Clopidogrel/Ticlopidine Administration

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Table CID 3743. Clopidogrel/Ticlopidine Administration

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | NCDR Equivalent
--- | --- | --- | --- | --- | ---
SCT | 371900001 | Not Administered | R-00320 | C1299369 | 60-1
SCT | 373147003 | Contraindicated | R-00321 | C1298831 | 60-2
SCT | 371901002 | Administered Less than 72 Hours before PCI | R-0031E | C1299370 | 60-3
SCT | 371902009 | Administered After Percutaneous Coronary Intervention | R-00399 | C1299371 | 60-4

## CID 3744 EF Testing Method

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Table CID 3744. EF Testing Method

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 252426003 | Cardiac ventriculography | P5-3003A | C0596683
SCT | 85606007 | Radionuclide ventriculography | P5-D3300 | C0034610
SCT | 40701008 | Echocardiography | P5-B3000 | C0013516

### Note

Previously, a non-existent SNOMED code, (P5-B3081, SRT, "Adult echocardiography"), was used in this context group. It has been replaced with the more generic (40701008, SCT, "Echocardiography") (rather than replacement with (252418006, SCT, "Transthoracic echocardiography"); see Table J-1 SNOMED Codes Retired from DICOM Use.

## CID 3745 Calculation Method

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UID:

  1.2.840.10008.6.1.242

Table CID 3745. Calculation Method

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 414135002 | Estimated | R-10260 | C0750572
SCT | 258090004 | Calculated | R-41D2D | C0444686

## CID 3746 Percutaneous Entry Site

This Context Group includes concepts for Percutaneous entry that are the most relevant children of SNOMED concept 297211001 "transvascular approach". Other concepts from that hierarchy may be used as local extensions to this Context Group.

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  20110609

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  1.2.840.10008.6.1.243

Table CID 3746. Percutaneous Entry Site

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 260590008 | Via femoral artery | G-D067 | C0442441
SCT | 444850002 | Via radial artery | G-D1E4 | C2919368
SCT | 260585005 | Via brachial artery | G-D05F | C0442436
SCT | 103387006 | Via artery | G-D054 | C0522522
SCT | 261459001 | Via arm vein | G-D0C6 | C0442444
SCT | 260601006 | Via femoral vein | G-D071 | C0442455
SCT | 103386002 | Via vein | G-D052 | C0522521

### Note

In prior editions, this Context Group included NCDR 2.0b codes as the primary set. These have been replaced with equivalent SNOMED codes (see PS3.16-2009).

## CID 3747 Percutaneous Closure

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  1.2.840.10008.6.1.244

Table CID 3747. Percutaneous Closure

Coding Scheme Designator | Coding Scheme Version | Code Value | Code Meaning
--- | --- | --- | ---
NCDR | 2.0b | 75-0 | No closure device used at percutaneous entry
NCDR | 2.0b | 75-1 | Percutaneous entry closed by suture
NCDR | 2.0b | 75-2 | Percutaneous entry closed by sealant
NCDR | 2.0b | 75-3 | Percutaneous entry closed by other mechanism

## CID 3748 Angiographic EF Testing Method

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  1.2.840.10008.6.1.245

Table CID 3748. Angiographic EF Testing Method

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122059 | Single plane Angiography
DCM | 122060 | Bi-plane Angiography

## CID 3749 PCI Procedure Result

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Version:

  20030327

UID:

  1.2.840.10008.6.1.246

Table CID 3749. PCI Procedure Result

Coding Scheme Designator | Coding Scheme Version | Code Value | Code Meaning
--- | --- | --- | ---
NCDR | 2.0b | 100-1 | Successful
NCDR | 2.0b | 100-2 | Partially successful
NCDR | 2.0b | 100-3 | Unsuccessful

## CID 3750 Previously Dilated Lesion

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Table CID 3750. Previously Dilated Lesion

Coding Scheme Designator | Coding Scheme Version | Code Value | Code Meaning
--- | --- | --- | ---
NCDR | 2.0b | 108-0 | not previously treated
NCDR | 2.0b | 108-1 | balloon only
NCDR | 2.0b | 108-2 | stent only
NCDR | 2.0b | 108-3 | other/any combination

## CID 3752 Guidewire Crossing

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  1.2.840.10008.6.1.248

Table CID 3752. Guidewire Crossing

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122301 | Guidewire crossing lesion unsuccessful
DCM | 122302 | Guidewire crossing lesion successful

## CID 3754 Vascular Complications

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  1.2.840.10008.6.1.249

Table CID 3754. Vascular Complications

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | NCDR 2.0b Equivalent Code Value
--- | --- | --- | --- | --- | ---
SCT | 50960005 | Bleeding | M-37000 | C0019080 | 127
SCT | 1386000 | Occlusion of artery | D3-89100 | C0151699 | 128
SCT | 414617007 | Loss of distal pulse | R-102B2 | C1532146 | 129
SCT | 710864009 | Arterial dissection | D3-80086 | C0002949 | 130
SCT | 22036004 | Pseudoaneurysm | M-32390 | C1510412 | 131
SCT | 128617001 | AV Fistula | M-39390 | C0003855 | 132

### Note

In prior editions, this Context Group included the NCDR 2.0b codes as the primary set. These have been replaced with equivalent SNOMED codes.

## CID 3755 Cath Complications

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  1.2.840.10008.6.1.250

Table CID 3755. Cath Complications

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | NCDR 2.0b Equivalent Code Value
--- | --- | --- | --- | --- | ---
SCT | 89138009 | Cardiogenic shock | D3-00200 | C0036980 | 123
SCT | 44808001 | Arrhythmia | D3-30000 | C0264886 | 124
SCT | 230690007 | Cerebrovascular Accident or Stroke | D3-8900D | C0038454 | 125
SCT | 35304003 | Cardiac tamponade | D3-90100 | C0007177 | 126
SCT | 292095005 | Contrast media adverse reaction | DF-10781 | C0569413 | 133
SCT | 42343007 | Congestive heart failure | D3-16010 | C0018802 | 134
SCT | 42399005 | Renal failure | D7-11010 | C0035078 | 135
SCT | 414089002 | Emergency Percutaneous Coronary Intervention | R-102B5 | C1532297 | 136
SCT | 414088005 | Emergency Coronary Artery Bypass | R-102B3 | C1532296 | 137
SCT | 410429000 | Cardiac arrest | D3-3002F | C0018790 |

### Note

In prior editions, this Context Group included the NCDR 2.0b codes as the primary set. These have been replaced with equivalent SNOMED codes.

## CID 3756 Cardiac Patient Risk Factors

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  20170914

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  1.2.840.10008.6.1.251

Table CID 3756. Cardiac Patient Risk Factors

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | NCDR 2.0b Equivalent Code Value
--- | --- | --- | --- | --- | ---
SCT | 161505003 | History of congestive heart failure | G-026D | C0455531 | 30
SCT | 161445009 | History of Diabetes | G-023F | C0455488 | 31
SCT | 414417004 | History of renal failure | R-102B6 | C1533077 | 32
SCT | 414415007 | History of chronic lung disease | R-102B7 | C1533075 | 33
SCT | 308064009 | History of cerebrovascular disease | G-0102 | C0585890 | 34
SCT | 400047006 | Peripheral vascular disease | D3-8005B | C0085096 | 35
SCT | 399211009 | History of myocardial infarction | G-03AA | C1275835 | 36
SCT | 161501007 | History of Hypertension | G-0269 | C0455527 | 37
SCT | 414416008 | History of hypercholesterolemia | R-102B8 | C1533076 | 39
SCT | 44808001 | Arrhythmia | D3-30000 | C0264886 |
SCT | 165816005 | HIV Positive | F-0331B | C0019699 |
UMLS | C0456029 | Infant of mother with gestational diabetes |  | C0456029 |
SCT | 444161008 | Insulin dependent mother (IDM) | G-0586 | C2732238 |

### Note

In prior editions, this Context Group included the NCDR 2.0b codes as the primary set. These have been replaced with equivalent SNOMED codes.

## CID 3757 Cardiac Diagnostic Procedures

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  1.2.840.10008.6.1.252

Table CID 3757. Cardiac Diagnostic Procedures

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 35621002 | Cardiac blood pool imaging (nuclear) | P5-D3304 | C0203725
SCT | 418903008 | Cardiac cath coronary angiogram and left ventriculogram | P5-00A25 | C1690980
SCT | 41976001 | Cardiac catheterization | P1-31600 | C0018795
SCT | 419416005 | Cardiac catheterization coronary angiogram | P5-00A34 | C1633729
SCT | 241547009 | Cardiac CT | P5-08025 | C0412618
SCT | 426005005 | Cardiac CT for calcium scoring | P5-080C2 | C1960839
SCT | 241620005 | Cardiac MRI | P5-09011 | C0412692
SCT | 431609005 | Cardiac MRI stress | P0-00CA7 | C2314961
SCT | 419545005 | CT angiography of coronary arteries | P5-00A5C | C1634617
SCT | 40701008 | Echocardiography | P5-B3000 | C0013516
SCT | 433233004 | Exercise Stress echocardiography | P5-B3050 | C0430466
SCT | 165079009 | Exercise Tolerance Test | P0-006E4 | C0015260
SCT | 241663008 | Magnetic resonance angiography | P5-0903A | C0243032
SCT | 108294005 | Nuclear medicine cardiovascular study | P5-D30F8 | C0581579
SCT | 35202002 | Perfusion imaging (nuclear) | P5-D0050 | C0412366
SCT | 241439007 | PET heart study | P5-0A006 | C0412498
SCT | 428813002 | Pharmacologic and exercise stress test | P2-31011 | C1998158
SCT | 424064009 | Pharmacological stress test | P2-31107 | C1827946
SCT | 426940008 | Radionuclide angiocardiography | P5-30045 | C1960212
SCT | 252432008 | Radionuclide myocardial perfusion study | P5-D3008 | C0430471
SCT | 105371005 | SPECT | P5-0A100 | C0040399
SCT | 428685003 | Stress test using cardiac pacing | P2-3110B | C1997441
SCT | 105376000 | Transesophageal echocardiography | P5-B3002 | C0206054
SCT | 433236007 | Transthoracic echocardiography | P5-B3012 | C0430462

### Note

In a prior version of this Context Group, the code P5-B3009 was specified for Exercise stress echocardiography. That code has been retired by SNOMED, and replaced by P5-B3050. Although there is minimal possibility of misinterpretation with SOP Instances that may include the retired code, receiving applications should be aware of this change; see Annex J.

## CID 3758 Cardiovascular Family History

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Version:

  20111028

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  1.2.840.10008.6.1.253

Table CID 3758. Cardiovascular Family History

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 266894000 | Family history of cardiovascular disease | G-032F | C0455404
SCT | 160303001 | Family history of diabetes mellitus | G-0157 | C1313937
SCT | 266897007 | Family history of myocardial infarction | G-011E | C0455406
SCT | 430091005 | Family history of coronary arteriosclerosis | G-04E3 | C2317524
SCT | 160274005 | No family history of diabetes | R-2087E | C0455678
SCT | 160270001 | No family history of cardiovascular disease | R-20773 | C0455346
SCT | 407559004 | Family history unknown | F-03F6E | C1319897

## CID 3760 Hypertension Therapy

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  20190817

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  1.2.840.10008.6.1.254

Table CID 3760. Hypertension Therapy

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 33252009 | Beta blocker | C-80135 | C0001645
SCT | 48698004 | Calcium channel blocker | C-80160 | C0006684
SCT | 372700007 | Nitrate vasodilator | F-618B5 | C0360716
SCT | 41549009 | ACE inhibitor | C-80150 | C0003015
SCT | 96308008 | Angiotensin II receptor antagonist | C-81300 | C0521942
SCT | 30492008 | Diuretic | C-72000 | C0012798

## CID 3761 Antilipemic Agents

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  20190817

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  1.2.840.10008.6.1.255

Table CID 3761. Antilipemic Agents

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 346322006 | Anion exchange resin | C-80609 | C0003072
SCT | 372872006 | Bile acid sequestrant | F-619A3 | C0304522
NCIt | C98150 | Fibrate |  | C3273847
SCT | 346441008 | Fish oils | C-8060A | C0016157
SCT | 96302009 | Statins | C-80800 | C0360714

## CID 3762 Antiarrhythmic Agents

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Version:

  20070827

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  1.2.840.10008.6.1.256

Table CID 3762. Antiarrhythmic Agents

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 373260001 | class I antiarrhythmic agent | F-6181B | C0360692
SCT | 373278006 | class II antiarrhythmic agent | F-61861 | C0360701
SCT | 372855004 | class III antiarrhythmic agent | F-61995 | C0360703
SCT | 372693007 | class IV antiarrhythmic agent | F-618AE | C0360706

## CID 3764 Myocardial Infarction Therapies

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  Extensible

Version:

  20070827

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  1.2.840.10008.6.1.257

Table CID 3764. Myocardial Infarction Therapies

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 415070008 | Percutaneous coronary intervention | R-102B4 | C1532338
SCT | 36969009 | Insertion of coronary artery stent | P1-33530 | C0521232
SCT | 232717009 | Coronary artery bypass graft | P1-3301A | C0010055
SCT | 426347000 | Thrombolytic therapy | P0-00C29 | C0040044

## CID 3769 Concern Types

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  20070827

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  1.2.840.10008.6.1.258

Table CID 3769. Concern Types

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 409586006 | Complaint | F-04BA9 | C0277786
SCT | 64572001 | Disease | DF-00000 | C0012634
SCT | 404684003 | Finding | R-005AE | C0037088
SCT | 418799008 | Finding reported by patient/informant | R-005E0 | C1689949
SCT | 248536006 | Functional performance and activity | F-03E55 | C0424866
SCT | 55607006 | Problem | F-01000 | C0033213

## CID 3770 Problem Status

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  20070827

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  1.2.840.10008.6.1.259

Table CID 3770. Problem Status

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 394774009 | Active problem | R-42501 | C1273826
SCT | 90734009 | Chronic | G-A270 | C0205191
SCT | 7087005 | Intermittent | G-A397 | C0205267
SCT | 255227004 | Recurrent | G-A39A | C2945760
SCT | 415684004 | Suspected | G-A47B | C0750491
SCT | 394775005 | Inactive problem | R-42502 | C1273827
SCT | 413322009 | Problem resolved | F-04B88 | C1446392
SCT | 410516002 | Known absent | G-A46B | C1444640
SCT | 1194003 | Well controlled | P0-30450 | C0184778

## CID 3772 Health Status

Resources:

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Type:

  Extensible

Version:

  20190817

UID:

  1.2.840.10008.6.1.260

Table CID 3772. Health Status

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 438949009 | Alive | F-05036 | C2584946
SCT | 81323004 | Alive and well | F-00001 | C0231162
SCT | 765205004 | In remission |  | C4707362
SCT | 162467007 | Symptom free | R-209F6 | C0436342
SCT | 161901003 | Chronically ill | F-0600C | C0581862
SCT | 271593001 | Severely ill | F-06001 | C0424547
SCT | 21134002 | Disabled | F-00100 | C0231170
SCT | 161045001 | Severely disabled | F-0351E | C0424990
SCT | 419099009 | Deceased | F-04DA1 | C1546956
SCT | 399307001 | Lost to follow-up | F-00FBE | C1302313

## CID 3773 Use Status

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  1.2.840.10008.6.1.261

Table CID 3773. Use Status

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 385656004 | Ended | G-D316 | C1272693
SCT | 385655000 | Suspended | G-D30F | C1705537
SCT | 385651009 | In progress | G-D30B | C1272688

## CID 3774 Social History

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  Extensible

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  20070827

UID:

  1.2.840.10008.6.1.262

Table CID 3774. Social History

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 365981007 | Tobacco Smoking Behavior | F-93109 | C0453996
SCT | 228366006 | Drug misuse behavior | F-931D4 | C0556386
SCT | 256235009 | Exercise | R-40C16 | C0015259
SCT | 364393001 | Nutrition | F-045CE | C1286103
SCT | 160573003 | Alcohol consumption | F-02573 | C0001948

## CID 3777 Implanted Devices

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  20070827

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  1.2.840.10008.6.1.263

Table CID 3777. Implanted Devices

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 14106009 | Cardiac pacemaker | A-11100 | C0030163
SCT | 72506001 | Implantable defibrillator | A-11206 | C0162589
SCT | 360066001 | Left ventricular assist device | A-11FCD | C0181598
SCT | 69805005 | Insulin pump | A-28040 | C1140609

## CID 3778 Stages

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Version:

  20081027

UID:

  1.2.840.10008.6.1.638

Table CID 3778. Stages

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 261613009 | Stage 0 | R-41177 | C0441763
SCT | 258215001 | Stage 1 | R-41DA8 | C0441766
SCT | 258219007 | Stage 2 | R-41DAC | C0441767
SCT | 258224005 | Stage 3 | R-41DB0 | C0441771
SCT | 258228008 | Stage 4 | R-41DB4 | C0441772
SCT | 261617005 | Stage 5 | R-4117B | C0441777

## CID 3780 Left Ventricle Myocardial Wall 16 Segments

This 16-segment model of left ventricular myocardial wall segments uses the terminology specified in [Voigt 2015].

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Type:

  Extensible

Version:

  20210904

UID:

  1.2.840.10008.6.1.1412

Table CID 3780. Left Ventricle Myocardial Wall 16 Segments

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 3782 “Left Ventricle Basal Wall 6 Segments”
Include CID 3783 “Left Ventricle Midlevel Wall 6 Segments”
Include CID 3784 “Left Ventricle Apical Wall 4 Segments”

## CID 3781 Left Ventricle Myocardial Wall 18 Segments

This 18-segment model of left ventricular myocardial wall segments uses the terminology specified in [Voigt 2015].

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Type:

  Extensible

Version:

  20210904

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  1.2.840.10008.6.1.1413

Table CID 3781. Left Ventricle Myocardial Wall 18 Segments

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 3782 “Left Ventricle Basal Wall 6 Segments”
Include CID 3783 “Left Ventricle Midlevel Wall 6 Segments”
Include CID 3785 “Left Ventricle Apical Wall 6 Segments”

## CID 3782 Left Ventricle Basal Wall 6 Segments

This 6-segment model of the basal left ventricular myocardial wall uses the terminology specified in [Cerqueira 2002] and is common to most LV models.

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  1.2.840.10008.6.1.1414

Table CID 3782. Left Ventricle Basal Wall 6 Segments

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 264850008 | left ventricle basal anterior segment | T-32619 | C0555926
SCT | 396482007 | left ventricle basal anteroseptal segment | R-10075 | C1300766
SCT | 396646008 | left ventricle basal inferoseptal segment | R-10076 | C1300903
SCT | 264846001 | left ventricle basal inferior segment | T-32615 | C0555929
SCT | 396652009 | left ventricle basal inferolateral segment | R-10079 | C1300909
SCT | 396654005 | left ventricle basal anterolateral segment | R-1007A | C1300911

## CID 3783 Left Ventricle Midlevel Wall 6 Segments

This 6-segment model of the midlevel left ventricular myocardial wall uses the terminology specified in [Cerqueira 2002] and is common to most LV models.

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  Extensible

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  20210904

UID:

  1.2.840.10008.6.1.1415

Table CID 3783. Left Ventricle Midlevel Wall 6 Segments

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 264848000 | left ventricle mid anterior segment | T-32617 | C0555925
SCT | 396647004 | left ventricle mid anteroseptal segment | R-10077 | C1300904
SCT | 396649001 | left ventricle mid inferoseptal segment | R-10078 | C1300906
SCT | 264847005 | left ventricle mid inferior segment | T-32616 | C0555924
SCT | 396655006 | left ventricle mid inferolateral segment | R-1007B | C1300912
SCT | 396656007 | left ventricle mid anterolateral segment | R-1007C | C1300913

## CID 3784 Left Ventricle Apical Wall 4 Segments

This 4-segment model of the apical left ventricular myocardial wall uses the terminology specified in [Cerqueira 2002].

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20210904

UID:

  1.2.840.10008.6.1.1416

Table CID 3784. Left Ventricle Apical Wall 4 Segments

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 264844003 | left ventricle apical anterior segment | T-32613 | C0555922
SCT | 264845002 | left ventricle apical septal segment | T-32614 | C0555923
SCT | 264849008 | left ventricle apical inferior segment | T-32618 | C0555930
SCT | 264853005 | left ventricle apical lateral segment | T-3261C | C0555928

## CID 3785 Left Ventricle Apical Wall 6 Segments

This 6-segment model of the apical left ventricular myocardial wall uses the terminology specified in [Voigt 2015].

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20210904

UID:

  1.2.840.10008.6.1.1417

Table CID 3785. Left Ventricle Apical Wall 6 Segments

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 264844003 | left ventricle apical anterior segment | T-32613 | C0555922
DCM | 130623 | left ventricle apical anterolateral segment |  |
DCM | 130620 | left ventricle apical anteroseptal segment |  |
SCT | 264849008 | left ventricle apical inferior segment | T-32618 | C0555930
DCM | 130622 | left ventricle apical inferolateral segment |  |
DCM | 130621 | left ventricle apical inferoseptal segment |  |

## CID 3802 Plaque Structures

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Table CID 3802. Plaque Structures

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 255423002 | fibrous | R-40448 | C0439709
SCT | 29185008 | fatty degeneration | M-50080 | C0152254
SCT | 18115005 | pathologic calcification | M-55420 | C0006663
SCT | 76197007 | hyperplasia | M-72000 | C0020507
SCT | 17589002 | non-calcified | G-A265 | C0332209
SCT | 26242008 | mixed | G-A660 | C0205430

## CID 3804 Stenosis Measurement Methods

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Table CID 3804. Stenosis Measurement Methods

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122655 | NASCET
DCM | 122656 | ECST
DCM | 122650 | Area Based Method
DCM | 122651 | Diameter Based Method

## CID 3805 Stenosis Types

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Table CID 3805. Stenosis Types

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 72092001 | arteriosclerotic vascular disease | D3-81100 | C0003850
SCT | 71173004 | compression | M-01460 | C0332459
SCT | 255423002 | fibrous | R-40448 | C0439709
SCT | 195295006 | Raynaud's disease | D3-80505 | C0034734
SCT | 363563002 | entrapment | M-300F2 | C1285497
SCT | 31996006 | vasculitis | D3-80650 | C0042384
SCT | 264579008 | thrombosis | R-423C3 | C0040053
SCT | 55584005 | embolism | M-35300 | C1704212
SCT | 234021009 | cystic adventitial disease | D3-80033 | C1306656

## CID 3806 Stenosis Shape

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Table CID 3806. Stenosis Shape

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 255465008 | concentric | R-4047B | C0439744
SCT | 255380003 | eccentric | R-40416 | C0439740

## CID 3807 Volume Measurement Methods

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Table CID 3807. Volume Measurement Methods

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122650 | Area Based Method
DCM | 122651 | Diameter Based Method
DCM | 122652 | Volume Based Method

## CID 3808 Aneurysm Types

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Table CID 3808. Aneurysm Types

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 710864009 | dissecting aneurysm | D3-80086 | C0020449
SCT | 314186008 | inflammatory abdominal aortic aneurysm | D3-83602 | C1279376
SCT | 22039006 | ruptured aneurysm | M-32201 | C0162869
SCT | 85726003 | mixed aneurysm | M-32240 | C0333093
SCT | 14156004 | racemose aneurysm | M-32410 | C0334533
SCT | 233982006 | cirsoid aneurysm | D3-80002 | C0334533
SCT | 51668007 | mycotic aneurysm | M-32320 | C0085808
SCT | 43299000 | miliary aneurysm | M-32310 | C0333097
SCT | 54002007 | saccular aneurysm | M-32340 | C2713497
SCT | 57754000 | varicose aneurysm | M-32221 | C0333091
SCT | 85431000 | fusiform aneurysm | M-32350 | C0333099
SCT | 110421000 | traumatic aneurysm | M-32210 | C1527161
SCT | 125271003 | thrombosed aneurysm | M-32202 | C1265766
SCT | 125272005 | expanding aneurysm | M-32203 | C1265767
SCT | 125273000 | calcified aneurysm | M-32204 | C1265768
SCT | 125274006 | multiple aneurysm | M-32208 | C1265769
SCT | 52856002 | cylindroid aneurysm | M-32360 | C0333100
SCT | 70984001 | serpentine aneurysm | M-32260 | C0333095

## CID 3809 Associated Conditions

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Table CID 3809. Associated Conditions

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 19346006 | Marfan's Syndrome | D6-90800 | C0024796
SCT | 19130008 | Traumatic Abnormality | M-10000 | C0221206

## CID 3810 Vascular Morphology

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Table CID 3810. Vascular Morphology

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 1522000 | plaque | M-01470 | C0332461
SCT | 415582006 | stenosis | M-3400A | C0009814
SCT | 85659009 | aneurysm | M-32200 | C0002940
SCT | 710864009 | arterial dissection | D3-80086 | C0002949
SCT | 65818007 | stent | A-25500 | C0038257
SCT | 26036001 | occlusion | M-34000 | C0028778
SCT | 128617001 | arteriovenous fistula | M-39390 | C0003855
SCT | 2099007 | angioma | M-91200 | C0018916
SCT | 25322007 | dilatation | M-32000 | C0012359
SCT | 416061003 | vascular coiling | R-FAB5E | C1562399
SCT | 15690004 | tortuosity | M-31790 | C0333076
SCT | 31113003 | diverticulum | M-32700 | C0012817
SCT | 107671003 | vascular sclerosis | M-520F8 | C0003850
SCT | 396339007 | thrombus | M-35001 | C0087086
SCT | 22036004 | pseudoaneurysm | M-32390 | C1510412
SCT | 55584005 | embolism | M-35300 | C1704212
SCT | 31653004 | fibromuscular dysplasia | M-74880 | C0016052

## CID 3813 Stent Findings

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Table CID 3813. Stent Findings

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 55199003 | hypoplasia | M-75300 | C0243069
SCT | 415582006 | stenosis | M-3400A | C0009814
DCM | 122680 | endoleak |  |
SCT | 370512004 | migration of implant or internal device | DD-661D2 | C1299914
DCM | 122684 | stent disintegration |  |
DCM | 122683 | stent fracture |  |

## CID 3814 Stent Composition

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Table CID 3814. Stent Composition

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 257363003 | metal stent | A-25502 | C0441290
SCT | 257362008 | plastic stent | A-25501 | C0441289

## CID 3815 Source of Vascular Finding

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Table CID 3815. Source of Vascular Finding

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 118927008 | thrombosis | D3-80515 | C0040053
SCT | 55584005 | embolism | M-35300 | C1704212
SCT | 76197007 | hyperplasia | M-72000 | C0020507
SCT | 31996006 | vasculitis | D3-80650 | C0042384
SCT | 108369006 | tumor | M-8FFFF | C0027651
SCT | 417746004 | trauma | DF-00777 | C3263723
SCT | 83578000 | surgical | G-B102 | C0543467
SCT | 303110006 | after procedure | R-422A4 | C0580203

## CID 3817 Vascular Sclerosis Types

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Table CID 3817. Vascular Sclerosis Types

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 47631006 | adventitial degeneration | M-52450 | C0333493
SCT | 32651000 | arteriosclerosis with fibrinoid necrosis | M-52210 | C0333487
SCT | 17941002 | arteriolosclerosis | M-52200 | C0333486
SCT | 28960008 | arteriosclerosis | M-52000 | C0003850
SCT | 48434008 | atheroma | M-52100 | C0264956
SCT | 20717008 | atherosclerotic fibrous plaque | M-52120 | C0333483
SCT | 29483008 | calcified atheromatous plaque | M-52101 | C0333479
SCT | 74937006 | complicated atheromatous plaque | M-52102 | C0333480
SCT | 42182000 | cystic medical necrosis | M-52470 | C0392775
SCT | 19952003 | elastic vascular sclerosis | M-52240 | C0333488
SCT | 53151000 | fatty streaks | M-52130 | C0333484
SCT | 72166006 | fibroelastosis | M-52300 | C0016038
SCT | 125358004 | diffuse fibroelastosis | M-52302 | C1265866
SCT | 125357009 | focal fibroelastosis | M-52301 | C1265865
SCT | 18016009 | phlebosclerosis | M-52500 | C0333494
SCT | 62189002 | ulcerated atheromatous plaque | M-52103 | C0333481
SCT | 33593002 | vascular wall degeneration | M-52400 | C0333489

## CID 3820 Non-invasive Vascular Procedures

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Table CID 3820. Non-invasive Vascular Procedures

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 241663008 | vascular MRI | P5-0903A | C0243032
SCT | 241620005 | cardiac MRI | P5-09011 | C0412692
SCT | 303680000 | cardiovascular CT | P5-0807F | C0581427
SCT | 241553009 | CT of abdominal aorta | P5-0802B | C0412626
SCT | 303827001 | trunk angiography | P5-00A0D | C0565173
SCT | 271993009 | peripheral angiography | P5-009BF | C0412290

## CID 3821 Papillary Muscle Included/Excluded

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Table CID 3821. Papillary Muscle Included/Excluded

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122620 | Papillary Muscle Excluded
DCM | 122621 | Papillary Muscle Included

## CID 3823 Respiratory Status

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Table CID 3823. Respiratory Status

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 14910006 | inspiration | F-20010 | C0004048
SCT | 58322009 | expiration | F-20020 | C0231800
SCT | 45804006 | autonomous breathing | F-20030 | C0231802
SCT | 261039008 | Valsalva maneuver | R-40928 | C0042293
DCM | 122612 | central breathing position |  |
SCT | 386616007 | shallow breathing | F-201BD | C0221161

## CID 3826 Heart Rhythm

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Table CID 3826. Heart Rhythm

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 64730000 | normal sinus rhythm | F-33300 | C0232202
SCT | 17366009 | atrial arrhythmia | D3-31500 | C0085611
SCT | 44103008 | ventricular arrhythmia | D3-31715 | C0085612

## CID 3827 Vessel Segments

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Table CID 3827. Vessel Segments

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 12105 “Intracranial Cerebral Vessels”
Include CID 12106 “Intracranial Cerebral Vessels (Unilateral)”
Include CID 12104 “Extracranial Arteries”
Include CID 12109 “Lower Extremity Arteries”
Include CID 12110 “Lower Extremity Veins”
Include CID 12107 “Upper Extremity Arteries”
Include CID 12108 “Upper Extremity Veins”
Include CID 12115 “Renal Vessels”
Include CID 12111 “Abdominopelvic Arteries (Paired)”
Include CID 12112 “Abdominopelvic Arteries (Unpaired)”
Include CID 12113 “Abdominopelvic Veins (Paired)”
Include CID 12114 “Abdominopelvic Veins (Unpaired)”
Include CID 3015 “Coronary Arteries”
Include CID 3839 “Coronary Veins”
Include CID 3840 “Pulmonary Veins”

## CID 3829 Pulmonary Arteries

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Table CID 3829. Pulmonary Arteries

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 45341000 | Trunk of pulmonary artery | T-44100 | C0034052
SCT | 79142001 | Suprapulmonic valve area | T-44010 | C0226052
SCT | 90315007 | pulmonary valve sinuses | T-35250 | C0225946
SCT | 50408007 | Left pulmonary artery | T-44400 | C0226069
SCT | 78480002 | Right pulmonary artery | T-44200 | C0226054

### Note

A previous version of this context group used terms with the SNOMED concept "entire" (see PS3.16-2011). The use of "structure" concepts rather than "entire" is described in Section 8.1.1.

## CID 3831 Stenosis Length

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Table CID 3831. Stenosis Length

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 255511005 | long | R-404AC | C0205166
SCT | 367450005 | short | R-4235F | C1806781

## CID 3832 Stenosis Grade

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Table CID 3832. Stenosis Grade

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 24484000 | severe | G-A003 | C0205082
SCT | 6736007 | moderate | G-A002 | C0205081
SCT | 255604002 | mild | R-404FA | C2945599

## CID 3833 Cardiac Ejection Fraction

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Table CID 3833. Cardiac Ejection Fraction

Coding Scheme Designator | Code Value | Code Meaning | UMLS Concept Unique ID
--- | --- | --- | ---
LN | 8810-4 | Left ventricular ejection fraction by CT | C0488725
LN | 8817-9 | Right ventricular ejection fraction by CT | C0488733
LN | 8811-2 | Left ventricular ejection fraction by MR | C0488726
LN | 8818-7 | Right ventricular ejection fraction by MR | C0488734

## CID 3835 Cardiac Volume Measurements

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Table CID 3835. Cardiac Volume Measurements

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | Equivalent LOINC Code Value
--- | --- | --- | --- | --- | ---
Include CID 3468 “ED Volume” |  |
Include CID 3469 “ES Volume” |  |
SCT | 90096001 | Stroke Volume | F-32120 | C0038455 | 20562-5

## CID 3836 Time-based Perfusion Measurements

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Table CID 3836. Time-based Perfusion Measurements

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 122631 | Signal Earliest Peak Time
DCM | 122633 | Signal Increase Start Time
DCM | 122634 | Signal Time to Peak
DCM | 122638 | Signal Baseline Start
DCM | 122639 | Signal Baseline End

## CID 3837 Fiducial Feature

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Table CID 3837. Fiducial Feature

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 264114003 | Ostium | R-4215C | C0444567
SCT | 2841007 | Renal Artery | T-46600 | C0035065
SCT | 73166001 | Aortic Bifurcation | T-42580 | C0226027
SCT | 413896006 | Common Iliac Bifurcation | R-10258 | C1531837

## CID 3838 Diameter Derivation

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Table CID 3838. Diameter Derivation

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 3488 “Min/Max/Mean” |  |
SCT | 62824007 | Transverse | G-A117 | C0205106
DCM | 122675 | Anterior-Posterior |  |

## CID 3839 Coronary Veins

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Table CID 3839. Coronary Veins

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 72107004 | Azygos Vein | T-48340 | C0004526
SCT | 90219004 | Coronary Sinus | T-48410 | C0456944
SCT | 5928000 | Great Cardiac Vein | T-48420 | C0226659
SCT | 49082002 | Small Cardiac Vein | T-48435 | C0226661
SCT | 194996006 | Anterior Cardiac Vein | T-48403 | C0226662
SCT | 195164009 | Atrial Vein | T-48406 | C0226666
SCT | 195496005 | Atrioventricular Vein | T-48407 | C0226668
SCT | 73580002 | Middle Cardiac Vein | T-48430 | C0226660
SCT | 195328002 | Ventricular Vein | T-48404 | C0226667
SCT | 195073003 | Smallest Cardiac Vein | T-48405 | C1279372

### Note

A previous version of this context group used terms with the SNOMED concept "entire" (see PS3.16-2011). The use of "structure" concepts rather than "entire" is described in Section 8.1.1.

## CID 3840 Pulmonary Veins

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Table CID 3840. Pulmonary Veins

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 430757002 | Pulmonary Vein | T-4858F | C2317442
SCT | 27706005 | Left Pulmonary Vein | T-48502 | C0226670
SCT | 51249003 | Inferior Left Pulmonary Vein | T-48540 | C0226686
SCT | 43863001 | Superior Left Pulmonary Vein | T-48530 | C0226682
SCT | 91539005 | Right Pulmonary Vein | T-48501 | C0226669
SCT | 113273001 | Inferior Right Pulmonary Vein | T-48520 | C0226676
SCT | 8629005 | Superior Right Pulmonary Vein | T-48510 | C0226671

### Note

A previous version of this context group used terms with the SNOMED concept "entire" (see PS3.16-2011). The use of "structure" concepts rather than "entire" is described in Section 8.1.1.

## CID 3843 Myocardial Subsegment

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Table CID 3843. Myocardial Subsegment

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 304059001 | endocardial | R-427E6 | C0014124
SCT | 261073003 | epicardial | R-40940 | C0442016

## CID 3850 Contrast Bolus Substance

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Table CID 3850. Contrast Bolus Substance

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 70 “Flush”
Include CID 12 “Radiographic Contrast Agent”

## CID 4005 Partial View Section for Mammography

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Table CID 4005. Partial View Section for Mammography

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 255549009 | Anterior | R-404CC | C0205094
SCT | 255551008 | Posterior | R-404CE | C0205095
SCT | 264217000 | Superior | R-42191 | C1282910
SCT | 261089000 | Inferior | R-4094A | C0542339
SCT | 255561001 | Medial | R-404D5 | C0205098
SCT | 49370004 | Lateral | G-A104 | C0205093
SCT | 26216008 | Central | G-A110 | C0205099

## CID 4009 DX Anatomy Imaged

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Table CID 4009. DX Anatomy Imaged

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 4031 “Common Anatomic Regions”

## CID 4010 DX View

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Table CID 4010. DX View

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 399033003 | frontal | R-10202 | C0442223
SCT | 399160007 | frontal oblique | R-10204 | C1302231
SCT | 399348003 | antero-posterior | R-10206 | C0442212
SCT | 399312000 | antero-posterior oblique | R-10208 | C1302318
SCT | 399038007 | right posterior oblique | R-10210 | C1275807
SCT | 399006002 | left posterior oblique | R-10212 | C1275802
SCT | 272479007 | postero-anterior | R-40888 | C0457409
SCT | 399059000 | postero-anterior oblique | R-10216 | C1275812
SCT | 399356000 | right anterior oblique | R-40985 | C1275852
SCT | 399135007 | left anterior oblique | R-10220 | C1275823
SCT | 30730003 | sagittal | G-A145 | C0205129
SCT | 399260004 | medial-lateral | R-10224 | C1302283
SCT | 260427002 | lateral oblique | R-40783 | C0442295
SCT | 399352003 | lateral-medial | R-10228 | C1302336
SCT | 260426006 | medial oblique | R-40782 | C0442294
SCT | 399198007 | right lateral | R-10232 | C0442202
SCT | 399236003 | right oblique | R-10234 | C0442291
SCT | 399173006 | left lateral | R-10236 | C0442198
SCT | 399184004 | left oblique | R-10238 | C0442288
SCT | 399061009 | axial | R-10241 | C0442269
SCT | 399162004 | cranio-caudal | R-10242 | C0442215
SCT | 399196006 | caudo-cranial | R-10244 | C1302249
SCT | 399004004 | oblique axial | R-10246 | C1302164
SCT | 399288005 | oblique cranio-caudal | R-10248 | C1302302
SCT | 399225005 | oblique caudo-cranial | R-10250 | C1302262
SCT | 399132005 | frontal-oblique axial | R-10252 | C1275822
SCT | 399325008 | sagittal-oblique axial | R-10254 | C1275850
SCT | 399182000 | oblique | R-102C1 | C0442287
SCT | 399067008 | lateral | R-102CD | C0442197
SCT | 399110001 | tangential | R-102C2 | C0442227
SCT | 399255003 | submentovertical | R-10256 | C0442244
SCT | 399360002 | verticosubmental | R-10257 | C1302340
SCT | 399071006 | plantodorsal | R-102C3 | C1302192
SCT | 399335002 | dorsoplantar | R-102C4 | C1302328
SCT | 399272005 | parietoacanthial | R-102C5 | C1302290
SCT | 399242004 | acanthioparietal | R-102C6 | C1302273
SCT | 399351005 | orbitoparietal | R-102C7 | C1302335
SCT | 399316002 | parieto-orbital | R-102C8 | C1302320
SCT | 399099002 | latero-medial oblique | R-10230 | C1302201
SCT | 399368009 | medio-lateral oblique | R-10226 | C1302345
SCT | 119376003 | tissue specimen | G-8300 | C1292533
SCT | 260499007 | Occlusal projection | R-40810 | C0442276

### Note

1. In a prior version of this Context Group, Lateral Oblique was assigned the code R-10226, and Medial Oblique was assigned the code R-10230, as synonymous with Medio-Lateral Oblique and Latero-Medial Oblique, respectively. SNOMED currently distinguishes between LO and MLO, and between MO and LMO, although in most radiography contexts there is no practical distinction. Receiving applications should be aware that they may receive SOP Instances with the prior code assignments.

2. In a prior version of this Context Group, "right anterior oblique" was assigned the code R-10218, which in SNOMED is actually "Indirect iris transillumination"; this code has been replaced with the correct code R-40985.

3. In a prior version of this Context Group, a concept of "sagittal" was present with a code of R-10222, which in SNOMED is actually "Trypan blue"; this code has been replaced with the general SNOMED qualifier concept G-A145.

## CID 4011 DX View Modifier

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20070524

UID:

  1.2.840.10008.6.1.295

Table CID 4011. DX View Modifier

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 399196006 | cephalad | R-10244 | C1302249
SCT | 399162004 | caudad | R-10242 | C0442215
SCT | 272476000 | transthoracic | R-40885 | C0442285
SCT | 272466003 | transforamenal | R-4087B | C0442259
SCT | 118438002 | transoral | G-D00B | C0442366
SCT | 278318001 | transorbital | R-40554 | C0457460
DCM | 111069 | Crosstable |  |
SCT | 286866000 | Mouth closed | R-421A4 | C0564684

### Note

In a prior version of this Context Group, the codes R-102C9, R-102CA, R-102CB, R-102CC, and R-102CE were specified for various concepts. Those codes are not actually in SNOMED, and their use in this context is deprecated. Although there is minimal possibility of misinterpretation with SOP Instances that may include the deprecated use, receiving applications should be aware of this change; see Annex J.

## CID 4012 Projection Eponymous Name

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  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20170914

UID:

  1.2.840.10008.6.1.296

Table CID 4012. Projection Eponymous Name

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 399142007 | Albers-Schonberg | R-10261 | C1302223
SCT | 399237007 | Alexander | R-10262 | C1302270
SCT | 422670003 | Apple | R-40A88 | C1827705
SCT | 399218003 | Arcelin | R-10263 | C1302258
SCT | 399263002 | Beclere | R-10264 | C1302284
SCT | 399362005 | Bertel | R-10265 | C1302341
SCT | 399246001 | Blackett-Healy | R-10266 | C1302276
SCT | 260492003 | Brewerton projection | R-40809 | C0442271
SCT | 399344001 | Broden | R-10267 | C1302332
SCT | 422861003 | Burman | R-40A89 | C1828171
SCT | 399278009 | Cahoon | R-10268 | C1302294
SCT | 399358004 | Caldwell | R-10269 | C0442264
SCT | 399212002 | Camp-Coventry | R-1026A | C1302254
SCT | 399065000 | Causton | R-1026B | C1302190
SCT | 399148006 | Chamberlain | R-1026C | C1302226
SCT | 399013002 | Chassard-Lapine | R-1026D | C1302168
SCT | 399355001 | Chausse | R-1026E | C1302338
SCT | 399245002 | Cleaves | R-1026F | C1302275
SCT | 399028002 | Clements | R-10270 | C1302177
SCT | 399320003 | Clements-Nakayama | R-10271 | C1302322
SCT | 423091003 | Colcher-Sussman | R-40A8A | C1827227
SCT | 424811006 | Danelius-Miller | R-40A8B | C1828231
SCT | 399303002 | Dunlap | R-10272 | C1302310
SCT | 424655003 | Eraso Modification | R-40A8F | C1827856
SCT | 399372008 | Ferguson | R-10273 | C1302349
SCT | 424962005 | Fisk | R-40A8C | C1827093
SCT | 399281004 | Fleischner | R-10274 | C1302296
SCT | 425157002 | Folio | R-40A8D | C1827491
SCT | 399103007 | Friedman | R-10275 | C1302203
SCT | 399073009 | Fuchs | R-10276 | C1302193
SCT | 425188003 | Garth | R-40A8E | C1827580
SCT | 399082003 | Gaynor-Hart | R-10277 | C1302196
SCT | 399311007 | Grandy | R-10278 | C1302317
SCT | 399146005 | Grashey | R-10279 | C1302225
SCT | 399341009 | Haas | R-1027A | C1302330
SCT | 260493008 | Harris Beath axial projection | R-4080A | C0442308
SCT | 399199004 | Henschen | R-1027B | C1302250
SCT | 399277004 | Hickey | R-1027C | C1302293
SCT | 424086005 | Hirtz Modification | R-40A90 | C1828045
SCT | 399129007 | Holly | R-1027D | C1302216
SCT | 399285008 | Holmblad | R-1027E | C1302300
SCT | 399168000 | Hough | R-1027F | C1302236
SCT | 399083008 | Hsieh | R-10280 | C1302197
SCT | 399003005 | Hughston | R-10281 | C1302163
SCT | 399025004 | Isherwood | R-10282 | C0456593
SCT | 399201002 | Judd | R-10283 | C1302252
SCT | 260496000 | Judet projection | R-4080D | C0442309
SCT | 399152006 | Kandel | R-10284 | C1302227
SCT | 399280003 | Kasabach | R-10285 | C1302295
SCT | 399227002 | Kemp Harper | R-10286 | C1302263
SCT | 425030002 | Kite | R-40A91 | C1827203
SCT | 399318001 | Kovacs | R-10287 | C1302321
SCT | 399080006 | Kuchendorf | R-10288 | C1302195
SCT | 399332004 | Kurzbauer | R-10289 | C1302327
SCT | 399156009 | Laquerriere-Pierquin | R-1028A | C1302230
SCT | 399169008 | Lauenstein | R-1028B | C1302237
SCT | 399206007 | Law | R-1028C | C1302253
SCT | 399179005 | Lawrence | R-1028D | C1302241
SCT | 398996004 | Leonard-George | R-1028E | C1302159
SCT | 399037002 | Lewis | R-1028F | C1302179
SCT | 399342002 | Lilienfeld | R-10290 | C1302331
SCT | 399308006 | Lindblom | R-10291 | C1302314
SCT | 399251007 | Lorenz | R-10292 | C1302279
SCT | 399327000 | Low-Beer | R-10293 | C1302324
SCT | 399370000 | Lysholm | R-10294 | C1302347
SCT | 399024000 | May | R-10295 | C1302174
SCT | 399000008 | Mayer | R-10296 | C1302161
SCT | 399284007 | Merchant | R-10297 | C1302299
SCT | 399005003 | Miller | R-10298 | C1302165
SCT | 422568001 | Moore | R-40A92 | C1827499
SCT | 260497009 | Mortice projection | R-4080E | C0442274
SCT | 422795009 | Neer | R-40A93 | C1828002
SCT | 399002000 | Nolke | R-10299 | C1302162
SCT | 399157000 | Norgaard | R-1029A | C0442275
SCT | 399171008 | Ottonello | R-1029B | C1302238
SCT | 399181007 | Pawlow | R-1029C | C1302242
SCT | 399365007 | Pearson | R-1029D | C1302342
SCT | 399138009 | Penner | R-1029E | C1302221
SCT | 399022001 | Pirie | R-1029F | C1302172
SCT | 423720000 | Rafert | R-40A94 | C1827152
SCT | 422534007 | Rafert-Long | R-40A95 | C1827402
SCT | 399234000 | Rhese | R-102A0 | C1302268
SCT | 425035007 | Robert | R-40A96 | C1827274
SCT | 425042007 | Rosenberg | R-40A97 | C1827277
SCT | 399290006 | Schuller | R-102A1 | C1302303
SCT | 399243009 | Settegast | R-102A2 | C1302274
SCT | 399098005 | Staunig | R-102A3 | C1302200
SCT | 399292003 | Stecher | R-102A4 | C1302304
SCT | 399349006 | Stenvers | R-102A5 | C0442232
SCT | 422954003 | Stryker | R-40A98 | C1828322
SCT | 399313005 | Swanson | R-102A6 | C1302319
SCT | 399247005 | Tarrant | R-102A7 | C1302277
SCT | 399296000 | Taylor | R-102A8 | C1302307
SCT | 399127009 | Teufel | R-102A9 | C1302215
SCT | 399241006 | Titterington | R-102AA | C1302272
SCT | 399270002 | Towne | R-102AB | C0442265
SCT | 399125001 | Twining | R-102AC | C1302214
SCT | 399330007 | Valdini | R-102AD | C1302326
SCT | 260506009 | Van Rosen projection | R-40816 | C0442286
SCT | 260473000 | Waters | R-407B0 | C0442243
SCT | 399130002 | West Point | R-102AF | C1302217
SCT | 399215000 | Wigby-Taylor | R-102B0 | C1302257
SCT | 422996004 | Wolf | R-40A99 | C1828400
SCT | 399026003 | Zanelli | R-102B1 | C1302175

## CID 4013 Anatomic Region for Mammography

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Non-Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.297

Table CID 4013. Anatomic Region for Mammography

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 76752008 | Breast | T-04000 | C0006141

## CID 4014 View for Mammography

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Non-Extensible

Version:

  20090717

UID:

  1.2.840.10008.6.1.298

Table CID 4014. View for Mammography

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | ACR MQCM 1999 Equivalent
--- | --- | --- | --- | --- | ---
SCT | 399260004 | medio-lateral | R-10224 | C1302283 | ML
SCT | 399368009 | medio-lateral oblique | R-10226 | C1302345 | MLO
SCT | 399352003 | latero-medial | R-10228 | C1302336 | LM
SCT | 399099002 | latero-medial oblique | R-10230 | C1302201 | LMO
SCT | 399162004 | cranio-caudal | R-10242 | C0442215 | CC
SCT | 399196006 | caudo-cranial (from below) | R-10244 | C1302249 | FB
SCT | 399188001 | superolateral to inferomedial oblique | R-102D0 | C1302245 | SIO
SCT | 441555000 | inferomedial to superolateral oblique | R-40AAA | C2711617 | ISO
SCT | 399192008 | cranio-caudal exaggerated laterally | R-1024A | C1302247 | XCCL
SCT | 399101009 | cranio-caudal exaggerated medially | R-1024B | C1302202 | XCCM
SCT | 127457009 | tissue specimen from breast | G-8310 | C0444070 |

### Note

1. In a prior version of this Context Group, Cranio-Caudal Exaggerated Laterally was assigned the code Y-X1770, and Cranio-Caudal Exaggerated Medially was assigned the code Y-X1771. Those codes are deprecated, as they are not valid SNOMED codes. Although there is minimal possibility of misinterpretation with SOP Instances that may include the deprecated codes, receiving applications should be aware of this change; see Annex J.

2. In a prior version of this Context Group, (399265009, SCT, "cranio-caudal exaggerated") was included. This is not a clinically applied view. Use of this term is deprecated, but receiving applications should be aware of its prior existence.

## CID 4015 View Modifier for Mammography

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Non-Extensible

Version:

  20090717

UID:

  1.2.840.10008.6.1.299

Table CID 4015. View Modifier for Mammography

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | Applies only when View ACR MQCM 1999 Equivalent is: | ACR MQCM 1999 Equivalent
--- | --- | --- | --- | --- | --- | ---
SCT | 399161006 | Cleavage | R-102D2 | C1302232 | CC or FB | CV
SCT | 399011000 | Axillary Tail | R-102D1 | C1302167 | MLO | AT
SCT | 399197002 | Rolled Lateral | R-102D3 | C1275832 | any | ...RL
SCT | 399226006 | Rolled Medial | R-102D4 | C1275838 | any | ...RM
SCT | 414493004 | Rolled Inferior | R-102CA | C1532323 | any | ...RI
SCT | 415670009 | Rolled Superior | R-102C9 | C1531911 | any | ...RS
SCT | 399209000 | Implant Displaced | R-102D5 | C1275834 | any | ...ID
SCT | 399163009 | Magnification | R-102D6 | C1302233 | any | M...
SCT | 399055006 | Spot Compression | R-102D7 | C1302185 | any | S...
SCT | 399110001 | Tangential | R-102C2 | C0442227 | any | TAN
SCT | 442581004 | Nipple in profile | R-40AB3 | C2711408 | any | ...NP
SCT | 441752004 | Anterior compression | P2-00161 | C2711933 | any | ...AC
SCT | 442593008 | Infra-mammary fold | R-40ABE | C2711136 | any | ...IMF
SCT | 442580003 | Axillary tissue | R-40AB2 | C2711122 | any | ...AX

### Note

1. The View ACR MQCM 1999 Equivalent is defined in CID 4014 “View for Mammography”.

2. Some applications and View Modifier ACR MQCM 1999 equivalents have been extended by DICOM to incorporate additional known clinical use cases. The View Modifier ACR MQCM 1999 equivalent indicates its use as a prefix (shown by trailing "…") or suffix (shown by preceding "…") to the View ACR MQCM 1999 equivalent, or replacement for the View ACR MQCM 1999 equivalent.

## CID 4016 Anatomic Region for Intra-oral Radiography

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  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Non-Extensible

Version:

  20150318

UID:

  1.2.840.10008.6.1.300

Table CID 4016. Anatomic Region for Intra-oral Radiography

Coding Scheme Designator | Code Value | Code Meaning | SNODENT Code | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | --- | ---
SCT | 661005 | Jaw region | 100108D | T-D1213 | C3887617
SCT | 70925003 | Maxilla | 108042D | T-11170 | C0024947
SCT | 91609006 | Mandible | 144511D | T-11180 | C0024687
SCT | 28035005 | Teeth, gums and supporting structures | 124191D | T-54000 | C0702127

### Note

In a prior version of this table, the code T-D1217 was specified for the concept "Maxilla and mandible". The use of this code conflicts with its assignment to another concept in SNOMED, and its use in this context is deprecated. Although there is minimal possibility of misinterpretation with SOP Instances that may include the deprecated use, receiving applications should be aware of this change; see Annex J.

## CID 4017 Anatomic Region Modifier for Intra-oral Radiography

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Non-Extensible

Version:

  20150318

UID:

  1.2.840.10008.6.1.301

Table CID 4017. Anatomic Region Modifier for Intra-oral Radiography

Coding Scheme Designator | Code Value | Code Meaning | SNODENT Code | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | --- | ---
SCT | 699453001 | Central incisor region | 178934D | R-FB322 | C3697198
SCT | 699511000 | Lateral incisor region | 178947D | R-FB35C | C3697187
SCT | 699510004 | Canine region | 178952D | R-FB35B | C3697045
SCT | 699509009 | First premolar region | 178968D | R-FB35A | C3697100
SCT | 699508001 | Second premolar region | 178975D | R-FB359 | C3698067
SCT | 699507006 | First molar region | 178981D | R-FB358 | C3698498
SCT | 699505003 | Second molar region | 178999D | R-FB356 | C3698361
SCT | 699503005 | Third molar region | 179005D | R-FB354 | C3697261

### Note

In a prior version of this table, SNOMED codes T-51005 through T-5100C were specified for various concepts. The use of these codes conflicts with their assignment to other concepts in SNOMED, and the set of concepts has been replaced. Also, SNOMED code T-5100D was specified for an Occlusal view; this code does not exist in SNOMED, and the concept is more properly considered as a view rather than an anatomic region, hence has been moved to CID 4010, and assigned the correct SNOMED code R-40810. Although there is minimal possibility of misinterpretation with SOP Instances that may include the deprecated use, receiving applications should be aware of this change; the deprecated codes are included in Annex J.

## CID 4018 Primary Anatomic Structure for Intra-oral Radiography (Permanent Dentition - Designation of Teeth)

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Non-Extensible

Version:

  20150318

UID:

  1.2.840.10008.6.1.302

Table CID 4018. Primary Anatomic Structure for Intra-oral Radiography (Permanent Dentition - Designation of Teeth)

Coding Scheme Designator | Code Value | Code Meaning | ISO 3950 Designation of Quadrant | ISO 3950 Designation of Tooth | SNODENT Code | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | --- | --- | --- | ---
SCT | 68085002 | Maxillary right third molar tooth | 1 | 8 | 133248D | T-54210 | C0227032
SCT | 7121006 | Maxillary right second molar tooth | 1 | 7 | 109449D | T-54220 | C0227033
SCT | 5140004 | Maxillary right first molar tooth | 1 | 6 | 104587D | T-54230 | C0227034
SCT | 36492000 | Maxillary right second premolar tooth | 1 | 5 | 128425D | T-54240 | C0227037
SCT | 57826002 | Maxillary right first premolar tooth | 1 | 4 | 138890D | T-54250 | C0227038
SCT | 80647007 | Maxillary right canine tooth | 1 | 3 | 145111D | T-54260 | C0227039
SCT | 11712009 | Maxillary right lateral incisor tooth | 1 | 2 | 116770D | T-54270 | C0227040
SCT | 22120004 | Maxillary right central incisor tooth | 1 | 1 | 106397D | T-54280 | C0227042
SCT | 31982000 | Maxillary left central incisor tooth | 2 | 1 | 125190D | T-54290 | C0227043
SCT | 25748002 | Maxillary left lateral incisor tooth | 2 | 2 | 103484D | T-54300 | C0227045
SCT | 72876007 | Maxillary left canine tooth | 2 | 3 | 108821D | T-54310 | C0227046
SCT | 61897005 | Maxillary left first premolar tooth | 2 | 4 | 119834D | T-54320 | C0227047
SCT | 23226009 | Maxillary left second premolar tooth | 2 | 5 | 126921D | T-54330 | C0227048
SCT | 23427002 | Maxillary left first molar tooth | 2 | 6 | 135665D | T-54340 | C0227051
SCT | 66303006 | Maxillary left second molar tooth | 2 | 7 | 130330D | T-54350 | C0227052
SCT | 87704003 | Maxillary left third molar tooth | 2 | 8 | 136609D | T-54360 | C0227053
SCT | 74344005 | Mandibular left third molar tooth | 3 | 8 | 129534D | T-54370 | C0227054
SCT | 48402004 | Mandibular left second molar tooth | 3 | 7 | 101391D | T-54380 | C0227055
SCT | 89625000 | Mandibular left first molar tooth | 3 | 6 | 109790D | T-54390 | C0227056
SCT | 24573005 | Mandibular left second premolar tooth | 3 | 5 | 117536D | T-54400 | C0227059
SCT | 2400006 | Mandibular left first premolar tooth | 3 | 4 | 138336D | T-54410 | C0227060
SCT | 39844006 | Mandibular left canine tooth | 3 | 3 | 119269D | T-54420 | C0227061
SCT | 77130001 | Mandibular left lateral tooth | 3 | 2 | 119276D | T-54430 | C0227062
SCT | 113278005 | Mandibular left central incisor tooth | 3 | 1 | 116581D | T-54440 | C0227064
SCT | 15422005 | Mandibular right central incisor tooth | 4 | 1 | 139525D | T-54450 | C0227065
SCT | 82628004 | Mandibular right lateral incisor tooth | 4 | 2 | 113091D | T-54460 | C0227067
SCT | 47055002 | Mandibular right canine tooth | 4 | 3 | 107357D | T-54470 | C0227068
SCT | 80140008 | Mandibular right first premolar tooth | 4 | 4 | 144507D | T-54480 | C0227069
SCT | 8873007 | Mandibular right second premolar tooth | 4 | 5 | 110784D | T-54490 | C0227070
SCT | 28480000 | Mandibular right first molar tooth | 4 | 6 | 143324D | T-54500 | C0227073
SCT | 40005008 | Mandibular right second molar tooth | 4 | 7 | 145772D | T-54510 | C0227074
SCT | 38994002 | Mandibular right third molar tooth | 4 | 8 | 100566D | T-54520 | C0227075

## CID 4019 Primary Anatomic Structure for Intra-oral Radiography (Deciduous Dentition - Designation of Teeth)

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Non-Extensible

Version:

  20150318

UID:

  1.2.840.10008.6.1.303

Table CID 4019. Primary Anatomic Structure for Intra-oral Radiography (Deciduous Dentition - Designation of Teeth)

Coding Scheme Designator | Code Value | Code Meaning | ISO 3950 Designation of Quadrant | ISO 3950 Designation of Tooth | SNODENT Code | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | --- | --- | --- | ---
SCT | 245620002 | Deciduous maxillary right central incisor tooth | 5 | 1 | 162619D | T-54610 | C0447234
SCT | 245619008 | Deciduous maxillary right lateral incisor tooth | 5 | 2 | 162494D | T-54620 | C0447233
SCT | 30618001 | Deciduous maxillary right canine tooth | 5 | 3 | 124018D | T-54630 | C0227087
SCT | 245616001 | Deciduous maxillary right first molar tooth | 5 | 4 | 162234D | T-54640 | C0447230
SCT | 27855007 | Deciduous maxillary right second molar tooth | 5 | 5 | 130574D | T-54650 | C0227089
SCT | 51678005 | Deciduous maxillary left central incisor tooth | 6 | 1 | 108911D | T-54660 | C1533615
SCT | 43622005 | Deciduous maxillary left lateral incisor tooth | 6 | 2 | 123818D | T-54670 | C0227091
SCT | 73937000 | Deciduous maxillary left canine tooth | 6 | 3 | 140711D | T-54680 | C0227092
SCT | 45234009 | Deciduous maxillary left first molar tooth | 6 | 4 | 141712D | T-54690 | C0227093
SCT | 51943008 | Deciduous maxillary left second molar tooth | 6 | 5 | 112992D | T-54700 | C0227094
SCT | 89552004 | Deciduous mandibular left central incisor tooth | 7 | 1 | 150298D | T-54760 | C0227100
SCT | 14770005 | Deciduous mandibular left lateral incisor tooth | 7 | 2 | 134816D | T-54770 | C1533616
SCT | 245639007 | Deciduous mandibular left canine tooth | 7 | 3 | 162441D | T-54780 | C0447255
SCT | 38896004 | Deciduous mandibular left first molar tooth | 7 | 4 | 118147D | T-54790 | C0227103
SCT | 49330006 | Deciduous mandibular left second molar tooth | 7 | 5 | 144621D | T-54800 | C0227104
SCT | 67834006 | Deciduous mandibular right central incisor tooth | 8 | 1 | 120236D | T-54710 | C0227095
SCT | 22445006 | Deciduous mandibular right lateral incisor tooth | 8 | 2 | 113281D | T-54720 | C0227101
SCT | 6062009 | Deciduous mandibular right canine tooth | 8 | 3 | 105720D | T-54730 | C0227097
SCT | 245631005 | Deciduous mandibular right first molar tooth | 8 | 4 | 162206D | T-54740 | C0447244
SCT | 61868007 | Deciduous mandibular right second molar tooth | 8 | 5 | 107031D | T-54750 | C0227099

## CID 4020 PET Radionuclide

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20160119

UID:

  1.2.840.10008.6.1.304

Table CID 4020. PET Radionuclide

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 40565003 | ^11^Carbon | C-105A1 | C0302944
SCT | 21576001 | ^13^Nitrogen | C-107A1 | C0302959
SCT | 424875009 | ^14^Oxygen | C-1018C | C1828369
SCT | 129504001 | ^15^Oxygen | C-B1038 | C1268556
SCT | 77004003 | ^18^Fluorine | C-111A1 | C0302995
SCT | 71633006 | ^22^Sodium | C-155A1 | C0303511
SCT | 423764008 | ^38^Potassium | C-135A4 | C1827255
DCM | 126605 | ^43^Scandium |  |
DCM | 126600 | ^44^Scandium |  |
SCT | 75696008 | ^45^Titanium | C-166A2 | C0303635
DCM | 126601 | ^51^Manganese |  |
SCT | 69089000 | ^52^Iron | C-130A1 | C0303218
SCT | 37225000 | ^52^Manganese | C-149A1 | C0303448
DCM | 126607 | ^52m^Manganese |  |
SCT | 425364008 | ^60^Copper | C-127A4 | C1827982
SCT | 71425003 | ^61^Copper | C-127A1 | C0303189
SCT | 422934004 | ^62^Copper | C-127A5 | C1828311
SCT | 65054007 | ^62^Zinc | C-141A1 | C0303361
SCT | 3932008 | ^64^Copper | C-127A2 | C0303190
SCT | 79477007 | ^66^Gallium | C-131A1 | C0303224
SCT | 35337001 | ^68^Gallium | C-131A3 | C0303226
SCT | 53315004 | ^68^Germanium | C-128A2 | C0303198
DCM | 126602 | ^70^Arsenic |  |
SCT | 2705002 | ^72^Arsenic | C-115A2 | C0303037
SCT | 87437000 | ^73^Selenium | C-116A2 | C0303047
SCT | 17910003 | ^75^Bromine | C-113A1 | C0303008
SCT | 79523006 | ^76^Bromine | C-113A2 | C1304532
SCT | 86521004 | ^77^Bromine | C-113A3 | C0303010
SCT | 79197006 | ^82^Rubidium | C-159A2 | C0303554
SCT | 10738001 | ^86^Yttrium | C-162A3 | C0303592
SCT | 63360001 | ^89^Zirconium | C-168A4 | C0303661
DCM | 126603 | ^90^Niobium |  |
SCT | 14691008 | ^90^Yttrium | C-162A7 | C0303596
SCT | 424079002 | ^94m^Technetium | C-163AA | C1828040
SCT | 40937006 | ^124^Iodine | C-114A5 | C0303024
DCM | 126606 | ^152^Terbium |  |

## CID 4021 PET Radiopharmaceutical

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20201116

UID:

  1.2.840.10008.6.1.305

Table CID 4021. PET Radiopharmaceutical

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | Other Names
--- | --- | --- | --- | --- | ---
MSH | C000591008 | ^18^Fluorine flortaucipir |  | C4742689 | Tauvid
DCM | 126752 | 28H1 ^89^Zr |  |  |
DCM | 126713 | 2FA F^18^ |  |  | FA-85380
DCM | 126751 | 7D12 ^89^Zr |  |  |
DCM | 126750 | 7E11 ^89^Zr |  |  |
SCT | 129513004 | Acetate C^11^ | C-B1043 | C1098488 |
DCM | 126729 | AGN-150998 ^89^Zr |  |  | MP0112
SCT | 129508003 | Ammonia N^13^ | C-B103C | C1268560 |
DCM | 126754 | Anti-B220 ^89^Zr |  |  | Anti-CD45R
DCM | 126700 | ATSM Cu^60^ |  |  |
DCM | 126701 | ATSM Cu^61^ |  |  |
DCM | 126702 | ATSM Cu^62^ |  |  |
SCT | 422855001 | ATSM Cu^64^ | C-B07DB | C1828021 |
DCM | 126722 | Benralizumab ^89^Zr |  |  | MEDI-563, KHK4563
DCM | 126516 | Bevacizumab ^89^Zr |  |  | Avastin™ ^89^Zr
DCM | 126727 | Blinatumomab ^89^Zr |  |  | AMG103, MT103
DCM | 126735 | Brentuximab ^89^Zr |  |  | Adcetris™
SCT | 422540000 | Butanol O^15^ | C-B07DC | C1827030 |
SCT | 129507008 | Carbon dioxide O^15^ | C-B103B | C1268559 |
SCT | 129515006 | Carbon monoxide C^11^ | C-B1045 | C1268564 |
SCT | 129506004 | Carbon monoxide O^15^ | C-B103A | C1268558 |
SCT | 129511002 | Carfentanil C^11^ | C-B103F | C1268562 |
DCM | 126513 | Cetuximab ^89^Zr |  |  | Erbitux™ ^89^Zr
DCM | 126517 | cG250-F(ab')(2) ^89^Zr |  |  |
DCM | 126703 | Choline C^11^ |  |  |
DCM | 126715 | CLR1404 I^124^ |  |  |
DCM | 126716 | CLR1404 I^131^ |  |  |
DCM | 126746 | cMAb U36 ^89^Zr |  |  |
DCM | 126515 | cU36 ^89^Zr |  |  |
NCIt | C96234 | DCFBC F^18^ |  | C2604127 | N-​[N-​[(S)-​1,3-​dicarboxypropyl]​carbamoyl]​-​4-​fluorobenzyl-​l-​cysteine F^18^
NCIt | C116352 | DCFPyL F^18^ |  | C3492634 | 2-​(3-​(1-​carboxy​-5-​[(6-​fluoro-​pyridine-​3-​carbonyl​)-​amino​]-​pentyl​)-​ureido)​-​pentanedioic acid F^18^
DCM | 126762 | Df-[FK](2) ^89^Zr |  |  |
DCM | 126763 | Df-[FK](2)-3PEG(4) ^89^Zr |  |  |
DCM | 126520 | Df-CD45 ^89^Zr |  |  |
DCM | 126760 | Df-FK ^89^Zr |  |  |
DCM | 126761 | Df-FK-PEG(3) ^89^Zr |  |  |
DCM | 126747 | DN30 ^89^Zr |  |  |
DCM | 126765 | DPA-713 ^11^C |  |  |
DCM | 126766 | DPA-714 ^18^F |  |  |
DCM | 126519 | E4G10 ^89^Zr |  |  |
DCM | 126732 | Ecromeximab ^89^Zr |  |  | KW-2871
UMLS | C2713594 | Edotreotide Ga^68^ |  | C2713594 | DOTATOC, SMT487
SCT | 423498000 | EDTA Ga^68^ | C-B07DD | C1828067 |
DCM | 126704 | Fallypride C^11^ |  |  |
DCM | 126705 | Fallypride F^18^ |  |  |
DCM | 126706 | FLB 457 C^11^ |  |  |
SCT | 712736002 | Florbetaben F^18^ | C-D6858 | C3818757 | NeuroCeq™
SCT | 456995000 | Florbetapir F^18^ | C-E0269 | C3475363 | AV-45, Amyvid™
MSH | C000591008 | Flortaucipir F^18^ |  | C4742689 | AV-1451, T807, Tauvid
DCM | 126503 | Flubatine F^18^ |  |  | NCFHEB
SCT | 456999006 | Fluciclatide F^18^ | C-E0265 | C2987729 |
SCT | 457000009 | Fluciclovine F^18^ | C-E026A | C1311253 |
SCT | 423543007 | Flumazenil C^11^ | C-B07DE | C1827653 |
SCT | 422975006 | Flumazenil F^18^ | C-B07DF | C1828330 |
SCT | 424708001 | Fluorethyltyrosin F^18^ | C-B07E0 | C1827913 |
SCT | 423546004 | Fluorobenzothiazole F^18^ | C-B07E4 | C1827131 |
SCT | 456992002 | Fluorocholine F^18^ | C-E0273 | C3531803 |
SCT | 35321007 | Fluorodeoxyglucose F^18^ | C-B1031 | C0046056 |
UMLS | C1831937 | Fluoroestradiol (FES) F^18^ |  | C1831937 |
UMLS | C1541539 | Fluoroetanidazole F^18^ |  | C1541539 | EF5
SCT | 5811000122108 | Fluoro-L-dopa F^18^ | C-E0241 | C0244672 |
SCT | 422763008 | Fluoromethane F^18^ | C-B07E2 | C1827137 |
SCT | 422598008 | Fluoromisonidazole F^18^ | C-B07E1 | C1827349 | FMISO
UMLS | C2934038 | Fluoropropyl-dihydrotetrabenazine (DTBZ) F^18^ |  | C2934038 | AV-133
DCM | 126707 | Fluorotriopride F^18^ |  |  |
SCT | 425236000 | Fluorouracil F^18^ | C-B07E3 | C1827690 |
DCM | 126718 | Flurpiridaz F^18^ |  |  | BMS-747158-02
SCT | 456997008 | Flutemetamol F^18^ | C-E0267 | C2983948 | Vizamyl™
DCM | 126748 | Fresolimumab ^89^Zr |  |  | GC1008
DCM | 126731 | GA201 ^89^Zr |  |  | RG1760, RO5083945
SCT | 53315004 | Germanium Ge^68^ | C-128A2 | C0303198 |
DCM | 126724 | Glembatumumab vedotin ^89^Zr |  |  | CDX-011, CR011-vcMMAE
SCT | 129509006 | Glutamate N^13^ | C-B103D | C1268561 |
DCM | 126709 | Glutamine C^11^ |  |  |
DCM | 126710 | Glutamine C^14^ |  |  |
DCM | 126711 | Glutamine F^18^ |  |  |
UMLS | C2981788 | ISO-1 F^18^ |  | C2981788 |
DCM | 126514 | J591 ^89^Zr |  |  |
DCM | 126740 | Margetuximab ^89^Zr |  |  | MGAH22
DCM | 126730 | MEDI-551 ^89^Zr |  |  |
SCT | 424789007 | Mespiperone C^11^ | C-B07E5 | C1828032 |
SCT | 129510001 | Methionine C^11^ | C-B103E | C0252667 |
UMLS | C4506764 | MK-6240 F^18^ |  | C4506764 |
DCM | 126738 | Mogamulizumab ^89^Zr |  |  | AMG761, KW-0761, Poteligeo™
DCM | 126510 | Monoclonal Antibody (mAb) ^64^Cu |  |  |
DCM | 126511 | Monoclonal Antibody (mAb) ^89^Zr |  |  |
SCT | 423249007 | Monoclonal antibody I^124^ | C-114AA | C1827605 |
DCM | 126753 | Nanocolloidal albumin ^89^Zr |  |  | Nanocoll
DCM | 126714 | Nifene F^18^ |  |  |
DCM | 126721 | Obinituzimab ^89^Zr |  |  | Afutuzumab, Gazyva™
DCM | 126723 | Ocaratuzumab ^89^Zr |  |  | AME-133v, LY2469298
SCT | 129504001 | Oxygen O^15^ | C-B1038 | C1268556 |
SCT | 129505000 | Oxygen-water O^15^ | C-B1039 | C1268557 |
SCT | 129514005 | Palmitate C^11^ | C-B1044 | C1268563 |
DCM | 126736 | Panitumumab ^89^Zr |  |  | ABX-EGF, Vectibix™
DCM | 126728 | Pegdinetanib ^89^Zr |  |  | BMS-844203, CT-322, Angiocept™
DCM | 126725 | Pinatuzumab vedotin ^89^Zr |  |  | RG7593, DCDT2980S
DCM | 126500 | Pittsburgh compound B C^11^ |  |  | PIB
UMLS | C1609883 | PK11195 ^11^C |  | C1609883 | (11C)1-​(2-​chloro​phenyl)-​N-​methyl-​N-​(1-​methyl​propyl)-​3-​iso​quinoline​carboxamide
DCM | 126726 | Polatuzumab vedotin ^89^Zr |  |  | RG7596, DCDS4501A
DCM | 126758 | PSMA-1007 F^18^ |  |  |
NCIt | C118961 | PSMA-11 Ga^68^ |  | C3899042 | Glu‑NH‑CO‑NH‑Lys(Ahx)-HBED‑CC Ga^68^
DCM | 126759 | PSMA-617 Ga^68^ |  |  |
SCT | 422789008 | PTSM Cu^62^ | C-B07E7 | C1827357 |
DCM | 126518 | R1507 ^89^Zr |  |  |
SCT | 129512009 | Raclopride C^11^ | C-B1042 | C0752264 |
DCM | 126742 | Ranibizumab ^89^Zr |  |  | Lucentis™
DCM | 126737 | Rituximab ^89^Zr |  |  | IDEC-C2B8, Rituxan™
DCM | 126755 | RO5323441 ^89^Zr |  |  |
DCM | 126756 | RO542908 ^89^Zr |  |  |
DCM | 126719 | RO6924963 ^11^C |  |  | RO-963
DCM | 126720 | RO6931643 ^11^C |  |  | RO-643
DCM | 126757 | RO6958948 ^18^F |  |  | RO-948
DCM | 126733 | Roledumab ^89^Zr |  |  | LFB-R593
SCT | 129503007 | Rubidium chloride Rb^82^ | C-B1037 | C1268555 |
DCM | 126741 | SAR3419 ^89^Zr |  |  |
NCIt | C122684 | Sarcosine C^11^ |  | C4055275 |
SCT | 129501009 | Sodium fluoride F^18^ | C-B1032 | C0304965 |
SCT | 422980002 | Sodium iodide I^124^ | C-B07E8 | C1828393 |
SCT | 71633006 | Sodium Na^22^ | C-155A1 | C1268566 |
SCT | 129499001 | Spiperone F^18^ | C-B1033 | C1268552 |
DCM | 126502 | T807 F^18^ |  |  | AV-1451
UMLS | C4550127 | THK5317 F^18^ |  | C4550127 |
UMLS | C4279748 | THK5351 F^18^ |  | C4279748 |
SCT | 129502002 | Thymidine (FLT) F^18^ | C-B1036 | C1268554 |
DCM | 126512 | Trastuzumab ^89^Zr |  |  | Herceptin™ ^89^Zr
DCM | 126749 | TRC105 ^89^Zr |  |  |
UMLS | C1742831 | tyrosine-3-octreotate Ga^68^ |  | C1742831 | DOTATATE
DCM | 126739 | Ublituximab ^89^Zr |  |  | LFB-R603, TG-1101
UMLS | C4506788 | UCB-J C^11^ |  | C4506788 |
DCM | 126734 | XmAb5574 ^89^Zr |  |  | MOR208

## CID 4025 Primary Anatomic Structure for Intra-oral Radiography (Supernumerary Dentition - Designation of Teeth)

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Non-Extensible

Version:

  20150318

UID:

  1.2.840.10008.6.1.1021

Table CID 4025. Primary Anatomic Structure for Intra-oral Radiography (Supernumerary Dentition - Designation of Teeth)

Coding Scheme Designator | Code Value | Code Meaning | SNODENT Code | SNOMED-RT ID
--- | --- | --- | --- | ---
SCT | 707029006 | Supernumerary deciduous mandibular left canine tooth | 177552D | R-FC4E0
SCT | 707026004 | Supernumerary deciduous mandibular left central incisor tooth | 177292D | R-FC4DD
SCT | 707030001 | Supernumerary deciduous mandibular left first molar tooth | 177421D | R-FC4E1
SCT | 707028003 | Supernumerary deciduous mandibular left lateral incisor tooth | 177318D | R-FC4DF
SCT | 707031002 | Supernumerary deciduous mandibular left second molar tooth | 177704D | R-FC4E2
SCT | 707023007 | Supernumerary deciduous mandibular right canine tooth | 177387D | R-FC4DA
SCT | 707025000 | Supernumerary deciduous mandibular right central incisor tooth | 177450D | R-FC4DC
SCT | 707022002 | Supernumerary deciduous mandibular right first molar tooth | 177758D | R-FC4D9
SCT | 707024001 | Supernumerary deciduous mandibular right lateral incisor tooth | 177466D | R-FC4DB
SCT | 707021009 | Supernumerary deciduous mandibular right second molar tooth | 177302D | R-FC4D8
SCT | 707016006 | Supernumerary deciduous maxillary left canine tooth | 177497D | R-FC4D3
SCT | 707014009 | Supernumerary deciduous maxillary left central incisor tooth | 177736D | R-FC4D1
SCT | 707017002 | Supernumerary deciduous maxillary left first molar tooth | 177715D | R-FC4D4
SCT | 707015005 | Supernumerary deciduous maxillary left lateral incisor tooth | 177263D | R-FC4D2
SCT | 707018007 | Supernumerary deciduous maxillary left second molar tooth | 177581D | R-FC4D5
SCT | 707011001 | Supernumerary deciduous maxillary right canine tooth | 177575D | R-FC4CE
SCT | 707013003 | Supernumerary deciduous maxillary right central incisor tooth | 177696D | R-FC4D0
SCT | 707010000 | Supernumerary deciduous maxillary right first molar tooth | 177360D | R-FC4CD
SCT | 707012008 | Supernumerary deciduous maxillary right lateral incisor tooth | 177620D | R-FC4CF
SCT | 707009005 | Supernumerary deciduous maxillary right second molar tooth | 177665D | R-FC4CC
SCT | 707058009 | Supernumerary permanent mandibular left canine tooth | 177523D | R-FC4FD
SCT | 707060006 | Supernumerary permanent mandibular left central incisor tooth | 177510D | R-FC4FF
SCT | 707055007 | Supernumerary permanent mandibular left first molar tooth | 177478D | R-FC4FA
SCT | 707057004 | Supernumerary permanent mandibular left first premolar tooth | 177631D | R-FC4FC
SCT | 707059001 | Supernumerary permanent mandibular left lateral incisor tooth | 177271D | R-FC4FE
SCT | 707054006 | Supernumerary permanent mandibular left second molar tooth | 177677D | R-FC4F9
SCT | 707056008 | Supernumerary permanent mandibular left second premolar tooth | 177727D | R-FC4FB
SCT | 707052005 | Supernumerary permanent mandibular left third molar tooth | 177743D | R-FC4F7
SCT | 707063008 | Supernumerary permanent mandibular right canine tooth | 177341D | R-FC502
SCT | 707061005 | Supernumerary permanent mandibular right central incisor tooth | 177285D | R-FC500
SCT | 707066000 | Supernumerary permanent mandibular right first molar tooth | 177413D | R-FC505
SCT | 707064002 | Supernumerary permanent mandibular right first premolar tooth | 177599D | R-FC503
SCT | 707062003 | Supernumerary permanent mandibular right lateral incisor tooth | 177506D | R-FC501
SCT | 707067009 | Supernumerary permanent mandibular right second molar tooth | 177432D | R-FC506
SCT | 707065001 | Supernumerary permanent mandibular right second premolar tooth | 177409D | R-FC504
SCT | 707068004 | Supernumerary permanent mandibular right third molar tooth | 177608D | R-FC507
SCT | 707044007 | Supernumerary permanent maxillary left canine tooth | 177356D | R-FC4EF
SCT | 707042006 | Supernumerary permanent maxillary left central incisor tooth | 177762D | R-FC4ED
SCT | 707047000 | Supernumerary permanent maxillary left first molar tooth | 177654D | R-FC4F2
SCT | 707045008 | Supernumerary permanent maxillary left first premolar tooth | 177445D | R-FC4F0
SCT | 707043001 | Supernumerary permanent maxillary left lateral incisor tooth | 177683D | R-FC4EE
SCT | 707048005 | Supernumerary permanent maxillary left second molar tooth | 177373D | R-FC4F3
SCT | 707046009 | Supernumerary permanent maxillary left second premolar tooth | 177325D | R-FC4F1
SCT | 707049002 | Supernumerary permanent maxillary left third molar tooth | 177568D | R-FC4F4
SCT | 707038008 | Supernumerary permanent maxillary right canine tooth | 177339D | R-FC4E9
SCT | 707041004 | Supernumerary permanent maxillary right central incisor tooth | 177259D | R-FC4EC
SCT | 707035006 | Supernumerary permanent maxillary right first molar tooth | 177534D | R-FC4E6
SCT | 707037003 | Supernumerary permanent maxillary right first premolar tooth | 177612D | R-FC4E8
SCT | 707039000 | Supernumerary permanent maxillary right lateral incisor tooth | 177484D | R-FC4EA
SCT | 707033004 | Supernumerary permanent maxillary right second molar tooth | 177649D | R-FC4E4
SCT | 707036007 | Supernumerary permanent maxillary right second premolar tooth | 177547D | R-FC4E7
SCT | 707032009 | Supernumerary permanent maxillary right third molar tooth | 177394D | R-FC4E3

## CID 4026 Primary Anatomic Structure for Intra-oral and Craniofacial Radiography - Teeth

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Non-Extensible

Version:

  20150318

UID:

  1.2.840.10008.6.1.1022

Table CID 4026. Primary Anatomic Structure for Intra-oral and Craniofacial Radiography - Teeth

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 4018 “Primary Anatomic Structure for Intra-oral Radiography (Permanent Dentition - Designation of Teeth)”
Include CID 4019 “Primary Anatomic Structure for Intra-oral Radiography (Deciduous Dentition - Designation of Teeth)”
Include CID 4025 “Primary Anatomic Structure for Intra-oral Radiography (Supernumerary Dentition - Designation of Teeth)”

## CID 4028 Craniofacial Anatomic Regions

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20170914

UID:

  1.2.840.10008.6.1.306

Table CID 4028. Craniofacial Anatomic Regions

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 312779009 | Bone structure of head and/or neck | T-D006D | C0730130
SCT | 122494005 | Cervical spine | T-11501 | C0728985
SCT | 52374004 | Ethmoid bone | T-11156 | C0015027
SCT | 28347008 | External ear | T-AB100 | C0013453
SCT | 79652003 | Eyeball | T-AA770 | C0229242
SCT | 371398005 | Eye region | T-D0801 | C0015392
SCT | 91397008 | Facial bones | T-11196 | C0015455
SCT | 74872008 | Frontal bone | T-11110 | C0016732
SCT | 69536005 | Head | T-D1100 | C0018670
SCT | 774007 | Head and Neck | T-D1000 | C0460004
SCT | 21387005 | Hyoid bone | T-11190 | C0020417
SCT | 22945000 | Inner ear | T-AB700 | C0022889
SCT | 361078006 | Internal Auditory Canal | T-AB959 | C1283773
SCT | 661005 | Jaw region | T-D1213 | C0022359
SCT | 6229007 | Lacrimal bone | T-1115A | C0222733
SCT | 4596009 | Larynx | T-24100 | C0023078
SCT | 48477009 | Lip | T-52000 | C0023759
SCT | 91609006 | Mandible | T-11180 | C0024687
SCT | 59066005 | Mastoid bone | T-11133 | C0446908
SCT | 70925003 | Maxilla | T-11170 | C0024947
SCT | 25342003 | Middle ear | T-AB300 | C0013455
SCT | 22688005 | Muscle of head | T-13100 | C0224097
SCT | 81727001 | Muscle of neck | T-13300 | C0027532
SCT | 74386004 | Nasal bone | T-11149 | C0027422
SCT | 45048000 | Neck | T-D1600 | C0027530
SCT | 31640002 | Occipital bone | T-11140 | C0028784
SCT | 55024004 | Optic canal | T-11102 | C0450102
SCT | 363654007 | Orbital structure | T-D14AE | C0029180
SCT | 51283005 | Palatine bone | T-11160 | C0222734
SCT | 2095001 | Paranasal sinus | T-22000 | C0030471
SCT | 24924006 | Parietal bone | T-11120 | C0030558
SCT | 385294005 | Salivary gland | T-61007 | C0036098
SCT | 89546000 | Skull | T-11100 | C0037303
SCT | 49460000 | Soft palate | T-51120 | C0030219
SCT | 73117003 | Sphenoid bone | T-11150 | C0037884
SCT | 54019009 | Submandibular gland | T-61300 | C0038556
SCT | 60911003 | Temporal bone | T-11130 | C0039484
SCT | 53620006 | Temporomandibular joint | T-15290 | C0039493
SCT | 21974007 | Tongue | T-53000 | C0040408
SCT | 38199008 | Tooth | T-54010 | C0040426
SCT | 44567001 | Trachea | T-25000 | C0040578
SCT | 110517009 | Vertebral column and cranium | T-11011 | C1266914
SCT | 87166008 | Vomer bone | T-21342 | C0242403
SCT | 13881006 | Zygoma | T-11166 | C0043539

## CID 4029 Dermatology Anatomic Sites

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Type:

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Version:

  20200310

UID:

  1.2.840.10008.6.1.1268

Table CID 4029. Dermatology Anatomic Sites

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | FMA ID | ICD-11 | NYU Code L | NYU Code M | NYU Code R | Mayo Code L | Mayo Code M | Mayo Code R
--- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | ---
SCT | 182329002 | Anterior triangle of neck | T-D03C9 | C0446459 | 57777 | XA1NS6 | 41 |  | 42 | 41 |  | 42
SCT | 28726007 | Cornea | T-AA200 | C0229124 | 58238 | XA4C02 | 109 |  | 108 |  |  |
SCT | 85803001 | Eyelash | T-01530 | C0015422 | 53669 |  | 105 |  | 104 | 105 |  | 104
SCT | 279479008 | Female external urethral orifice | T-81001 | C0458493 | 85266 |  |  | 504 |  |  |  |
SCT | 279867004 | Frenulum of labia minora | T-81206 | C0458840 | 20404 | XA0565 |  | 508 |  |  |  |
SCT | 280387007 | Groin skin crease | T-01041 | C0459399 | 326449 | XA2XG2 | 519 |  | 518 |  |  |
SCT | 386045008 | Hair | T-0130A | C0018494 | 53667 |  |  |  |  |  | 503 |
SCT | 41296002 | Iris | T-AA500 | C0022077 | 58235 |  | 109 |  | 108 | 109 |  | 108
SCT | 279478000 | Male external urethral orifice | T-75181 | C0458492 | 85265 |  |  | 513 |  |  |  |
FMA | 281534 | Mucosa of dorsum of oral part of tongue |  | C4244787 | 281534 | XA8YB9 | 157 |  | 154 |  |  |
FMA | 281537 | Mucosa of dorsum of pharyngeal part of tongue |  | C4244789 | 281537 | XA0HQ3 | 155 |  | 152 |  |  |
SCT | 36152006 | Mucosa of floor of mouth | T-51210 | C0226911 | 292374 | XA8EY7 | 161 |  | 158 |  |  |
SCT | 46353006 | Mucosa of lower lip | T-52210 | C0226939 | 59833 | XA72W2 | 165 |  | 162 |  |  |
SCT | 245823002 | Mucosa of mandibular gingiva | T-5494D | C0447479 |  | XA9303 | 163 |  | 160 |  |  |
SCT | 245814000 | Mucosa of maxillary gingiva | T-5493D | C0447470 |  | XA6743 | 145 |  | 144 |  |  |
FMA | 289677 | Mucosa of oral segment of hard palate |  | C4242040 | 289677 | XA4527 | 147 |  | 146 |  |  |
FMA | 60031 | Mucosa of palatoglossal arch |  | C0930720 | 60031 |  | 151 |  | 148 |  |  |
FMA | 55031 | Mucosa of pharynx |  | C0227140 | 55031 |  |  |  |  |  | 518 |
FMA | 55060 | Mucosa of posterior wall of oropharynx |  | C0926847 | 55060 | XA8659 | 153 |  | 150 |  |  |
SCT | 245831007 | Mucosa of tip of tongue | T-53012 | C0447488 | 323681 | XA1WZ8 | 159 |  | 156 |  |  |
SCT | 8001006 | Mucosa of tongue | T-53010 | C0226950 | 54807 | XA1T19 |  |  |  |  | 515 |
SCT | 18444004 | Mucosa of upper lip | T-52110 | C0226933 | 59832 | XA9072 | 143 |  | 142 |  |  |
FMA | 60030 | Mucosa of uvula |  | C0930719 | 60030 | XA2993 | 149 |  | 149 |  |  |
SCT | 770820003 | Nail unit of fifth toe |  |  | 54356 | XA3VM6 | 441 |  | 440 | 441 |  | 440
SCT | 770809003 | Nail unit of finger |  |  | 60614 | XA0EH9 |  |  |  |  | 526 |
SCT | 770821004 | Nail unit of fourth toe |  |  | 54353 | XA6TS5 | 439 |  | 438 | 439 |  | 438
SCT | 770822006 | Nail unit of great toe |  |  | 54344 | XA1RE3 | 433 |  | 432 | 433 |  | 432
SCT | 770815003 | Nail unit of index finger |  |  | 54332 | XA40D9 | 329 |  | 328 | 329 |  | 328
SCT | 770818001 | Nail unit of little finger |  |  | 54341 | XA29K9 | 335 |  | 334 | 335 |  | 334
SCT | 770816002 | Nail unit of middle finger |  |  | 54335 | XA9YZ9 | 331 |  | 330 | 331 |  | 330
SCT | 770817006 | Nail unit of ring finger |  |  | 54338 | XA6Y59 | 333 |  | 332 | 333 |  | 332
SCT | 770823001 | Nail unit of second toe |  |  | 54347 | XA7GG3 | 435 |  | 434 | 435 |  | 434
SCT | 770825008 | Nail unit of third toe |  |  | 54350 | XA3D73 | 437 |  | 436 | 437 |  | 436
SCT | 770810008 | Nail unit of thumb |  |  | 54329 | XA5PD5 | 327 |  | 326 | 327 |  | 326
SCT | 770805009 | Nail unit of toe |  |  | 54328 | XA9E36 |  |  |  |  | 531 |
SCT | 113277000 | Oral mucosa | T-51300 | C0026639 | 59660 | XA1WN1 |  |  |  |  | 516 |
SCT | 4019005 | Posterior commissure of labium majorum | T-81230 | C0227762 | 20401 |  |  |  |  |  |  |
SCT | 5665001 | Retina | T-AA610 | C0024622 | 58301 |  |  |  |  |  | 509 |
SCT | 18619003 | Sclera | T-AA110 | C0036410 | 58269 | XA2AF4 | 111 |  | 110 | 111 |  | 110
SCT | 39937001 | Skin | T-01000 | C0221911 |  |  |  |  |  |  | 500 |
SCT | 75093004 | Skin of abdomen | T-02480 | C0222166 | 22988 | XA6GV0 |  |  |  | 522 |  | 522
SCT | 68598004 | Skin of ala nasi | T-02142 | C0222097 | 59534 | XA32Q9 | 23 |  | 24 | 23 |  | 24
SCT | 17957002 | Skin of antecubital fossa | T-02621 | C0222214 | 38251 | XA9NE6 | 303 |  | 302 | 303 |  | 302
DCM | 130305 | Skin of anterior helix of ear |  |  |  |  | 119 |  | 118 | 119 |  | 118
SCT | 11584001 | Skin of anterior portion of neck | T-02302 | C0222131 | 23023 | XA4QS6 |  | 60 |  |  |  |
SCT | 70559009 | Skin of anterior surface of forearm | T-02632 | C0222217 | 38268 | XA8ZL6 | 305 |  | 304 | 305 |  | 304
SCT | 181553006 | Skin of anterior surface of knee | T-0282E | C0448900 | 38159 | XA9L17 | 405 |  | 404 | 405 |  | 404
SCT | 25763004 | Skin of anterior surface of lower leg | T-02831 | C0222280 | 37837 | XA33X4 | 407 |  | 406 | 407 |  | 406
SCT | 61248009 | Skin of anterior surface of thigh | T-02811 | C0222270 | 37793 | XA98B3 | 403 |  | 402 | 403 |  | 402
SCT | 244106003 | Skin of anterior surface of thorax | T-02425 | C0448821 |  |  |  |  |  |  | 521 |
SCT | 45981001 | Skin of anterior surface of upper arm | T-02612 | C0222207 | 38238 | XA22Q1 | 301 |  | 300 | 301 |  | 300
SCT | 181491009 | Skin of anterior trunk | T-02408 | C3698018 |  |  |  |  |  |  | 521a |
SCT | 38407007 | Skin of antitragus | T-02213 | C0222123 | 322677 | XA7RR9 | 123 |  | 122 |  |  |
SCT | 59112000 | Skin of anus | T-02508 | C0222181 | 28008 | XA0D34 |  | 512 |  |  | 537 |
SCT | 72005009 | Skin of areola | T-02432 | C0222151 | 50050 | XA2JK3 | 207 |  | 206 | 207 |  | 206
SCT | 76261009 | Skin of axilla | T-02420 | C0222146 | 37322 | XA17J1 | 355 |  | 354 | 355 |  | 354
SCT | 66643007 | Skin of back | T-02450 | C0222155 | 10462 |  |  |  |  |  | 527 |
FMA | 49943 | Skin of back of trunk |  | C0923309 | 49943 |  |  |  |  |  | 521b |
SCT | 699893008 | Skin of back of upper thoracic region | R-FB4DA | C3697168 | 23024 | XA10L7 | 225 |  | 224 | 225 |  | 224
SCT | 22180002 | Skin of buttock | T-02471 | C0222165 | 45285 | XA3VA7 | 231 |  | 230 | 231 | 527a | 230
DCM | 130306 | Skin of caruncle of eye |  |  |  |  |  |  |  | 171 |  | 170
SCT | 51098001 | Skin of cavity of concha | T-02217 | C0222127 |  | XA8D58 | 125 |  | 124 | 125 |  | 124
SCT | 36141000 | Skin of cheek | T-02121 | C0222085 | 24759 | XA7MK8 | 13 |  | 14 | 13 | 511 | 14
SCT | 23747009 | Skin of chin | T-02155 | C0222106 | 53658 | XA2C62 | 35 | 58 | 36 | 35 | 517 | 36
SCT | 29353003 | Skin of clitoris | T-02523 | C0222189 | 20168 | XA4851 |  | 502 |  |  | 536 |
SCT | 57726007 | Skin of crus of helix | T-02218 | C0222128 | 322323 | XA9A86 | 117 |  | 116 | 117 |  | 116
SCT | 244169007 | Skin of digit of hand | T-D0315 | C0448888 | 38304 | XA2593 |  |  |  |  | 525 |
SCT | 52876008 | Skin of dorsal area of wrist | T-02641 | C0278393 | 38286 | XA0SH5 | 313 |  | 312 | 313 |  | 312
FMA | 37885 | Skin of dorsal part of fifth toe |  | C0829302 | 37885 |  | 431 |  | 430 | 431 |  | 430
FMA | 37882 | Skin of dorsal part of fourth toe |  | C0829299 | 37882 |  | 429 |  | 428 | 429 |  | 428
FMA | 37873 | Skin of dorsal part of great toe |  | C0829290 | 37873 |  | 423 |  | 422 | 423 |  | 422
FMA | 38324 | Skin of dorsal part of index finger |  | C0829711 | 38324 |  | 325 |  | 324 | 325 |  | 324
FMA | 38333 | Skin of dorsal part of little finger |  | C0829720 | 38333 |  | 319 |  | 318 | 319 |  | 318
FMA | 38327 | Skin of dorsal part of middle finger |  | C0829714 | 38327 |  | 323 |  | 322 | 323 |  | 322
FMA | 38330 | Skin of dorsal part of ring finger |  | C0829717 | 38330 |  | 321 |  | 320 | 321 |  | 320
FMA | 37876 | Skin of dorsal part of second toe |  | C0829293 | 37876 |  | 425 |  | 424 | 425 |  | 424
FMA | 37879 | Skin of dorsal part of third toe |  | C0829296 | 37879 |  | 427 |  | 426 | 427 |  | 426
FMA | 38321 | Skin of dorsal part of thumb |  | C0829708 | 38321 |  | 317 |  | 316 | 317 |  | 316
FMA | 59532 | Skin of dorsum of nose |  | C0930371 | 59532 | XA5YP3 | 19 | 53 | 20 | 19 |  | 20
SCT | 1902009 | Skin of ear | T-02200 | C0222110 |  | XA6ZY6 |  |  |  |  | 506 |
SCT | 2059009 | Skin of ear lobule | T-02214 | C0222124 |  | XA0TW7 | 131 |  | 130 | 131 |  | 130
SCT | 30598005 | Skin of epigastric area | T-02481 | C0222167 | 322773 |  | 233 |  | 233 |  |  |
SCT | 86409001 | Skin of external auditory canal | T-02219 | C0222129 |  | XA3UC1 |  |  |  |  | 505 |
SCT | 60944009 | Skin of external genitalia | T-02501 | C0222177 |  | XA5FG3 |  |  |  |  | 532 |
SCT | 362916000 | Skin of eye region | T-D149C | C1285124 |  |  |  |  |  |  | 508 |
SCT | 367577003 | Skin of eyebrow | T-02106 | C1288306 |  | XA1LZ5 | 101 |  | 100 | 101 |  | 100
SCT | 73897004 | Skin of face | T-02120 | C0222084 | 24758 | XA86S4 |  |  |  |  | 507 |
SCT | 60496002 | Skin of foot | T-02850 | C0222289 | 37834 | XA47V8 |  |  |  | 529b | 529 | 529a
SCT | 68698007 | Skin of forehead | T-02104 | C0222074 | 63883 | XA6TR8 | 7 | 52 | 8 | 7 | 504 | 8
SCT | 7991003 | Skin of glans penis | T-02531 | C1261043 | 19642 | XA0MH6 | 511 |  | 511 |  |  |
SCT | 63029009 | Skin of gluteal fold | T-02506 | C0222179 | 20233 | XA5UE3 |  | 238 |  |  |  |
SCT | 33712006 | Skin of hand | T-02650 | C0222224 | 38295 | XA5R12 |  |  |  | 524b | 524 | 524a
SCT | 70762009 | Skin of head | T-02100 | C0205029 | 12166 | XA20Q1 |  |  |  |  | 501 |
SCT | 84607009 | Skin of heel | T-02841 | C0222287 |  | XA5HK0 | 463 |  | 460 | 463 |  | 462
SCT | 79313003 | Skin of helix of ear | T-02202 | C0222113 |  | XA6B58 |  |  |  |  |  |
SCT | 367578008 | Skin of hypogastric region | T-02488 | C1288307 | 323207 |  | 235 |  | 235 |  |  |
SCT | 89784008 | Skin of hypothenar region of palm | T-02666 | C0222233 | 79164 | XA5TQ4 | 343 |  | 342 | 343 |  | 342
DCM | 130307 | Skin of inferior helix of ear |  |  |  |  | 119 |  | 118 |  |  |
DCM | 130308 | Skin of inferior posterior surface of the pinna |  |  |  |  | 139 |  | 138 | 139 |  | 138
DCM | 130312 | Skin of infraalar groove |  |  |  |  | 25 |  | 26 | 25 |  | 26
SCT | 66288003 | Skin of infraclavicular region | T-02414 | C0222145 | 61431 |  | 203 |  | 202 | 203 |  | 202
SCT | 39687006 | Skin of inguinal region | T-02487 | C0222173 | 326059 |  | 223 |  | 222 | 223 |  | 222
SCT | 45591000 | Skin of intertragal incisure | T-02212 | C0222122 | 322676 | XA5VK5 | 129 |  | 128 | 129 |  | 128
SCT | 244097004 | Skin of jawline | T-0215D | C0448804 |  | XA8KA2 | 37 |  | 38 | 37 |  | 38
SCT | 73058008 | Skin of labium | T-02520 | C0222184 |  |  |  |  |  |  | 535 |
SCT | 128252004 | Skin of labium majus | T-02527 | C0222185 | 20464 | XA59G9 |  |  |  |  |  |
SCT | 128253009 | Skin of labium minus | T-02528 | C0222186 | 20465 | XA0MU9 | 515 |  | 514 |  |  |
SCT | 181564009 | Skin of lateral aspect of ankle | T-02849 | C1182496 | 70406 | XA7AM4 | 415 |  | 414 | 415 |  | 414
SCT | 35739000 | Skin of lateral border of sole of foot | T-02853 | C0222292 |  | XA9Y82 | 461 |  | 462 | 461 |  | 460
SCT | 37671003 | Skin of lateral canthus | T-02136 | C0222094 | 322533 | XA0403 | 169 |  | 166 | 169 |  | 166
DCM | 130309 | Skin of lateral part of dorsum of foot |  |  |  |  | 419 |  | 418 | 419 |  | 418
SCT | 699909001 | Skin of lateral part of heel | R-FB4EA | C3697424 | 326712 | XA3R99 | 417 |  | 416 | 417 |  | 416
SCT | 5272005 | Skin of lateral portion of neck | T-02304 | C0222133 |  | XA2ZF0 | 43 |  | 44 | 43 |  | 44
SCT | 88089004 | Skin of lip | T-02150 | C0222101 | 24764 | XA8JD4 |  |  |  |  | 512 |
SCT | 699914002 | Skin of lower abdomen | R-FB4EF | C3698018 |  |  | 221 |  | 220 | 221 |  | 220
SCT | 699914002 | Skin of lower abdomen | R-FB4EF | C3698018 |  |  |  |  |  | 603 |  | 602
DCM | 130310 | Skin of lower antihelix of ear |  |  |  |  |  |  |  | 123 |  | 122
SCT | 113182001 | Skin of lower back | T-02452 | C0222157 | 322763 | XA9ET2 | 229 |  | 228 | 229 |  | 228
SCT | 699915001 | Skin of lower chest wall | R-FB4F0 | C3698074 |  |  | 217 |  | 216 | 217 |  | 216
SCT | 371304004 | Skin of lower extremity | T-0262C | C1266887 | 74665l | XA45A6 |  |  |  | 528b | 528 | 528a
SCT | 40069000 | Skin of lower eyelid | T-02132 | C0222090 | 24762 | XA0JV9 | 115 |  | 114 | 115 |  | 114
DCM | 130311 | Skin of lower eyelid margin |  |  |  | XA0JV9 | 113 |  | 112 | 113 |  | 112
FMA | 61427 | Skin of lower inner quadrant of breast |  | C2363131 | 61427 | XA0VX8 | 213 |  | 212 | 213 |  | 212
SCT | 66934001 | Skin of lower lip | T-02152 | C0222103 | 24767 | XA5VD0 |  |  |  |  |  |
FMA | 61423 | Skin of lower outer quadrant of breast |  | C2363133 | 61423 | XA94U2 | 215 |  | 214 | 215 |  | 214
DCM | 130304 | Skin of lower paraspinal region |  |  |  | XA7ZW8 |  | 236 |  |  |  |
SCT | 181563003 | Skin of medial aspect of ankle | T-02848 | C0448930 | 38134 | XA7P78 | 443 |  | 442 | 443 |  |
SCT | 52953006 | Skin of medial border of sole of foot | T-02854 | C0222293 |  | XA3WM8 | 459 |  | 458 | 459 |  | 458
SCT | 27887005 | Skin of medial canthus | T-02135 | C0222093 | 322532 | XA2GQ3 | 167 |  | 164 | 167 |  | 164
DCM | 130313 | Skin of medial part of dorsum of foot |  |  |  |  | 421 |  | 420 | 421 |  | 420
SCT | 699919007 | Skin of medial part of heel | R-FB4F4 | C3698118 | 326720 | XA1QH8 | 445 |  | 444 | 445 |  | 444
SCT | 73958006 | Skin of medial surface of thigh | T-02814 | C0222273 |  | XA1YQ6 | 401 |  | 400 | 401 |  | 400
DCM | 130323 | Skin of mid back |  |  |  |  | 227 |  | 226 | 227 |  | 226
DCM | 130303 | Skin of mid paraspinal region |  |  |  |  |  | 234 |  |  |  |
SCT | 37108007 | Skin of nasolabial fold | T-02141 | C0222096 | 322319 |  | 27 |  | 28 | 27 |  | 28
SCT | 43081002 | Skin of neck | T-02300 | C0205030 | 23021 | XA7AA6 |  |  |  |  | 519 |
SCT | 54468004 | Skin of nipple | T-02431 | C0222150 | 12828 | XA5MC5 | 205 |  | 204 | 205 |  | 204
SCT | 113179006 | Skin of nose | T-02140 | C0222095 | 24763 | XA3H13 |  |  |  |  | 510 |
SCT | 4658004 | Skin of nuchal region | T-02305 | C0222134 | 23020 | XA1M78 | 45 |  | 46 | 45 |  | 46
SCT | 79951008 | Skin of occipital region | T-02109 | C0222078 | 24773 | XA7JE5 | 1 | 61 | 2 | 1 |  | 2
SCT | 70887009 | Skin of palm of hand | T-02652 | C0222226 | 38301 | XA3NY8 | 341 |  | 340 | 341 |  | 340
SCT | 24527008 | Skin of palmar area of wrist | T-02642 | C0278394 | 38283 | XA6AR5 | 337 |  | 336 | 337 |  | 336
FMA | 38344 | Skin of palmar part of index finger |  | C0829728 | 38344 |  | 347 |  | 346 | 347 |  | 346
FMA | 38357 | Skin of palmar part of little finger |  | C0829738 | 38357 |  | 353 |  | 352 | 353 |  | 352
FMA | 38347 | Skin of palmar part of middle finger |  | C0829731 | 38347 |  | 349 |  | 348 | 349 |  | 348
FMA | 38354 | Skin of palmar part of ring finger |  | C0829735 | 38354 |  | 351 |  | 350 | 351 |  | 350
FMA | 38341 | Skin of palmar part of thumb |  | C0829725 | 38341 |  | 345 |  | 344 | 345 |  | 344
DCM | 130314 | Skin of paranasal cheek |  |  |  | XA3ZL3 | 15 |  | 16 | 15 |  | 16
DCM | 130300 | Skin of paraspinal area of the neck |  |  |  |  |  | 62 |  |  |  |
DCM | 130301 | Skin of paraspinal area of the superior back |  |  |  |  |  | 63 |  |  |  |
SCT | 21672008 | Skin of parietal region | T-02108 | C0222077 |  | XA4W34 | 3 |  | 4 | 3 |  | 4
SCT | 281642007 | Skin of part of dorsal surface of hand | T-0265D | C0559541 |  | XA30Z6 | 315 |  | 314 | 315 |  | 314
SCT | 35900000 | Skin of penis | T-02530 | C0222193 | 19638 | XA7QV2 |  |  |  |  | 533 |
SCT | 48014002 | Skin of perineum | T-02500 | C0222176 | 20429 |  |  | 510 |  |  |  |
SCT | 110488009 | Skin of perioral region of face | T-02148 | C1266883 | 59354 | XA1A48 |  |  |  |  | 513 |
SCT | 84365009 | Skin of philtrum | T-02153 | C0222104 | 59377 | XA5LY8 |  | 55 |  |  |  |
FMA | 38119 | Skin of plantar part of fifth toe |  | C0829534 | 38119 |  | 455 |  | 454 | 455 |  | 454
FMA | 38116 | Skin of plantar part of fourth toe |  | C0829531 | 38116 |  | 453 |  | 452 | 453 |  | 452
FMA | 38107 | Skin of plantar part of great toe |  | C0829522 | 38107 |  | 447 |  | 446 | 447 |  | 446
FMA | 38110 | Skin of plantar part of second toe |  | C0829525 | 38110 |  | 449 |  | 448 | 449 |  | 448
FMA | 38113 | Skin of plantar part of third toe |  | C0829528 | 38113 |  | 451 |  | 450 | 451 |  | 450
SCT | 84507004 | Skin of popliteal fossa | T-02821 | C0222276 | 38162 | XA4DM3 | 411 |  | 410 | 411 |  | 410
SCT | 24483006 | Skin of postauricular region | T-02113 | C0222082 |  | XA4DV9 | 9 |  | 10 | 9 |  | 10
DCM | 130315 | Skin of posterior helix of ear |  |  |  |  | 135 |  | 134 | 135 |  | 134
DCM | 130316 | Skin of posterior lobule of the ear |  |  |  |  | 141 |  | 140 | 141 |  | 140
SCT | 181536004 | Skin of posterior surface of elbow | T-D077A | C0448862 |  | XA3RT8 | 309 |  | 308 | 309 |  | 308
SCT | 41550009 | Skin of posterior surface of forearm | T-02631 | C0222216 | 38271 | XA8WH0 | 311 |  | 310 | 311 |  | 310
SCT | 47224004 | Skin of posterior surface of lower leg | T-02833 | C0222282 | 37840 | XA4K86 | 413 |  | 412 | 412 |  | 413
SCT | 4578000 | Skin of posterior surface of thigh | T-02812 | C0222271 | 37797 | XA0183 | 409 |  | 408 | 409 |  | 408
SCT | 244111001 | Skin of posterior surface of thorax | T-0242A | C0448820 | 74762 | XA10L7 | 49 |  | 50 | 49 |  | 50
SCT | 72939005 | Skin of posterior surface of upper arm | T-02613 | C0222208 | 38241 | XA5TK8 | 307 |  | 306 | 307 |  | 306
SCT | 86719006 | Skin of preauricular region | T-02114 | C0222083 |  | XA0SU2 | 11 |  | 12 | 11 |  | 12
SCT | 76723005 | Skin of prepuce of clitoris | T-02525 | C0222191 | 27886 | XA3C45 |  | 500 |  |  |  |
SCT | 244117002 | Skin of root of penis | T-02536 | C0447599 | 322351 | XA0970 |  | 501 |  |  |  |
SCT | 43067004 | Skin of scalp | T-02102 | C0699772 | 24757 | XA6CW5 |  |  |  |  | 502 |
SCT | 81992007 | Skin of scrotum | T-02545 | C0222198 | 20432 | XA8MT4 | 505 |  | 503 | 534 |  | 534
SCT | 244118007 | Skin of shaft of penis | T-02537 | C0447600 | 19643 | XA9A26 |  | 507 |  |  |  |
SCT | 244089006 | Skin of side of nose | T-0214D | C0448800 | 322330 | XA9JN5 | 17 |  | 18 | 17 |  | 18
DCM | 130317 | Skin of sole of forefoot |  |  |  | XA6KE9 | 457 |  | 456 | 457 |  | 456
SCT | 34926004 | Skin of submental area | T-02156 | C0222107 |  | XA5TZ1 |  | 59 |  |  |  |
DCM | 130318 | Skin of superior antihelix of ear |  |  |  |  | 121 |  | 120 |  |  |
DCM | 130319 | Skin of superior posterior helix of ear |  |  |  |  | 133 |  | 132 | 133 |  | 132
DCM | 130320 | Skin of superior posterior surface of the pinna |  |  |  |  | 137 |  | 136 | 137 |  | 136
SCT | 76072005 | Skin of supraclavicular region of neck | T-02306 | C0222135 |  | XA9DQ5 | 47 |  | 48 | 47 |  | 48
SCT | 16621002 | Skin of temporal region | T-02111 | C0222080 | 320486 | XA9DZ0 | 5 |  | 6 | 5 |  | 6
SCT | 26795005 | Skin of thenar region of palm | T-02665 | C0222232 | 79164 | XA2JN4 | 339 |  | 338 | 339 |  | 338
SCT | 79283007 | Skin of tip of nose | T-02143 | C0222098 | 59533 | XA56T3 | 21 | 54 | 22 | 21 |  | 22
SCT | 52034004 | Skin of toe | T-02870 | C0222297 | 37852 | XA4LC9 |  |  |  |  | 530 |
SCT | 79502000 | Skin of tragus | T-02211 | C0222121 | 322671 | XA2N71 | 127 |  | 126 | 127 |  | 126
SCT | 315003 | Skin of umbilicus | T-02483 | C0222169 | 74803 | XA3MT8 |  | 200 |  |  | 200 |
SCT | 699935000 | Skin of upper abdomen | R-FB504 | C3696900 |  |  | 219 |  | 218 | 219 |  | 218
SCT | 699935000 | Skin of upper abdomen | R-FB504 | C3696900 |  |  |  |  |  | 601 |  | 600
DCM | 130321 | Skin of upper antihelix of ear |  |  |  |  |  |  |  | 121 |  | 120
SCT | 371311000 | Skin of upper extremity | T-02008 | C0222201 |  | XA4BA8 |  |  |  | 523b | 523 | 523a
SCT | 41310005 | Skin of upper eyelid | T-02131 | C0222089 | 24761 | XA9K79 | 105 |  | 104 | 103 |  | 104
DCM | 130322 | Skin of upper eyelid margin |  |  |  | XA53T1 | 107 |  | 106 | 107 |  | 106
FMA | 61426 | Skin of upper inner quadrant of breast |  | C2363130 | 61426 | XA3LS6 | 211 |  | 210 | 211 |  | 210
SCT | 16251004 | Skin of upper lip | T-02151 | C0222102 | 24765 | XA0K68 | 29 |  | 30 | 29 |  | 30
FMA | 61439 | Skin of upper outer quadrant of left breast |  | C0931805 | 61439 | XA2Q54 | 209 |  | 208 | 209 |  | 208
DCM | 130302 | Skin of upper paraspinal region |  |  |  |  | 232 |  | 232 |  |  |
SCT | 54440003 | Skin of upper trunk | T-02401 | C0222138 |  | XA4QH7 |  |  |  |  | 520 |
FMA | 312651 | Skin of vermilion proper of lower lip |  | C4242687 | 312651 | XA7H02 | 33 | 57 | 34 | 33 |  | 34
FMA | 312647 | Skin of vermilion proper of upper lip |  | C4242681 | 312647 | XA75S0 | 31 | 56 | 32 | 31 |  | 32
SCT | 61719002 | Skin of vertex of scalp | T-02107 | C0222076 |  | XA5BY6 |  | 51 |  |  |  |
SCT | 244107007 | Sternal skin | T-02426 | C0448823 |  |  |  | 201 |  |  | 201 |
SCT | 5713008 | Submandibular triangle | T-D1603 | C0230070 | 57779 | XA0MP5 | 39 |  | 40 | 39 |  | 40
SCT | 38199008 | Tooth | T-54010 | C0040426 | 12516 |  |  |  |  |  | 514 |
SCT | 18857001 | Vaginal introitus | T-82006 | C0458952 | 19984 | XA4AH3 |  | 506 |  |  |  |
SCT | 23213005 | Vulval vestibule | T-81270 | C0227765 | 19970 |  |  | 516 |  |  |  |

### Note

1. It is desirable to use more general standard coding schemes such as SNOMED CT whenever possible, to support interoperability across specialist domains, yet the numeric codes from the NYU and Mayo systems are well known to dermatologists. Multiple codes may be encoded in the image by using the equivalent code mechansism. See 8.9 “Equivalent Code Sequence”. Standard Coding Scheme Designators (NYUMCCG and MAYOASRG) are defined.

2. SNOMED CT and FMA "skin of" or "mucosa of" specific concepts are used here when available, rather than the more generic underlying organ or part concepts; this sacrifices commonality with the anatomic regions used for more general applications, but is appropriate for dermatologic applications. E.g., (59112000, SCT, "Skin of anus") is used instead of (53505006, SCT, "Anal structure").

3. The DICOM convention is to use "structure of" concepts rather than "entire" concepts when both are defined, and that convention is followed here. E.g., (37671003, SCT, "Skin structure of lateral canthus") is used in preference to (368772009, SCT "Entire skin of lateral canthus").

4. The illustrations of the NYU anatomy identify two separately numbered structures associated with the female urethral orifice; it is not clear what separate structure is identified (perhaps Skene's Glands (71648, FMA, "Lesser vestibular glands") , but in the absence of further information, it is assumed that NYUMCCG:504 refers to the urethral orifice and NYUMCCG:517 is ignored (i.e., not included in this Context Group).

5. The illustrations of the NYU anatomy use female genitalia to show the genitocrural fold, but it is believed that the intent is to identify the region irrespective of sex, so (280387007, SCT, "Groin skin crease") is used rather than (87706001, SCT, "Skin of crurovulvar fold").

6. There is some uncertainty regarding the distinction between the antitragus and the intertragal incisure and whether the latter is represented at all in the NYU and Mayo drawings. The more recent mapping decision of Kenneweg et al has been adopted here, even though the text meaning differs from that for the NYU and Mayo schemes.

7. There is some uncertainty regarding the distinction between the skin of the forehead and the frontal region of the scalp; (68698007, SCT, "Skin of forehead") is used rather than (699900002, SCT, "Skin of frontal region of scalp") , even though the later would be more consistent with the other scalp regions (parietal, temporal and occipital).

8. Laterality is pre-coordinated in most of the NYU and Mayo codes, but by convention is factored out and encoded seperately in DICOM. The appropriate modifiers are listed in CID 245 “Laterality with Median”. The left and right modifiers correspond to the NYU/Mayo columns labelled "L" and "R" in this context group table. An entry in the "M" column of this table means that the NYU or Mayo code is for a midline or unpaired structure or refers to the median part of a structure that spans from left to right.

9. No distinction is made between the eyebrow and the supraorbital area, which SNOMED CT now considers equivalent.

## CID 4030 CT, MR and PET Anatomy Imaged

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Table CID 4030. CT, MR and PET Anatomy Imaged

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 4031 “Common Anatomic Regions”
SCT | 7832008 | Abdominal aorta | T-42500 | C0003484
SCT | 23451007 | Adrenal gland | T-B3000 | C0001625
SCT | 57034009 | Aortic arch | T-42300 | C0003489
SCT | 12738006 | Brain | T-A0100 | C0006104
SCT | 69105007 | Carotid Artery | T-45010 | C0007272
SCT | 113305005 | Cerebellum | T-A6000 | C0007765
SCT | 11279006 | Circle of Willis | T-45520 | C0008812
SCT | 41801008 | Coronary artery | T-43000 | C0205042
SCT | 128320002 | Cranial venous system | T-A0191 | C0447118
SCT | 299716001 | Iliac and/or femoral artery | T-41068 | C0576469
SCT | 64033007 | Kidney | T-71000 | C0022646
SCT | 10200004 | Liver | T-62000 | C0023884
SCT | 111002 | Parathyroid | T-B7000 | C0030518
SCT | 81040000 | Pulmonary artery | T-44000 | C0034052
SCT | 2841007 | Renal artery | T-46600 | C0035065
SCT | 78961009 | Spleen | T-C3000 | C0037993
SCT | 40689003 | Testis | T-94000 | C0039597
SCT | 113262008 | Thoracic aorta | T-42070 | C1522460
SCT | 9875009 | Thymus | T-C8000 | C0040113
SCT | 69748006 | Thyroid | T-B6000 | C0040132
SCT | 35039007 | Uterus | T-83000 | C0042149

## CID 4031 Common Anatomic Regions

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Table CID 4031. Common Anatomic Regions

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 818981001 | Abdomen |  |
SCT | 818982008 | Abdomen and Pelvis |  |
SCT | 85856004 | Acromioclavicular joint | T-15420 | C0001208
SCT | 70258002 | Ankle joint | T-15750 | C0003087
SCT | 53505006 | Anus | T-59900 | C0003461
SCT | 86598002 | Apex of Lung | T-280A0 | C0225703
SCT | 28273000 | Bile duct | T-60610 | C0005400
SCT | 34707002 | Biliary tract | T-60600 | C0005423
SCT | 89837001 | Bladder | T-74000 | C0005682
SCT | 72001000 | Bone of lower limb | T-12700 | C0448188
SCT | 371195002 | Bone of upper limb | T-D0821 | C0003793
SCT | 76752008 | Breast | T-04000 | C0006141
SCT | 955009 | Bronchus | T-26000 | C0006255
SCT | 80144004 | Calcaneus | T-12770 | C0006655
SCT | 122494005 | Cervical spine | T-11501 | C0728985
SCT | 297171002 | Cervico-thoracic spine | T-D00F7 | C0729373
SCT | 816094009 | Chest |  |
SCT | 416550000 | Chest and Abdomen | R-FAB55 | C1442171
SCT | 416775004 | Chest, Abdomen and Pelvis | R-FAB56 | C1562547
SCT | 51299004 | Clavicle | T-12310 | C0008913
SCT | 64688005 | Coccyx | T-11BF0 | C0009194
SCT | 71854001 | Colon | T-59300 | C0009368
SCT | 79741001 | Common bile duct | T-64500 | C0009437
SCT | 38848004 | Duodenum | T-58200 | C0013303
SCT | 16953009 | Elbow joint | T-15430 | C0013770
SCT | 38266002 | Entire body | T-D0010 | C0229960
SCT | 32849002 | Esophagus | T-56000 | C0014876
SCT | 110861005 | Esophagus, stomach and duodenum | T-DD163 | C1268410
SCT | 66019005 | Extremity | T-D0300 | C0015385
SCT | 81745001 | Eye | T-AA000 | C0015392
SCT | 371398005 | Eye region | T-D0801 | C0700042
SCT | 91397008 | Facial bones | T-11196 | C0015455
SCT | 71341001 | Femur | T-12710 | C0015811
SCT | 87342007 | Fibula | T-12750 | C0016068
SCT | 7569003 | Finger | T-D8800 | C0016129
SCT | 56459004 | Foot | T-D9700 | C0016504
SCT | 14975008 | Forearm | T-D8500 | C0016536
SCT | 28231008 | Gallbladder | T-63000 | C0016976
SCT | 85562004 | Hand | T-D8700 | C0018563
SCT | 69536005 | Head | T-D1100 | C0018670
SCT | 774007 | Head and Neck | T-D1000 | C0460004
SCT | 80891009 | Heart | T-32000 | C0018787
SCT | 29836001 | Hip | T-D2500 | C0019552
SCT | 24136001 | Hip Joint | T-15710 | C0019558
SCT | 85050009 | Humerus | T-12410 | C0020164
SCT | 34516001 | Ileum | T-58600 | C0020885
SCT | 22356005 | Ilium | T-12340 | C0020889
SCT | 361078006 | Internal Auditory Canal | T-AB959 | C1283773
SCT | 661005 | Jaw region | T-D1213 | C0022359
SCT | 21306003 | Jejunum | T-58400 | C0022378
SCT | 72696002 | Knee | T-D9200 | C0022742
SCT | 14742008 | Large intestine | T-59000 | C0021851
SCT | 4596009 | Larynx | T-24100 | C0023078
SCT | 303270005 | Liver and biliary structure | T-50007 | C0580674
SCT | 30021000 | Lower leg | T-D9400 | C1140621
SCT | 61685007 | Lower limb | T-D9000 | C0023216
SCT | 122496007 | Lumbar spine | T-11503 | C0024091
SCT | 297173004 | Lumbo-sacral spine | T-D00F9 | C0574025
SCT | 91609006 | Mandible | T-11180 | C0024687
SCT | 59066005 | Mastoid bone | T-11133 | C0446908
SCT | 70925003 | Maxilla | T-11170 | C0024947
SCT | 72410000 | Mediastinum | T-D3300 | C0025066
SCT | 102292000 | Muscle of lower limb | T-14668 | C0584890
SCT | 30608006 | Muscle of upper limb | T-13600 | C0559498
SCT | 74386004 | Nasal bone | T-11149 | C0027422
SCT | 45048000 | Neck | T-D1600 | C0027530
SCT | 417437006 | Neck and Chest | R-FAB52 | C1562459
SCT | 416152001 | Neck, Chest and Abdomen | R-FAB53 | C1562378
SCT | 416319003 | Neck, Chest, Abdomen and Pelvis | R-FAB54 | C1562776
SCT | 55024004 | Optic canal | T-11102 | C0450102
SCT | 363654007 | Orbital structure | T-D14AE | C0029180
SCT | 15776009 | Pancreas | T-65000 | C0030274
SCT | 69930009 | Pancreatic duct | T-65010 | C0030288
SCT | 110621006 | Pancreatic duct and bile duct systems | T-65600 | C1267614
SCT | 2095001 | Paranasal sinus | T-22000 | C0030471
SCT | 45289007 | Parotid gland | T-61100 | C0030580
SCT | 64234005 | Patella | T-12730 | C0030647
SCT | 816092008 | Pelvis |  |
SCT | 416631005 | Pelvis and lower extremities | R-FAB58 | C1562943
DCM | 113681 | Phantom |  | C0282611
SCT | 41216001 | Prostate | T-92000 | C0033572
SCT | 34402009 | Rectum | T-59600 | C0034896
SCT | 113197003 | Rib | T-11300 | C0035561
SCT | 297174005 | Sacro-coccygeal Spine | T-D00FA | C0574026
SCT | 39723000 | Sacroiliac joint | T-15680 | C0036036
SCT | 54735007 | Sacrum | T-11AD0 | C0036037
SCT | 79601000 | Scapula | T-12280 | C0036277
SCT | 42575006 | Sella turcica | T-D1460 | C0036609
SCT | 58742003 | Sesamoid bones of foot | T-12980 | C0278418
SCT | 16982005 | Shoulder | T-D2220 | C0037004
SCT | 89546000 | Skull | T-11100 | C0037303
SCT | 30315005 | Small intestine | T-58000 | C0021852
SCT | 421060004 | Spine | T-D04FF | C0037949
SCT | 7844006 | Sternoclavicular joint | T-15610 | C0038291
SCT | 56873002 | Sternum | T-11210 | C0038293
SCT | 69695003 | Stomach | T-57000 | C0038351
SCT | 54019009 | Submandibular gland | T-61300 | C0038556
SCT | 27949001 | Tarsal joint | T-15770 | C0039318
SCT | 53620006 | Temporomandibular joint | T-15290 | C0039493
SCT | 68367000 | Thigh | T-D9100 | C0039866
SCT | 122495006 | Thoracic spine | T-11502 | C0581269
SCT | 297172009 | Thoraco-lumbar spine | T-D00F8 | C0729374
SCT | 76505004 | Thumb | T-D8810 | C0040067
SCT | 29707007 | Toe | T-D9800 | C0040357
SCT | 44567001 | Trachea | T-25000 | C0040578
SCT | 40983000 | Upper arm | T-D8200 | C0446516
SCT | 53120007 | Upper limb | T-D8000 | C1140618
SCT | 431491007 | Upper urinary tract | T-7000B | C2317509
SCT | 87953007 | Ureter | T-73000 | C0041951
SCT | 13648007 | Urethra | T-75000 | C0041967
SCT | 110639002 | Uterus and fallopian tubes | T-88920 | C1267676
SCT | 110517009 | Vertebral column and cranium | T-11011 | C1266914
SCT | 74670003 | Wrist joint | T-15460 | C1322271
SCT | 13881006 | Zygoma | T-11166 | C0043539

### Note

1. In a prior version of this table, the code SRT: T-D1217 was specified for the concept "Maxilla and mandible". The use of this code conflicts with its assignment to another concept in SNOMED, and its use in this context is deprecated. Although there is minimal possibility of misinterpretation with SOP Instances that may include the deprecated use, receiving applications should be aware of this change; see Annex J.

2. In a prior version of this table, the code SRT: T-D8300 was used for (16953009, SCT, "Elbow joint"), SRT: T-12402 for (14975008, SCT, "Forearm"), SRT: T-15710 for (24136001, SCT, "Hip"), SRT: T-73800 for (87953007, SCT, "Ureter"), and SRT: T-11167 for (13881006, SCT, "Zygoma"). Although there is minimal possibility of misinterpretation with SOP Instances that may include the deprecated use, receiving applications should be aware of this change; see Annex J.

3. In a prior version of this Context Group, concepts were used that were not specific to the cross-sectional anatomy (including the full thickness of the body). Further, whether or not (113345001, SCT, "Abdomen") included the pelvis or not was ambiguous, so more specific codes are now used.

## CID 4032 MR Spectroscopy Metabolites

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Table CID 4032. MR Spectroscopy Metabolites

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 4033 “MR Proton Spectroscopy Metabolites”

## CID 4033 MR Proton Spectroscopy Metabolites

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Table CID 4033. MR Proton Spectroscopy Metabolites

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | Units
--- | --- | --- | --- | --- | ---
SCT | 115391007 | N-acetylaspartate | F-65C50 | C0067684 | DT (ppm, UCUM, "ppm")
SCT | 59351004 | Citrate | F-61080 | C0376259 | DT (ppm, UCUM, "ppm")
SCT | 65123005 | Choline | F-61620 | C0008405 | DT (ppm, UCUM, "ppm")
SCT | 14804005 | Creatine | F-61380 | C0010286 | DT (ppm, UCUM, "ppm")
DCM | 113094 | Creatine and Choline |  |  | DT (ppm, UCUM, "ppm")
SCT | 83036002 | Lactate | F-61760 | C0376261 | DT (ppm, UCUM, "ppm")
SCT | 70106000 | Lipid | F-63600 | C0023779 | DT (ppm, UCUM, "ppm")
DCM | 113095 | Lipid and Lactate |  |  | DT (ppm, UCUM, "ppm")
DCM | 113080 | Glutamate and glutamine |  |  | DT (ppm, UCUM, "ppm")
SCT | 25761002 | Glutamine | F-64210 | C0017797 | DT (ppm, UCUM, "ppm")
SCT | 10944007 | Tuarine | F-64460 | C0039350 | DT (ppm, UCUM, "ppm")
SCT | 72164009 | Inositol | F-61A90 | C0021547 | DT (ppm, UCUM, "ppm")
DCM | 113081 | Choline/Creatine Ratio |  |  | DT (ppm, UCUM, "ppm")
DCM | 113082 | N-acetylaspartate/Creatine Ratio |  |  | DT (ppm, UCUM, "ppm")
DCM | 113083 | N-acetylaspartate/Choline Ratio |  |  | DT (ppm, UCUM, "ppm")
DCM | 113096 | Creatine+Choline/Citrate Ratio |  |  | DT (ppm, UCUM, "ppm")

### Note

For the purpose of this context group, where possible, the resonance peak in the spectrum corresponding to a particular metabolite is described using the concept from SNOMED for the substance corresponding to the metabolite. E.g., the code used for "lipid" is the code for "lipid (substance) ", as this concept is effectively post-coordinated by its use in the Metabolite Map Code Sequence (0018,9083) to mean "lipid resonance peaks in MR spectroscopy".

## CID 4040 Endoscopy Anatomic Regions

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Table CID 4040. Endoscopy Anatomic Regions

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 110612005 | Anus, rectum and sigmoid colon | T-59490 | C1267595
SCT | 28273000 | Bile duct | T-60610 | C0005400
SCT | 34707002 | Biliary tract | T-60600 | C0005423
SCT | 89837001 | Bladder | T-74000 | C0005682
SCT | 110837003 | Bladder and urethra | T-DD123 | C1268386
SCT | 955009 | Bronchus | T-26000 | C0006255
SCT | 71252005 | Cervix | T-83200 | C0007874
SCT | 79741001 | Common bile duct | T-64500 | C0009437
SCT | 110861005 | Esophagus, stomach and duodenum | T-DD163 | C1268410
SCT | 84301002 | External auditory canal | T-AB200 | C0013444
SCT | 28231008 | Gallbladder | T-63000 | C0016976
SCT | 26893007 | Inguinal region | T-D7000 | C0018246
SCT | 818987002 | Intra-abdominopelvic |  |
SCT | 816989007 | Intra-pelvic |  |
SCT | 43799004 | Intra-thoracic | T-D3200 | C0230139
SCT | 39352004 | Joint | T-15001 | C0022417
SCT | 64033007 | Kidney | T-71000 | C0022646
SCT | 72696002 | Knee | T-D9200 | C0022742
SCT | 14742008 | Large intestine | T-59000 | C0021851
SCT | 4596009 | Larynx | T-24100 | C0023078
SCT | 91747007 | Lumen of blood vessel | T-40230 | C0524424
SCT | 72410000 | Mediastinum | T-D3300 | C0025066
SCT | 360955006 | Nasopharynx | T-2300C | C1283682
SCT | 69930009 | Pancreatic duct | T-65010 | C0030288
SCT | 110621006 | Pancreatic duct and bile duct systems | T-65600 | C1267614
SCT | 2095001 | Paranasal sinus | T-22000 | C0030471
SCT | 54066008 | Pharynx | T-55000 | C0031354
SCT | 312535008 | Pharynx and larynx | T-20101 | C0729889
SCT | 34402009 | Rectum | T-59600 | C0034896
SCT | 16982005 | Shoulder | T-D2220 | C0037004
SCT | 60184004 | Sigmoid colon | T-59470 | C0227391
SCT | 421060004 | Spine | T-D04FF | C0037949
SCT | 110726009 | Trachea and bronchus | T-DD006 | C1268276
SCT | 431491007 | Upper urinary tract | T-7000B | C2317509
SCT | 87953007 | Ureter | T-73000 | C0041951
SCT | 110639002 | Uterus and fallopian tubes | T-88920 | C1267676

### Note

1. See Annex I for examples of the relationship between anatomic regions and type of endoscopy performed.

2. In a prior version of this table, the code T-55002 was used for T-55000, and T-73800 for T-73000. Although there is minimal possibility of misinterpretation with SOP Instances that may include the deprecated use, receiving applications should be aware of this change; see Annex J.

3. In a prior version of this Context Group, concepts that were not specific to the abdominopelvic and thoracic cavities were used.

## CID 4042 XA/XRF Anatomy Imaged

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Table CID 4042. XA/XRF Anatomy Imaged

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 3010 “Cardiovascular Anatomic Locations”
Include CID 4031 “Common Anatomic Regions”

## CID 4050 Drug or Contrast Agent Characteristics

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Table CID 4050. Drug or Contrast Agent Characteristics

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 127489000 | Active Ingredient | G-C52F | C1292749
DCM | 121380 | Active Ingredient Undiluted Concentration |  |
DCM | 121381 | Contrast/Bolus Ingredient Opaque |  |
SCT | 118565006 | Volume | G-D705 | C0449468

## CID 4051 General Devices

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Table CID 4051. General Devices

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 8 “Angiographic Interventional Devices”
Include CID 3451 “Calibration Objects”
Include CID 4052 “Phantom Devices”
SCT | 61968008 | Syringe | A-10150 | C0039142

## CID 4052 Phantom Devices

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Table CID 4052. Phantom Devices

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 113681 | Phantom
DCM | 113682 | ACR Accreditation Phantom - CT
DCM | 113683 | ACR Accreditation Phantom - MR
DCM | 113684 | ACR Accreditation Phantom - Mammography
DCM | 113685 | ACR Accreditation Phantom - Stereotactic Breast Biopsy
DCM | 113686 | ACR Accreditation Phantom - ECT
DCM | 113687 | ACR Accreditation Phantom - PET
DCM | 113688 | ACR Accreditation Phantom - ECT/PET
DCM | 113689 | ACR Accreditation Phantom - PET Faceplate
DCM | 113690 | IEC Head Dosimetry Phantom
DCM | 113691 | IEC Body Dosimetry Phantom
DCM | 113692 | NEMA XR21-2000 Phantom
DCM | 130541 | 10 cm Dosimetry Phantom

## CID 4100 T1 Measurement Methods

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20141110

UID:

  1.2.840.10008.6.1.985

Table CID 4100. T1 Measurement Methods

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 126350 | T1 by Multiple Flip Angles
DCM | 126351 | T1 by Inversion Recovery
DCM | 126352 | T1 by Fixed Value

## CID 4101 Tracer Kinetic Models

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20160316

UID:

  1.2.840.10008.6.1.986

Table CID 4101. Tracer Kinetic Models

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 126340 | Standard Tofts Model
DCM | 126341 | Extended Tofts Model
DCM | 126343 | First Pass Leakage Profile (FPLP) Model
DCM | 126344 | Shutter-Speed Model (SSM)
DCM | 126345 | Gamma Capillary Transit Time (GCTT) Model
DCM | 126346 | Adiabatic Tissue Homogeneity (ATH) Model
DCM | 126347 | Two Compartment Exchange (2CX) Model

## CID 4102 Perfusion Measurement Methods

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Type:

  Extensible

Version:

  20141110

UID:

  1.2.840.10008.6.1.987

Table CID 4102. Perfusion Measurement Methods

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 126300 | Perfusion analysis by Stable Xenon CT technique
DCM | 126301 | Perfusion analysis by IV Iodinated Contrast CT technique
DCM | 126302 | Perfusion analysis by Arterial Spin Labeling MR technique
DCM | 126303 | Perfusion analysis by Susceptibility MR technique

## CID 4103 Arterial Input Function Measurement Methods

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Type:

  Extensible

Version:

  20141110

UID:

  1.2.840.10008.6.1.988

Table CID 4103. Arterial Input Function Measurement Methods

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 126360 | AIF Ignored
DCM | 126361 | Population Averaged AIF
DCM | 126362 | User-defined AIF ROI
DCM | 126363 | Automatically Detected AIF ROI
DCM | 126364 | Blind Estimation of AIF

### Note

The anatomic location relevant to the application of any AIF method is not pre-coordinated in concepts in this Context Group. Typically these would be described by the Finding Site of any related measurements in the appropriate Template.

## CID 4104 Bolus Arrival Time Derivation Methods

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Type:

  Extensible

Version:

  20141110

UID:

  1.2.840.10008.6.1.989

Table CID 4104. Bolus Arrival Time Derivation Methods

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 126373 | Temporal Derivative Exceeds Threshold
DCM | 126370 | Time of Peak Concentration
DCM | 126372 | Time of Leading Half-Peak Concentration

## CID 4105 Perfusion Analysis Methods

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20141110

UID:

  1.2.840.10008.6.1.990

Table CID 4105. Perfusion Analysis Methods

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 126310 | Least Mean Square (LMS) deconvolution
DCM | 126311 | Singular Value Decomposition (SVD) deconvolution

## CID 4106 Quantitative Methods used for Perfusion And Tracer Kinetic Models

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  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20141110

UID:

  1.2.840.10008.6.1.991

Table CID 4106. Quantitative Methods used for Perfusion And Tracer Kinetic Models

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 4100 “T1 Measurement Methods”
Include CID 4101 “Tracer Kinetic Models”
Include CID 4102 “Perfusion Measurement Methods”
Include CID 4103 “Arterial Input Function Measurement Methods”
Include CID 4104 “Bolus Arrival Time Derivation Methods”
Include CID 4105 “Perfusion Analysis Methods”
DCM | 126342 | Model-free concentration-time quantitification

### Note

1. Concepts from this context group may be used in measurement Templates to describe the measurement method of measurement on an ROI.

   E.g., NUM (126312, DCM, "Ktrans") = 0.0185 /min; (370129005, SCT, "Measurement Method") = (126341, DCM, "Extended Tofts Model")

## CID 4107 Tracer Kinetic Model Parameters

Resources:

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Type:

  Extensible

Version:

  20141110

UID:

  1.2.840.10008.6.1.992

Table CID 4107. Tracer Kinetic Model Parameters

Coding Scheme Designator | Code Value | Code Meaning | Units
--- | --- | --- | ---
DCM | 126312 | Ktrans | DT (/min, UCUM, "/min")
DCM | 126313 | kep | DT (/min, UCUM, "/min")
DCM | 126314 | ve | DT ({ratio}, UCUM, "ratio")
DCM | 126330 | tau_m | DT (s, UCUM, "s")
DCM | 126331 | vp | DT ({ratio}, UCUM, "ratio")

## CID 4108 Perfusion Model Parameters

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20190326

UID:

  1.2.840.10008.6.1.993

Table CID 4108. Perfusion Model Parameters

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | Units
--- | --- | --- | --- | --- | ---
DCM | 126390 | Absolute Regional Blood Flow |  |  | DT (ml/(100.ml)/min, UCUM, "ml/(100.ml)/min") DT (ml/(100.g)/min, UCUM, "ml/(100.g)/min")
DCM | 126391 | Absolute Regional Blood Volume |  |  | DT (ml/(100.ml), UCUM, "ml/(100.ml)") DT (ml/(100.g), UCUM, "ml/(100.g)")
DCM | 126397 | Relative Regional Blood Flow |  |  | DT ({ratio}, UCUM, "ratio")
DCM | 126398 | Relative Regional Blood Volume |  |  | DT ({ratio}, UCUM, "ratio")
DCM | 113052 | Mean Transit Time |  |  | DT (s, UCUM, "s")
DCM | 113069 | Time To Peak |  |  | DT (s, UCUM, "s")
DCM | 126392 | Oxygen Extraction Fraction |  |  |
DCM | 113084 | Tmax |  |  | DT (s, UCUM, "s")

### Note

Previously, concepts specific to the brain (e.g., regional cerebral blood flow) were included in this Context Group, but these have been retired in favor of using the non-body-part-specific concepts. See DICOM PS3.16 2019a.

## CID 4109 Model-Independent Dynamic Contrast Analysis Parameters

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Type:

  Extensible

Version:

  20150916

UID:

  1.2.840.10008.6.1.994

Table CID 4109. Model-Independent Dynamic Contrast Analysis Parameters

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | Units
--- | --- | --- | --- | --- | ---
DCM | 126320 | IAUC |  |  | DT (mmol/l.s, UCUM, "mmol/l.s")
DCM | 126321 | IAUC60 |  |  | DT (mmol/l.s, UCUM, "mmol/l.s")
DCM | 126322 | IAUC90 |  |  | DT (mmol/l.s, UCUM, "mmol/l.s")
DCM | 126323 | IAUC180 |  |  | DT (mmol/l.s, UCUM, "mmol/l.s")
DCM | 126324 | IAUCBN |  |  | DT {normalized}, UCUM, "normalized"
DCM | 126325 | IAUC60BN |  |  | DT {/AIF}, UCUM, "/AIF"
DCM | 126326 | IAUC90BN |  |  | DT {/AIF}, UCUM, "/AIF"
DCM | 126327 | IAUC180BN |  |  | DT {/AIF}, UCUM, "/AIF"
DCM | 126370 | Time of Peak Concentration |  |  | DT (s, UCUM, "s")
DCM | 126372 | Time of Leading Half-Peak Concentration |  |  | DT (s, UCUM, "s")
DCM | 126371 | Bolus Arrival Time |  |  | DT (s, UCUM, "s")
DCM | 113069 | Time To Peak |  |  | DT (s, UCUM, "s")
DCM | 126374 | Temporal Derivative Threshold |  |  |
DCM | 126375 | Maximum Slope |  |  |
DCM | 126376 | Maximum Difference |  |  |
DCM | 126377 | Tracer Concentration |  |  | DT (mmol/l, UCUM, "mmol/l")

### Note

(126326, DCM, "IAUC90BN") can be used for DCE-MRI using a Gd-based contrast agent to represent the IAUGCBN measurement in the claim of the QIBA DCE MRI Quantification Profile, though the concept itself is not specific to the modality or the contast agent used. See http://www.rsna.org/QIBA_Protocols_and_Profiles.aspx. See also Ng, CS., et al. "Reproducibility of Perfusion Parameters in Dynamic Contrast-Enhanced MRI of Lung and Liver Tumors: Effect on Estimates of Patient Sample Size in Clinical Trials and on Individual Patient Responses." AJR 194, no. 2 (February 1, 2010): W134-40. http://dx.doi.org/10.2214/AJR.09.3116.

The type of contrast agent and the AIF used for blood normalization may or may not be post-coordinated.

E.g., voxel-wise IAUCBN measurements encoded as a parametric map with the quantity defined by the Quantity Definition Sequence (0040,9220) in a Real World Value Map might be encoded as:

(246205007, SCT, "Quantity") = (126326, DCM, "IAUC90BN")

(370129005, SCT, "Measurement Method") = (126362, DCM, "User-defined AIF ROI")

(123011, DCM, "Contrast Bolus/Agent") = (58281002, SCT, "Gadolinium")

E.g., an IAUCBN measurement for an ROI encoded in a structured report might be encoded as:

NUM (126326, DCM, "IAUC90BN") = 0.230 (UNITS = ({normalized}, UCUM, "normalized")

>HAS CONCEPT MOD: CODE (370129005, SCT, "Measurement Method") = (126364, DCM, "Blind Estimation of AIF")

Note that the generic ROI measurement templates do not have the contrast/bolus agent as a parameter; this may be implicit from context, or inherited from the (121058, DCM,"Procedure reported") in the parent template.

## CID 4110 Tracer Kinetic Modeling Covariates

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Type:

  Extensible

Version:

  20141110

UID:

  1.2.840.10008.6.1.995

Table CID 4110. Tracer Kinetic Modeling Covariates

Coding Scheme Designator | Code Value | Code Meaning | UMLS Concept Unique ID
--- | --- | --- | ---
LN | 20570-8 | Hematocrit | C0803379

## CID 4111 Contrast Characteristics

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20141110

UID:

  1.2.840.10008.6.1.996

Table CID 4111. Contrast Characteristics

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 126380 | Contrast Longitudinal Relaxivity

## CID 4200 Ophthalmic Imaging Agent

Resources:

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Type:

  Extensible

Version:

  20040921

UID:

  1.2.840.10008.6.1.316

Table CID 4200. Ophthalmic Imaging Agent

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 350086004 | Fluorescein | C-B02CC | C0060520
SCT | 7292004 | Indocyanine green | C-B0156 | C0021234
SCT | 330888007 | Rose Bengal | C-B0295 | C0035857
SCT | 60441008 | Trypan blue | C-22853 | C0041213
SCT | 354064008 | Methylene blue | C-B02C5 | C0025746

## CID 4201 Patient Eye Movement Command

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20040921

UID:

  1.2.840.10008.6.1.317

Table CID 4201. Patient Eye Movement Command

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 408744005 | Primary gaze | R-1022D | C1443287
SCT | 255533007 | Upward gaze | R-404BF | C0439774
SCT | 255525006 | Left upgaze | R-404B9 | C0439769
SCT | 255530005 | Left gaze | R-404BC | C0439773
SCT | 255523004 | Left downgaze | R-404B7 | C0439772
SCT | 255521002 | Downgaze | R-404B6 | C0439777
SCT | 255524005 | Right downgaze | R-404B8 | C0439763
SCT | 255531009 | Right gaze | R-404BD | C0439765
SCT | 255526007 | Right upgaze | R-404BA | C0439760
SCT | 408745006 | Convergent gaze | R-10227 | C1446614

## CID 4202 Ophthalmic Photography Acquisition Device

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20100607

UID:

  1.2.840.10008.6.1.318

Table CID 4202. Ophthalmic Photography Acquisition Device

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 409898007 | Fundus Camera | R-1021A | C0179536
SCT | 397247004 | Slit Lamp Biomicroscope | A-2B201 | C0183355
SCT | 409903006 | External Camera | R-1021B | C1444146
SCT | 409899004 | Specular Microscope | R-1021C | C1444145
SCT | 102321001 | Operating Microscope | A-2B210 | C0181849
SCT | 392001008 | Scanning Laser Ophthalmoscope | A-00E8A | C0392288
SCT | 409901008 | Indirect Ophthalmoscope | R-1021D | C0182048
SCT | 409900009 | Direct Ophthalmoscope | R-1021E | C0182047
SCT | 409902001 | Ophthalmic Endoscope | R-1021F | C0493036
SCT | 397522002 | Keratoscope | A-00FCA | C0181448
SCT | 420827006 | Pupillograph | A-00FF4 | C0182567

## CID 4203 Ophthalmic Photography Illumination

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20100607

UID:

  1.2.840.10008.6.1.319

Table CID 4203. Ophthalmic Photography Illumination

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 410461001 | Dual diffuse direct illumination | R-1020E | C1444589
SCT | 410462008 | Fine slit beam direct illumination | R-1020F | C1444590
SCT | 410463003 | Broad tangential direct illumination | R-10211 | C1444591
SCT | 410464009 | Indirect sclerotic scatter illumination | R-10213 | C1444592
SCT | 410465005 | Indirect retroillumination from the iris | R-10215 | C1444593
SCT | 410466006 | Indirect retroillumination from the retina | R-10217 | C1444594
SCT | 410467002 | Indirect iris transillumination | R-10218 | C1444595
DCM | 111625 | Diffuse direct illumination |  |
DCM | 111627 | Scotopic light |  |
DCM | 111628 | Mesopic light |  |
DCM | 111629 | Photopic light |  |
DCM | 111630 | Dynamic light |  |

### Note

Reference: From the OPS web site: http://www.opsweb.org/page/slitbiomicrography

## CID 4204 Ophthalmic Filter

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20110112

UID:

  1.2.840.10008.6.1.320

Table CID 4204. Ophthalmic Filter

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 445465004 | Green optical filter | A-010E2 | C2919396
SCT | 445279009 | Red optical filter | A-010DF | C2919397
SCT | 445084008 | Blue optical filter | A-010DA | C2919751
SCT | 445340000 | Yellow-green optical filter | A-010E0 | C2919190
SCT | 422915004 | Blue-green optical filter | A-010D8 | C1828251
SCT | 445169002 | Infrared optical filter | A-010DC | C2919637
SCT | 445391002 | Polarizing optical filter | A-010E1 | C2919554
DCM | 111609 | No filter |  |

## CID 4205 Ophthalmic Lens

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20040921

UID:

  1.2.840.10008.6.1.321

Table CID 4205. Ophthalmic Lens

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 409897002 | Indirect ophthalmoscopy lens | R-10219 | C1444144
SCT | 409783000 | Concave contact fundus lens | R-10239 | C1444081
SCT | 410688004 | Concave noncontact fundus lens | R-1023A | C1444761
SCT | 410686000 | Contact fundus lens | R-1023B | C1444759
SCT | 389156006 | Goniolens | A-00FAD | C1300255
SCT | 410687009 | Convex noncontact fundus lens | R-1023D | C1444760
SCT | 410685001 | Noncontact fundus lens | R-1023E | C1444758
SCT | 410689007 | Convex contact fundus lens | R-1023C | C1444762

## CID 4206 Ophthalmic Channel Description

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20040921

UID:

  1.2.840.10008.6.1.322

Table CID 4206. Ophthalmic Channel Description

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 405738005 | Blue | G-A12F | C1260957
SCT | 414298005 | Full Spectrum | R-102C0 | C1532530
SCT | 371246006 | Green | G-A11E | C0332583
SCT | 414497003 | Infrared | R-102BE | C1532326
SCT | 371240000 | Red | G-A11A | C1260956
SCT | 405739002 | Red free | G-A132 | C1319009
SCT | 415770004 | Ultraviolet | R-102BF | C1532472

## CID 4207 Ophthalmic Image Position

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20110825

UID:

  1.2.840.10008.6.1.323

Table CID 4207. Ophthalmic Image Position

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 408734008 | Diabetic Retinopathy Study field 1 | R-10229 | C1443282
SCT | 410434001 | Diabetic Retinopathy Study field 2 | R-1022A | C1444567
SCT | 410435000 | Diabetic Retinopathy Study field 3 | R-1022B | C1444568
SCT | 410436004 | Diabetic Retinopathy Study field 4 | R-1022C | C1444569
SCT | 410437008 | Diabetic Retinopathy Study field 5 | R-1022E | C1444570
SCT | 410438003 | Diabetic Retinopathy Study field 6 | R-1022F | C1444571
SCT | 410439006 | Diabetic Retinopathy Study field 7 | R-10231 | C1444572
DCM | 111621 | Field 1 for Joslin3 field |  |
DCM | 111622 | Field 2 for Joslin 3 field |  |
DCM | 111623 | Field 3 for Joslin 3 field |  |
DCM | 111900 | Macula centered |  |
DCM | 111901 | Disc centered |  |
DCM | 111902 | Lesion centered |  |
DCM | 111903 | Disc-macula centered |  |
DCM | 111904 | Mid-peripheral-superior |  |
DCM | 111905 | Mid-peripheral-superior temporal |  |
DCM | 111906 | Mid-peripheral-temporal |  |
DCM | 111907 | Mid-peripheral-inferior temporal |  |
DCM | 111908 | Mid-peripheral-inferior |  |
DCM | 111909 | Mid-peripheral-inferior nasal |  |
DCM | 111910 | Mid-peripheral-nasal |  |
DCM | 111911 | Mid-peripheral-superior nasal |  |
DCM | 111912 | Peripheral-superior |  |
DCM | 111913 | Peripheral-superior temporal |  |
DCM | 111914 | Peripheral-temporal |  |
DCM | 111915 | Peripheral-inferior temporal |  |
DCM | 111916 | Peripheral-inferior |  |
DCM | 111917 | Peripheral-inferior nasal |  |
DCM | 111918 | Peripheral-nasal |  |
DCM | 111919 | Peripheral-superior nasal |  |

## CID 4208 Mydriatic Agent

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20190817

UID:

  1.2.840.10008.6.1.324

Table CID 4208. Mydriatic Agent

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 771928002 | Atropine |  |
SCT | 82264009 | Homatropine | C-677C0 | C0062922
SCT | 8348002 | Cyclopentolate | C-97520 | C0010582
SCT | 386693003 | Phenylephrine | C-68165 | C0717985
SCT | 9190005 | Tropicamide | C-97580 | C0041190

## CID 4209 Ophthalmic Anatomic Structure Imaged

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20040921

UID:

  1.2.840.10008.6.1.325

Table CID 4209. Ophthalmic Anatomic Structure Imaged

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 31636006 | Anterior chamber of eye | T-AA050 | C0003151
SCT | 40638003 | Both eyes | T-AA180 | C0229118
SCT | 68703001 | Choroid of eye | T-AA310 | C0008520
SCT | 29534007 | Ciliary body | T-AA400 | C0008779
SCT | 29445007 | Conjunctiva | T-AA860 | C0009758
SCT | 28726007 | Cornea | T-AA200 | C0010031
SCT | 81745001 | Eye | T-AA000 | C0015392
SCT | 80243003 | Eyelid | T-AA810 | C0015426
SCT | 67046006 | Fovea centralis | T-AA621 | C0016622
SCT | 41296002 | Iris | T-AA500 | C0022077
SCT | 43045000 | Lacrimal caruncle | T-AA862 | C0446860
SCT | 13561001 | Lacrimal gland | T-AA910 | C0022907
SCT | 3954005 | Lacrimal sac | T-AA940 | C0229289
SCT | 78076003 | Lens | T-AA700 | C0023317
SCT | 62736007 | Lower Eyelid | T-AA830 | C0229258
SCT | 53549008 | Ophthalmic artery | T-45400 | C0029078
SCT | 81016008 | Optic nerve head | T-AA630 | C0029127
SCT | 5665001 | Retina | T-AA610 | C0035298
SCT | 18619003 | Sclera | T-AA110 | C0036410
SCT | 38934000 | Upper Eyelid | T-AA820 | C0585636

## CID 4210 Ophthalmic Tomography Acquisition Device

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20131014

UID:

  1.2.840.10008.6.1.326

Table CID 4210. Ophthalmic Tomography Acquisition Device

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 392012008 | Optical Coherence Tomography Scanner | A-00FBE | C1271441
SCT | 416567007 | Retinal Thickness Analyzer | R-FAB5A | C1562933
SCT | 392004000 | Confocal Scanning Laser Ophthalmoscope | A-00E8B | C1271438
DCM | 111626 | Scheimpflug Camera |  |
SCT | 392007007 | Scanning Laser Polarimeter | A-00E8C | C1271440
DCM | 111945 | Elevation-based corneal tomographer |  |
DCM | 111946 | Reflection-based corneal topographer |  |
DCM | 111947 | Interferometry-based corneal tomographer |  |

## CID 4211 Ophthalmic OCT Anatomic Structure Imaged

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20071016

UID:

  1.2.840.10008.6.1.327

Table CID 4211. Ophthalmic OCT Anatomic Structure Imaged

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 31636006 | Anterior chamber of eye | T-AA050 | C0003151
SCT | 68703001 | Choroid of eye | T-AA310 | C0008520
SCT | 29534007 | Ciliary body | T-AA400 | C0008779
SCT | 29445007 | Conjunctiva | T-AA860 | C0009758
SCT | 28726007 | Cornea | T-AA200 | C0010031
SCT | 41296002 | Iris | T-AA500 | C0022077
SCT | 78076003 | Lens | T-AA700 | C0023317
SCT | 81016008 | Optic nerve head | T-AA630 | C0029127
SCT | 5665001 | Retina | T-AA610 | C0035298
SCT | 18619003 | Sclera | T-AA110 | C0036410
SCT | 26386000 | Vitreous | T-AA079 | C0229095
SCT | 15775008 | Corneal epithelium | T-AA220 | C0459875
SCT | 65431007 | Corneal endothelium | T-AA260 | C0014258

## CID 4214 Ophthalmic Horizontal Directions

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20080124

UID:

  1.2.840.10008.6.1.800

Table CID 4214. Ophthalmic Horizontal Directions

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 255460003 | Inward | G-C028 | C0439786
SCT | 255543005 | Outward | R-404C7 | C0439788

## CID 4215 Ophthalmic Vertical Directions

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20080124

UID:

  1.2.840.10008.6.1.801

Table CID 4215. Ophthalmic Vertical Directions

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 255532002 | Up | R-404BE | C0547043
SCT | 255518004 | Down | R-404B3 | C0205104

## CID 4216 Ophthalmic Visual Acuity Type

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20080124

UID:

  1.2.840.10008.6.1.802

Table CID 4216. Ophthalmic Visual Acuity Type

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 111685 | Autorefraction Visual Acuity |  |
DCM | 111686 | Habitual Visual Acuity |  |
DCM | 111687 | Prescription Visual Acuity |  |
SCT | 424622008 | Potential Acuity Meter Visual Acuity | F-04ECE | C1827765
SCT | 419775003 | Best Corrected Visual Acuity | F-04D54 | C1690532
SCT | 420050001 | Uncorrected Visual Acuity | F-04D53 | C1637380
SCT | 419475002 | Pinhole Visual Acuity | F-04D55 | C1642831
SCT | 425141002 | Brightness Acuity Testing Visual Acuity | F-04ECF | C1827482

## CID 4220 Visual Fixation Quality During Acquisition

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20090917

UID:

  1.2.840.10008.6.1.819

Table CID 4220. Visual Fixation Quality During Acquisition

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 55011004 | Steady | G-A555 | C0205361
SCT | 103361006 | Not Steady | G-A556 | C0439829
SCT | 82334004 | Indeterminate | G-A385 | C0205258

## CID 4221 Visual Fixation Quality Problem

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20090917

UID:

  1.2.840.10008.6.1.820

Table CID 4221. Visual Fixation Quality Problem

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 110518 | Patient Movement |  |
SCT | 251786004 | Eccentric Fixation | F-02FA4 | C0429578
DCM | 110519 | Operator Error |  |
DCM | 110501 | Equipment failure |  |

## CID 4222 Ophthalmic Macular Grid Problem

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20090917

UID:

  1.2.840.10008.6.1.821

Table CID 4222. Ophthalmic Macular Grid Problem

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 4221 “Visual Fixation Quality Problem” |  |
SCT | 301939004 | Constricted Pupil | F-0123A | C0728710
SCT | 193570009 | Lens Opacity | DA-73402 | C0086543
SCT | 64634000 | Corneal Opacity | DA-75300 | C0010038
SCT | 422061002 | Vitreous Opacity | DA-7931D | C0152006
SCT | 314348007 | Poor Visual Fixation | R-20839 | C1277657
SCT | 60113004 | Eyelid Disease | DA-76000 | C0015423
DCM | 111695 | Interfering Tears or Drops |  |
SCT | 39021009 | Refractive Error | DA-74100 | C0034951
DCM | 111209 | Patient Positioning Problem |  |
SCT | 162290004 | Dry Eyes Problem | F-F1722 | C0314719

## CID 4230 Ophthalmic Ultrasound Axial Measurements Type

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20100623

UID:

  1.2.840.10008.6.1.876

Table CID 4230. Ophthalmic Ultrasound Axial Measurements Type

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111750 | Ultrasound Contact
DCM | 111751 | Ultrasound Immersion

## CID 4231 Lens Status

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20100623

UID:

  1.2.840.10008.6.1.877

Table CID 4231. Lens Status

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 24010005 | Aphakic | DA-73410 | C0003534
SCT | 309649001 | Phakic | R-2073F | C0587139
SCT | 397559001 | Phakic IOL | A-040F7 | C1301524
SCT | 370951003 | Piggyback IOL | F-02087 | C1299686
SCT | 95217000 | Pseudophakia | DA-73460 | C0684343

## CID 4232 Vitreous Status

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20100623

UID:

  1.2.840.10008.6.1.878

Table CID 4232. Vitreous Status

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 247094004 | Gas in vitreous cavity | F-035F3 | C0423372
SCT | 232077005 | Post-Vitrectomy | DA-7930D | C0339563
SCT | 247095003 | Silicone Oil | F-035FD | C0423373
SCT | 372242005 | Vitreous Only | T-AA092 | C1299205

## CID 4233 Ophthalmic Axial Length Measurements Segment Names

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20100623

UID:

  1.2.840.10008.6.1.879

Table CID 4233. Ophthalmic Axial Length Measurements Segment Names

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 28726007 | Cornea | T-AA200 | C0010031
SCT | 31636006 | Anterior Chamber | T-AA050 | C0003151
DCM | 111778 | Single or Anterior Lens |  |
DCM | 111779 | Posterior Lens |  |
SCT | 26386000 | Vitreous Cavity | T-AA079 | C0229095

## CID 4234 Refractive Surgery Types

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20181111

UID:

  1.2.840.10008.6.1.880

Table CID 4234. Refractive Surgery Types

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 51683002 | RK | P1-A3102 | C0022607
SCT | 397516006 | PRK | P1-A3835 | C0395416
SCT | 312965008 | LASIK | P0-0526F | C0752094
SCT | 414582004 | LASEK | P1-A3846 | C1449939
DCM | 111681 | SMILE |  |

## CID 4235 Keratometry Descriptors

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20100623

UID:

  1.2.840.10008.6.1.881

Table CID 4235. Keratometry Descriptors

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111753 | Manual Keratometry
DCM | 111754 | Auto Keratometry
DCM | 111755 | Simulated Keratometry
DCM | 111756 | Equivalent K-reading

## CID 4236 IOL Calculation Formula

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20190124

UID:

  1.2.840.10008.6.1.882

Table CID 4236. IOL Calculation Formula

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111760 | Haigis
DCM | 111761 | Haigis-L
DCM | 111762 | Holladay 1
DCM | 111763 | Holladay 2
DCM | 111764 | Hoffer Q
DCM | 111765 | Olsen
DCM | 111766 | SRKII
DCM | 111767 | SRK-T
DCM | 111860 | Haigis Toric
DCM | 111861 | Haigis-L Toric
DCM | 111862 | Barrett Toric
DCM | 111863 | Barrett True-K
DCM | 111864 | Barrett True-K Toric
DCM | 111865 | Barrett Universal II

## CID 4237 Lens Constant Type

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20190124

UID:

  1.2.840.10008.6.1.883

Table CID 4237. Lens Constant Type

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 397263007 | A-Constant | F-048FA | C1301307
DCM | 111768 | ACD Constant |  |
DCM | 111769 | Haigis a0 |  |
DCM | 111770 | Haigis a1 |  |
DCM | 111771 | Haigis a2 |  |
DCM | 111772 | Hoffer pACD Constant |  |
DCM | 111773 | Surgeon Factor |  |
DCM | 111866 | Barrett Lens Factor
DCM | 111867 | Barrett Design Factor

## CID 4238 Refractive Error Types

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20100623

UID:

  1.2.840.10008.6.1.884

Table CID 4238. Refractive Error Types

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 57190000 | Myopia | DA-74120 | C0027092
SCT | 38101003 | Hyperopia | DA-74110 | C0020490

## CID 4239 Anterior Chamber Depth Definition

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20100623

UID:

  1.2.840.10008.6.1.885

Table CID 4239. Anterior Chamber Depth Definition

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111776 | Front Of Cornea To Front Of Lens
DCM | 111777 | Back Of Cornea To Front Of Lens

## CID 4240 Ophthalmic Measurement or Calculation Data Source

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20190124

UID:

  1.2.840.10008.6.1.886

Table CID 4240. Ophthalmic Measurement or Calculation Data Source

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111780 | Measurement From This Device
DCM | 113857 | Manual Entry
DCM | 111781 | External Data Source
DCM | 111782 | Axial Measurements SOP Instance
DCM | 111783 | Refractive Measurements SOP Instance
DCM | 111784 | Autorefraction Measurements SOP Instance
DCM | 111757 | Keratometry Measurements SOP Instance

## CID 4241 Ophthalmic Axial Length Selection Method

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20100623

UID:

  1.2.840.10008.6.1.887

Table CID 4241. Ophthalmic Axial Length Selection Method

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 121412 | Mean value chosen
DCM | 121410 | User chosen value

## CID 4242 Cornea Measurement Method Descriptors

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20190124

UID:

  1.2.840.10008.6.1.1275

Table CID 4242. Cornea Measurement Method Descriptors

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111758 | Total Cornea Power Measurement Method
DCM | 111759 | Posterior Cornea Surface Measurement Method
Include CID 4235 “Keratometry Descriptors”

## CID 4243 Ophthalmic Quality Metric Type

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20100623

UID:

  1.2.840.10008.6.1.889

Table CID 4243. Ophthalmic Quality Metric Type

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111786 | Standard Deviation of measurements used
DCM | 111787 | Signal to Noise Ratio

## CID 4244 Ophthalmic Agent Concentration Units

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20100623

UID:

  1.2.840.10008.6.1.890

Table CID 4244. Ophthalmic Agent Concentration Units

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
UCUM | % | Percent
UCUM | mg/ml | mg/ml

## CID 4245 Wide Field Ophthalmic Photography Transformation Method

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20150326

UID:

  1.2.840.10008.6.1.1029

Table CID 4245. Wide Field Ophthalmic Photography Transformation Method

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111791 | Spherical projection
DCM | 111792 | Surface contour mapping

## CID 4250 Visual Field Static Perimetry Test Patterns

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20100827

UID:

  1.2.840.10008.6.1.909

Table CID 4250. Visual Field Static Perimetry Test Patterns

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111800 | Visual Field 24-2 Test Pattern
DCM | 111801 | Visual Field 10-2 Test Pattern
DCM | 111802 | Visual Field 30-2 Test Pattern
DCM | 111803 | Visual Field 60-4 Test Pattern
DCM | 111804 | Visual Field Macula Test Pattern
DCM | 111805 | Visual Field Central 40 Point Test Pattern
DCM | 111806 | Visual Field Central 76 Point Test Pattern
DCM | 111807 | Visual Field Peripheral 60 Point Test Pattern
DCM | 111808 | Visual Field Full Field 81 Point Test Pattern
DCM | 111809 | Visual Field Full Field 120 Point Test Pattern
DCM | 111810 | Visual Field G Test Pattern
DCM | 111811 | Visual Field M Test Pattern
DCM | 111812 | Visual Field 07 Test Pattern
DCM | 111813 | Visual Field LVC Test Pattern
DCM | 111814 | Visual Field Central Test Pattern

## CID 4251 Visual Field Static Perimetry Test Strategies

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20100827

UID:

  1.2.840.10008.6.1.910

Table CID 4251. Visual Field Static Perimetry Test Strategies

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111815 | Visual Field SITA-Standard Test Strategy
DCM | 111816 | Visual Field SITA-SWAP Test Strategy
DCM | 111817 | Visual Field SITA-Fast Test Strategy
DCM | 111818 | Visual Field Full Threshold Test Strategy
DCM | 111819 | Visual Field FastPac Test Strategy
DCM | 111820 | Visual Field Full From Prior Test Strategy
DCM | 111821 | Visual Field Optima Test Strategy
DCM | 111822 | Visual Field Two-Zone Test Strategy
DCM | 111823 | Visual Field Three-Zone Test Strategy
DCM | 111824 | Visual Field Quantify-Defects Test Strategy
DCM | 111825 | Visual Field TOP Test Strategy
DCM | 111826 | Visual Field Dynamic Test Strategy
DCM | 111827 | Visual Field Normal Test Strategy
DCM | 111828 | Visual Field 1-LT Test Strategy
DCM | 111829 | Visual Field 2-LT Test Strategy
DCM | 111830 | Visual Field LVS Test Strategy
DCM | 111831 | Visual Field GATE Test Strategy
DCM | 111832 | Visual Field GATEi Test Strategy
DCM | 111833 | Visual Field 2LT-Dynamic Test Strategy
DCM | 111834 | Visual Field 2LT-Normal Test Strategy
DCM | 111835 | Visual Field Fast Threshold Test Strategy
DCM | 111836 | Visual Field CLIP Test Strategy
DCM | 111837 | Visual Field CLASS Strategy

## CID 4252 Visual Field Static Perimetry Screening Test Modes

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20100827

UID:

  1.2.840.10008.6.1.911

Table CID 4252. Visual Field Static Perimetry Screening Test Modes

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111838 | Age corrected
DCM | 111839 | Threshold related
DCM | 111840 | Single luminance
DCM | 111841 | Foveal sensitivity related
DCM | 111842 | Related to non macular sensitivity
DCM | 121410 | User chosen value

## CID 4253 Visual Field Static Perimetry Fixation Strategy

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20100827

UID:

  1.2.840.10008.6.1.912

Table CID 4253. Visual Field Static Perimetry Fixation Strategy

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 111843 | Automated Optical |  |
DCM | 111844 | Blind Spot Monitoring |  |
DCM | 111845 | Macular Fixation Testing |  |
DCM | 111846 | Observation by Examiner |  |
SCT | 260413007 | None | R-40775 | C0549184

## CID 4254 Visual Field Static Perimetry Test Analysis Results

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20100827

UID:

  1.2.840.10008.6.1.913

Table CID 4254. Visual Field Static Perimetry Test Analysis Results

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 111847 | Outside normal limits |  |
DCM | 111848 | Borderline |  |
DCM | 111849 | Abnormally high sensitivity |  |
DCM | 111850 | General reduction in sensitivity |  |
DCM | 111851 | Borderline and general reduction in sensitivity |  |
SCT | 125112009 | Within normal limits | M-00101 | C1265570

## CID 4255 Visual Field Illumination Color

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20100827

UID:

  1.2.840.10008.6.1.914

Table CID 4255. Visual Field Illumination Color

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 371244009 | Yellow | G-A11D | C0221205
SCT | 371251000 | White | G-A12B | C0220938
SCT | 371240000 | Red | G-A11A | C1260956
SCT | 405738005 | Blue | G-A12F | C1260957
SCT | 371246006 | Green | G-A11E | C0332583

## CID 4256 Visual Field Procedure Modifier

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20100827

UID:

  1.2.840.10008.6.1.915

Table CID 4256. Visual Field Procedure Modifier

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 360156006 | Screening | R-42453 | C1305399
SCT | 261004008 | Diagnostic | R-408C3 | C0348026

## CID 4257 Visual Field Global Index Name

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20100827

UID:

  1.2.840.10008.6.1.916

Table CID 4257. Visual Field Global Index Name

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111852 | Visual Field Index
DCM | 111853 | Visual Field Loss Due to Diffuse Defect
DCM | 111854 | Visual Field Loss Due to Local Defect
DCM | 111855 | Glaucoma Hemifield Test Analysis
DCM | 111856 | Optical Fixation Measurements

## CID 4260 Ophthalmic Mapping Units for Real World Value Mapping

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20110825

UID:

  1.2.840.10008.6.1.936

Table CID 4260. Ophthalmic Mapping Units for Real World Value Mapping

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
UCUM | um | micrometer

## CID 4261 Ophthalmic Mapping Acquisition Method

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20110825

UID:

  1.2.840.10008.6.1.937

Table CID 4261. Ophthalmic Mapping Acquisition Method

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111920 | Time domain
DCM | 111921 | Spectral domain
DCM | 111922 | No corneal compensation
DCM | 111923 | Corneal birefringence compensation
DCM | 111924 | Retinal topography

## CID 4262 Retinal Thickness Definition

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20110825

UID:

  1.2.840.10008.6.1.938

Table CID 4262. Retinal Thickness Definition

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111925 | Retinal nerve fiber layer thickness
DCM | 111926 | Ganglion cell complex thickness
DCM | 111927 | Total retinal thickness (ILM to IS-OS)
DCM | 111928 | Total retinal thickness (ILM to RPE)
DCM | 111929 | Total retinal thickness (ILM to BM)

## CID 4263 Ophthalmic Thickness Map Value Type

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20110825

UID:

  1.2.840.10008.6.1.939

Table CID 4263. Ophthalmic Thickness Map Value Type

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111930 | Absolute ophthalmic thickness
DCM | 111931 | Thickness deviation category from normative data
DCM | 111932 | Thickness deviation from normative data

## CID 4264 Ophthalmic Map Purposes of Reference

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20110825

UID:

  1.2.840.10008.6.1.940

Table CID 4264. Ophthalmic Map Purposes of Reference

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 121311 | Localizer
DCM | 121322 | Source image for image processing operation
DCM | 111933 | Related ophthalmic thickness map

## CID 4265 Ophthalmic Thickness Deviation Categories

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20110825

UID:

  1.2.840.10008.6.1.941

Table CID 4265. Ophthalmic Thickness Deviation Categories

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111935 | p>5%
DCM | 111936 | p<5%
DCM | 111937 | p<2%
DCM | 111938 | p<1%
DCM | 111939 | p<0.5%

## CID 4266 Ophthalmic Anatomic Structure Reference Point

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20170914

UID:

  1.2.840.10008.6.1.942

Table CID 4266. Ophthalmic Anatomic Structure Reference Point

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 49755003 | Morphologically Abnormal Structure | M-01000 | C0332447
SCT | 52988006 | Lesion | M-01100 | C0221198
SCT | 67046006 | Fovea centralis | T-AA621 | C0016622
SCT | 81016008 | Optic nerve head | T-AA630 | C0029127
DCM | 111934 | Disc-Fovea |  |
SCT | 28726007 | Cornea | T-AA200 | C0010031

### Note

(49755003, SCT, "Morphologically Abnormal Structure") was previously described with a Code Meaning of "Lesion", but that synonym has been retired as "inappropriate" in SNOMED. The Code Meaning has been replaced with the preferred SNOMED term, and the separate concept (52988006, SCT, "Lesion") added.

## CID 4267 Corneal Topography Mapping Units for Real World Value Mapping

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20131014

UID:

  1.2.840.10008.6.1.965

Table CID 4267. Corneal Topography Mapping Units for Real World Value Mapping

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
UCUM | um | micrometer
UCUM | diop | diopters
UCUM | mm | mm

## CID 4268 Corneal Topography Map Value Type

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20131014

UID:

  1.2.840.10008.6.1.966

Table CID 4268. Corneal Topography Map Value Type

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111940 | Corneal axial power map
DCM | 111941 | Corneal instantaneous power map
DCM | 111942 | Corneal refractive power map
DCM | 111943 | Corneal elevation map
DCM | 111944 | Corneal wavefront map

## CID 4270 OCT-A Processing Algorithm Families

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20181110

UID:

  1.2.840.10008.6.1.1150

Table CID 4270. OCT-A Processing Algorithm Families

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 128252 | OCT-A amplitude decorrelation
DCM | 128253 | OCT-A complex variance
DCM | 128254 | OCT-A speckle variance
DCM | 128255 | OCT-A correlation mapping
DCM | 128256 | Doppler OCT-A
DCM | 128304 | OCT-A one-sided ratio (lesser)
DCM | 128305 | OCT-A one-sided ratio (greater)

## CID 4271 En Face Image Types

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Type:

  Extensible

Version:

  20170405

UID:

  1.2.840.10008.6.1.1151

Table CID 4271. En Face Image Types

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 128257 | Retina depth encoded vasculature flow
DCM | 128258 | Retina depth encoded structural reflectance map
DCM | 128259 | Retina vasculature flow
DCM | 128260 | Retina structural reflectance map
DCM | 128261 | Vitreous vasculature flow
DCM | 128262 | Vitreous structural reflectance map
DCM | 128263 | Radial peripapillary vasculature flow
DCM | 128264 | Radial peripapillary structural reflectance map
DCM | 128265 | Superficial retina vasculature flow
DCM | 128266 | Superficial retina structural reflectance map
DCM | 128267 | Middle inner retina vasculature flow
DCM | 128268 | Middle inner structural reflectance map
DCM | 128269 | Deep retina vasculature flow
DCM | 128270 | Deep retina structural reflectance map
DCM | 128271 | Outer retina vasculature flow
DCM | 128272 | Outer retina structural reflectance map
DCM | 128273 | Choriocapillaris vasculature flow
DCM | 128274 | Choriocapillaris structural reflectance map
DCM | 128275 | Choroid vasculature flow
DCM | 128276 | Choroid structural reflectance map
DCM | 128277 | Whole eye vasculature flow
DCM | 128278 | Whole eye structural reflectance map

## CID 4272 Opt Scan Pattern Types

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Type:

  Extensible

Version:

  20170405

UID:

  1.2.840.10008.6.1.1152

Table CID 4272. OPT Scan Pattern Types

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 128279 | Cube B-scan pattern
DCM | 128280 | Raster B-scan pattern
DCM | 128281 | Line B-scan pattern
DCM | 128282 | Radial B-scan pattern
DCM | 128283 | Cross B-scan pattern
DCM | 128284 | Circle B-scan pattern
DCM | 128285 | Concentric circle B-scan pattern
DCM | 128286 | Circle-raster B-scan pattern
DCM | 128287 | Circle-radial B-scan pattern
DCM | 128288 | Grid B-scan pattern

## CID 4273 Retinal Segmentation Surfaces

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  Extensible

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  20170405

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  1.2.840.10008.6.1.1153

Table CID 4273. Retinal Segmentation Surfaces

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 280677004 | ILM - Internal limiting membrane | T-AA62D | C0459664
DCM | 128289 | Outer surface of RNFL |  |
DCM | 128290 | Outer surface of GCL |  |
DCM | 128291 | Outer surface of IPL |  |
DCM | 128292 | Outer surface of INL |  |
DCM | 128293 | Outer surface of OPL |  |
DCM | 128294 | Outer surface of HFL |  |
SCT | 76710003 | ELM - External limiting membrane | T-AA650 | C0229209
DCM | 128295 | Surface between Inner and Outer Segments of the photoreceptors |  |
DCM | 128296 | Surface of the interdigitating zone between retina and RPE |  |
DCM | 128297 | Anterior surface of the RPE |  |
DCM | 128298 | Surface of the center of the RPE |  |
DCM | 128299 | Posterior surface of the RPE |  |
DCM | 128300 | Outer surface of the BM |  |
DCM | 128301 | Surface of the choroid-sclera interface |  |
DCM | 128302 | Outer surface of the CC |  |

## CID 4401 Fitzpatrick Skin Type

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  Extensible

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  20201115

UID:

  1.2.840.10008.6.1.1346

Table CID 4401. Fitzpatrick Skin Type

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
LN | C74569 | Fitzpatrick Skin Type I |  | C2700185
LN | C74570 | Fitzpatrick Skin Type II |  | C2700186
LN | C74571 | Fitzpatrick Skin Type III |  | C2700187
LN | C74572 | Fitzpatrick Skin Type IV |  | C2700188
LN | C74573 | Fitzpatrick Skin Type V |  | C2700189
LN | C74574 | Fitzpatrick Skin Type VI |  | C2700190

## CID 4402 History of Malignant Melanoma

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  Extensible

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  20201115

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  1.2.840.10008.6.1.1347

Table CID 4402. History of Malignant Melanoma

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 161432005 | History of malignant melanoma | G-0239 | C0457969
SCT | 321000119108 | History of malignant melanoma of the skin | R-FAC46 | C3266389

## CID 4403 History of Melanoma in Situ

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Type:

  Extensible

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  20201115

UID:

  1.2.840.10008.6.1.1348

Table CID 4403. History of Melanoma in Situ

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 1251000119106 | History of melanoma in situ of the skin | R-FAC47 | C3266774

## CID 4404 History of Non-Melanoma Skin Cancer

Resources:

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Type:

  Extensible

Version:

  20201115

UID:

  1.2.840.10008.6.1.1349

Table CID 4404. History of Non-Melanoma Skin Cancer

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 428053000 | History of malignant basal cell neoplasm of skin | G-0416 | C1997258
SCT | 429024007 | History of squamous cell carcinoma of skin | G-0477 | C1998384
SCT | 443895001 | History of malignant neoplasm of skin excluding melanoma | G-0584 | C2732359

## CID 4405 History of Non-Melanoma Skin Cancer

Resources:

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Type:

  Extensible

Version:

  20201115

UID:

  1.2.840.10008.6.1.1350

Table CID 4405. History of Non-Melanoma Skin Cancer

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 43982006 | Solar degeneration | D0-40100 | C0546380
SCT | 254819008 | Atypical mole syndrome | D0-F1017 | C0013403
SCT | 782823001 | Telangiectasia, cutaneous, cancer syndrome, familial |  | C5190630
SCT | 69408002 | Gorlin syndrome | D4-01046 | C0004779
SCT | 722859001 | PTEN hamartoma tumor syndrome |  | C1959582
SCT | 721904001 | Rombo syndrome |  | C1867147

## CID 4406 Patient Reported Lesion Characteristics

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Type:

  Extensible

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  20201115

UID:

  1.2.840.10008.6.1.1351

Table CID 4406. Patient Reported Lesion Characteristics

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 418363000 | Itching | F-A21A7 | C0033774
SCT | 247441003 | Erythema | F-4410C | C4552417
SCT | 162499001 | Symptom has changed | R-20A12 | C0436317

## CID 4407 Lesion Palpation Findings

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Type:

  Extensible

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  20201115

UID:

  1.2.840.10008.6.1.1352

Table CID 4407. Lesion Palpation Findings

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 130485 | Firm skin lesion |  |
DCM | 130486 | Raised skin lesion |  | C0748816

## CID 4408 Lesion Visual Findings

Resources:

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Type:

  Extensible

Version:

  20201115

UID:

  1.2.840.10008.6.1.1353

Table CID 4408. Lesion Visual Findings

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 297968009 | Bleeding skin | F-40031 | C0574741
SCT | 247441003 | Erythema | F-4410C | C4552417

## CID 4409 Lesion Visual Findings

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20201115

UID:

  1.2.840.10008.6.1.1534

Table CID 4409. Lesion Visual Findings

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 302396003 | Cryotherapy to skin lesion | P1-40C19 | C0411410
SCT | 240977001 | Biopsy of skin | P1-031C8 | C0150866
SCT | 428604001 | Photodynamic therapy of skin | P0-05E3D | C1998192
SCT | 24977001 | Topical chemotherapy for malignant neoplasm | P2-67017 | C0199946

## CID 5000 Languages

Context Group ID 5000 comprises the language tag coding scheme of [RFC 5646]. The Coding Scheme Designator (0008,0102) shall be RFC5646.

### Note

1. The [RFC 5646] coding scheme is constructed from a primary subtag component encoded using the shortest language codes of [ISO 639], plus codes for extensions for languages not represented in [ISO 639]. The code optionally includes additional subtag components, for scripts encoded using the four letter codes of [ISO 15924], and for regions encoded using the two letter country codes of [ISO 3166].

2. [RFC 5646] may be obtained at http://www.ietf.org/rfc/rfc5646.txt. [RFC 5646] obsoletes [RFC 4646], [RFC 3066] and [RFC 1766], but is forward compatible with those specifications. In previous editions of the Standard, [RFC 4646] codes were used with a Coding Scheme Designator of IETF4646. [RFC 5646] is a superset of [RFC 4646], which formalizes support for [ISO 639-3].

3. [ISO 639] codes may be obtained at http://www.loc.gov/standards/iso639-2/langhome.html.

4. The two letter country codes of [ISO 3166] may be obtained at http://www.iso.org/obp/ui/#search/code/

5. IANA language tag registrations may be obtained at http://www.iana.org/assignments/language-subtag-registry/language-subtag-registry

6. In previous editions of the Standard, this Context Group formerly included the three letter language codes of [ISO 639-2]/B, using Coding Scheme Designator ISO639_2, or the language codes of [RFC 3066], using Coding Scheme Designator RFC3066, and several IANA-registered language code extensions, using Coding Scheme Designator IANARFC1766.

7. In previous editions of the Standard, this Context Group provided only language identifiers, with national or regional variant identified in a separate attribute or Content Item.

## CID 5001 Countries

Context Group ID 5001 comprises the two letter country code scheme of ISO 3166. The Coding Scheme Designator (0008,0102) shall be ISO3166_1.

### Note

The two letter country codes of ISO 3166 may be obtained at http://www.iso.org/obp/ui/#search/code/

## CID 5002 Organizations

Context Group ID 5002 comprises the object identifier scheme of ISO 8824-1 and ISO 9834-1, when applied to organizational identifiers (see Section 8.2). The Coding Scheme Designator (0008,0102) shall be ISO_OID.

## CID 6000 Overall Breast Composition

### Note

In future extensions, Overall Breast Composition terms that are not derived from BI-RADS® should be added to this context group.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.330

Table CID 6000. Overall Breast Composition

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 6001 “Overall Breast Composition from BI-RADS®”

## CID 6001 Overall Breast Composition from BI-RADS®

### Note

From BI-RADS® Third Edition (National Mammography Database, E77)

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.331

Table CID 6001. Overall Breast Composition from BI-RADS®

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 129716005 | Almost entirely fat | F-01711 | C0231248
SCT | 129717001 | Scattered fibroglandular densities | F-01712 | C0544447
SCT | 129718006 | Heterogeneously dense | F-01713 | C0231249
SCT | 129719003 | Extremely dense | F-01714 | C1268647

## CID 6002 Change Since Last Mammogram or Prior Surgery

### Note

In future extensions, Change Since Last Mammogram or Prior Surgery terms that are not derived from BI-RADS® should be added to this context group.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.332

Table CID 6002. Change Since Last Mammogram or Prior Surgery

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 6003 “Change Since Last Mammogram or Prior Surgery from BI-RADS®”

## CID 6003 Change Since Last Mammogram or Prior Surgery from BI-RADS®

### Note

From BI-RADS® Third Edition (National Mammography Database, E79)

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.333

Table CID 6003. Change Since Last Mammogram or Prior Surgery from BI-RADS®

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 129721008 | New finding | F-01721 | C1268649
SCT | 129722001 | Finding partially removed | F-01722 | C1268650
SCT | 129723006 | No significant changes in the finding | F-01723 | C1268651
SCT | 15454001 | Increase in size | M-02520 | C0332509
SCT | 19776001 | Decrease in size | M-02530 | C0332511
SCT | 129726003 | Increase in number of calcifications | F-01726 | C1268654
SCT | 129727007 | Decrease in number of calcifications | F-01727 | C1268655
SCT | 129728002 | Less defined | F-01728 | C1268656
SCT | 129729005 | More defined | F-01729 | C1268657
SCT | 129730000 | Removal of implant since previous mammogram | F-0172A | C1268658
SCT | 129731001 | Implant revised since previous mammogram | F-0172B | C1268659

## CID 6004 Mammography Characteristics of Shape

### Note

In future extensions, Mammography Characteristics of Shape terms that are not derived from BI-RADS® should be added to this context group.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.334

Table CID 6004. Mammography Characteristics of Shape

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 6005 “Characteristics of Shape from BI-RADS®”

## CID 6005 Characteristics of Shape from BI-RADS®

### Note

From BI-RADS® Third Edition (National Mammography Database, E80)

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.335

Table CID 6005. Characteristics of Shape from BI-RADS®

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 42700002 | Round shape | M-02100 | C0332490
SCT | 84360004 | Ovoid shape (Oval) | M-02120 | C0332492
SCT | 40266001 | Lobular | G-A640 | C0205417
SCT | 49608001 | Irregular | G-A402 | C0205271

## CID 6006 Mammography Characteristics of Margin

### Note

In future extensions, Mammography Characteristics of Margin terms that are not derived from BI-RADS® should be added to this context group.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.336

Table CID 6006. Mammography Characteristics of Margin

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 6007 “Characteristics of Margin from BI-RADS®”

## CID 6007 Characteristics of Margin from BI-RADS®

### Note

From BI-RADS®

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20050822

UID:

  1.2.840.10008.6.1.337

Table CID 6007. Characteristics of Margin from BI-RADS®

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 129738007 | Circumscribed lesion | F-01741 | C1268666
SCT | 129739004 | Microlobulated lesion | F-01742 | C1268667
SCT | 129740002 | Obscured lesion | F-01743 | C1268668
SCT | 129741003 | Indistinct lesion | F-01744 | C1268669
SCT | 129742005 | Spiculated lesion | F-01745 | C1268670
DCM | 111343 | Angular margins |  |

## CID 6008 Density Modifier

### Note

In future extensions, Density Modifier terms that are not derived from BI-RADS® should be added to this context group.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.338

Table CID 6008. Density Modifier

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 6009 “Density Modifier from BI-RADS®”

## CID 6009 Density Modifier from BI-RADS®

### Note

From BI-RADS® Third Edition (National Mammography Database, E82)

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.339

Table CID 6009. Density Modifier from BI-RADS®

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 129744006 | High density lesion | F-01751 | C1268672
SCT | 129745007 | Equal density (isodense) lesion | F-01752 | C1268673
SCT | 129746008 | Low density (not containing fat) lesion | F-01753 | C1268674
SCT | 129747004 | Fat containing (radiolucent) lesion | F-01754 | C1268675

## CID 6010 Mammography Calcification Types

### Note

In future extensions, Mammography Calcification Types terms that are not derived from BI-RADS® should be added to this context group.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.340

Table CID 6010. Mammography Calcification Types

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 6011 “Calcification Types from BI-RADS®”

## CID 6011 Calcification Types from BI-RADS®

### Note

From BI-RADS®

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20050822

UID:

  1.2.840.10008.6.1.341

Table CID 6011. Calcification Types from BI-RADS®

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 129749001 | Coarse (popcorn-like) calcification | F-01761 | C1268677
SCT | 129750001 | Dystrophic calcification | F-01762 | C0333582
SCT | 129751002 | Eggshell calcification | F-01763 | C1313950
SCT | 129752009 | Large rod-like calcification | F-01764 | C1268678
SCT | 129753004 | Milk of calcium calcification | F-01765 | C1268679
SCT | 129754005 | Lucent-centered calcification | F-01766 | C1268680
SCT | 129755006 | Punctate calcification | F-01767 | C1265883
SCT | 129756007 | Round shaped calcification | F-01768 | C1268681
SCT | 129757003 | Calcified skin of breast | F-01769 | C1268682
SCT | 129758008 | Calcified suture material | F-0176A | C1268683
SCT | 129759000 | Vascular calcification | F-0176B | C1268684
SCT | 129760005 | Amorphous calcification | F-0176C | C1268685
SCT | 129761009 | Fine, linear (casting) calcification | F-0176D | C1268686
SCT | 129762002 | Fine linear, branching (casting) calcification | F-0176E | C1268687
SCT | 129763007 | Heterogeneous calcification | F-0176F | C1268688
DCM | 111344 | Fine pleomorphic calcification |  |
SCT | 44771000 | Microcalcifications of the breast | D7-90435 | C0520594
DCM | 111345 | Macrocalcifications |  |

## CID 6012 Calcification Distribution Modifier

### Note

In future extensions, Calcification Distribution Modifier terms that are not derived from BI-RADS® should be added to this context group.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.342

Table CID 6012. Calcification Distribution Modifier

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 6013 “Calcification Distribution Modifier from BI-RADS®”

## CID 6013 Calcification Distribution Modifier from BI-RADS®

### Note

From BI-RADS®

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20050822

UID:

  1.2.840.10008.6.1.343

Table CID 6013. Calcification Distribution Modifier from BI-RADS®

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 129764001 | Diffuse calcification distribution | F-01770 | C1268689
SCT | 129765000 | Linear calcification distribution | F-01771 | C1268690
SCT | 129766004 | Grouped calcification distribution | F-01772 | C1268691
SCT | 129767008 | Regional calcification distribution | F-01773 | C1268692
SCT | 129768003 | Segmental calcification distribution | F-01774 | C1268693
DCM | 111346 | Calcifications within a mass |  |
DCM | 111347 | Calcifications outside of a mass |  |

## CID 6014 Mammography Single Image Finding

### Note

In future extensions, Mammography Single Image Finding terms that are not derived from BI-RADS® should be added to this context group.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.344

Table CID 6014. Mammography Single Image Finding

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 6015 “Single Image Finding from BI-RADS®” |  |
DCM | 111099 | Selected region |  |
DCM | 111100 | Breast geometry |  |
DCM | 111101 | Image Quality |  |
DCM | 111102 | Non-lesion |  |
SCT | 24142002 | Nipple | T-04100 | C0028109

## CID 6015 Single Image Finding from BI-RADS®

### Note

Collected from BI-RADS®

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20170914

UID:

  1.2.840.10008.6.1.345

Table CID 6015. Single Image Finding from BI-RADS®

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 129793001 | Mammography breast density | F-01796 | C1268717
SCT | 129770007 | Individual Calcification | F-01776 | C1268695
SCT | 129769006 | Calcification Cluster | F-01775 | C1268694
SCT | 129792006 | Architectural distortion of breast | F-01795 | C1268716
SCT | 129794007 | Tubular density | F-01797 | C1268718
SCT | 443808008 | Intramammary lymph node | T-C430B | C2733350
SCT | 129795008 | Trabecular thickening of breast | F-01798 | C1268719
SCT | 129715009 | Breast composition | F-01710 | C0005890
SCT | 129796009 | Skin retraction of breast | F-01799 | C0238832
SCT | 129797000 | Skin thickening of breast | F-0179A | C1268720
SCT | 127189005 | Axillary adenopathy | DC-721C4 | C0578735
SCT | 95324001 | Skin lesion | D0-00050 | C0037284
DCM | 111111 | Cooper's ligament changes |  |
SCT | 79654002 | Edema | M-36300 | C0013604
DCM | 111112 | Mass in the skin |  |
DCM | 111113 | Mass on the skin |  |
SCT | 68171009 | Axillary lymph node | T-C4710 | C0729594

## CID 6016 Mammography Composite Feature

### Note

In future extensions, Mammography Composite Feature terms that are not derived from BI-RADS® should be added to this context group.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20050110

UID:

  1.2.840.10008.6.1.346

Table CID 6016. Mammography Composite Feature

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111459 | Mass with calcifications
Include CID 6014 “Mammography Single Image Finding”
Include CID 6017 “Composite Feature from BI-RADS®”

## CID 6017 Composite Feature from BI-RADS®

### Note

Collected from BI-RADS® Third Edition

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.347

Table CID 6017. Composite Feature from BI-RADS®

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 129788004 | Mammographic breast mass | F-01791 | C1268712
SCT | 129789007 | Focal asymmetric breast tissue | F-01792 | C1268713
SCT | 129790003 | Asymmetric breast tissue | F-01793 | C1268714

## CID 6018 Clockface Location or Region

### Note

In future extensions, Clockface Location or Region terms that are not derived from BI-RADS® should be added to this context group.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.348

Table CID 6018. Clockface Location or Region

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 6019 “Clockface Location or Region from BI-RADS®” |  |
SCT | 78904004 | Chest wall | T-D3050 | C0205076

## CID 6019 Clockface Location or Region from BI-RADS®

### Note

From BI-RADS® 3.1, with Addendum 3.1 (National Mammography Database, E96)

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.349

Table CID 6019. Clockface Location or Region from BI-RADS®

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 129772004 | 1 o'clock position | F-01781 | C1268696
SCT | 129773009 | 2 o'clock position | F-01782 | C1268697
SCT | 129774003 | 3 o'clock position | F-01783 | C1268698
SCT | 129775002 | 4 o'clock position | F-01784 | C1268699
SCT | 129776001 | 5 o'clock position | F-01785 | C1268700
SCT | 129777005 | 6 o'clock position | F-01786 | C1268701
SCT | 129778000 | 7 o'clock position | F-01787 | C1268702
SCT | 129779008 | 8 o'clock position | F-01788 | C1268703
SCT | 129780006 | 9 o'clock position | F-01789 | C1268704
SCT | 129781005 | 10 o'clock position | F-0178A | C1268705
SCT | 129782003 | 11 o'clock position | F-0178B | C1268706
SCT | 129783008 | 12 o'clock position | F-0178C | C1268707
SCT | 129784002 | Subareolar region | F-0178D | C1268708
SCT | 129785001 | Axillary tail region | F-0178E | C1268709
SCT | 129786000 | Central region of breast | F-0178F | C1268710
SCT | 129791004 | Axilla region | F-01794 | C1268715

## CID 6020 Quadrant Location

### Note

In future extensions, Quadrant Location terms that are not derived from BI-RADS® should be added to this context group.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.350

Table CID 6020. Quadrant Location

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 6021 “Quadrant Location from BI-RADS®”

## CID 6021 Quadrant Location from BI-RADS®

### Note

From BI-RADS® Third Edition (National Mammography Database, E97)

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.351

Table CID 6021. Quadrant Location from BI-RADS®

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 76365002 | Upper outer quadrant of breast | T-04004 | C0222598
SCT | 77831004 | Upper inner quadrant of breast | T-04002 | C0222596
SCT | 33564002 | Lower outer quadrant of breast | T-04005 | C0222599
SCT | 19100000 | Lower inner quadrant of breast | T-04003 | C0222597

## CID 6022 Side

### Note

In future extensions, Side terms that are not derived from BI-RADS® should be added to this context group.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Non-Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.352

Table CID 6022. Side

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 6023 “Side from BI-RADS®”

## CID 6023 Side from BI-RADS®

### Note

From BI-RADS® Third Edition (National Mammography Database, E98)

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Non-Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.353

Table CID 6023. Side from BI-RADS®

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 80248007 | Left breast | T-04030 | C0222601
SCT | 73056007 | Right breast | T-04020 | C0222600
SCT | 63762007 | Both breasts | T-04080 | C0222605

## CID 6024 Depth

### Note

In future extensions, Depth terms that are not derived from BI-RADS® should be added to this context group.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.354

Table CID 6024. Depth

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 6025 “Depth from BI-RADS®”

## CID 6025 Depth from BI-RADS®

### Note

From BI-RADS® Third Edition (National Mammography Database, E99)

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20190524

UID:

  1.2.840.10008.6.1.355

Table CID 6025. Depth from BI-RADS®

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 255549009 | Anterior | R-404CC | C1704448
NCIt | C25569 | Middle |  | C0444598
SCT | 255551008 | Posterior | R-404CE | C0205095

## CID 6026 Mammography Assessment

### Note

In future extensions, Mammography Assessment terms that are not derived from BI-RADS® should be added to this context group.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20050822

UID:

  1.2.840.10008.6.1.356

Table CID 6026. Mammography Assessment

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 6027 “Assessment from BI-RADS®”
DCM | 111120 | Post Procedure Mammograms for Marker Placement

## CID 6027 Assessment from BI-RADS®

### Note

From BI-RADS®

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20050822

UID:

  1.2.840.10008.6.1.357

Table CID 6027. Assessment from BI-RADS®

Coding Scheme Designator | Coding Scheme Version | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | --- | ---
SCT |  | 397138000 | 0 - Incomplete - Need additional imaging evaluation +/- priors | F-037BB | C1301244
SCT |  | 397140005 | 1 - Negative | F-037BC | C1301245
SCT |  | 397141009 | 2 - Benign | F-037BD | C1301246
SCT |  | 397143007 | 3 - Probably Benign | F-037BF | C1301247
SCT |  | 397144001 | 4 - Suspicious | F-037C0 | C1301248
BI | 4.0 | MA.II.A.5.4A | 4A - Low suspicion |  |
BI | 4.0 | MA.II.A.5.4B | 4B - Intermediate suspicion |  |
BI | 4.0 | MA.II.A.5.4C | 4C - Moderate suspicion |  |
SCT |  | 397145000 | 5 - Highly suggestive of malignancy | F-037C1 | C1301249
BI | 4.0 | MA.II.A.5.6 | 6 - Known biopsy proven malignancy |  |

### Note

1. The code meanings are those from BI-RADS Atlas 5th edition, which removed the management recommendation from the assessment category.

2. The code meaning for category 0 is shortened to fit the 64 character limitation of the Value Representation. In BI-RADS 5th edition, the full meaning is "Incomplete - Need additional imaging evaluation and/or prior mammograms for comparison".

## CID 6028 Mammography Recommended Follow-up

### Note

In future extensions, Mammography Recommended Follow-up terms that are not derived from BI-RADS® should be added to this context group.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.358

Table CID 6028. Mammography Recommended Follow-up

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 6029 “Recommended Follow-up from BI-RADS®” |  |
DCM | 111121 | Follow-up post biopsy as directed by clinician |  |
SCT | 371572003 | Nuclear medicine procedure | P0-006F1 | C0203634
SCT | 386053000 | Evaluation procedure | P0-009B4 | C1261322
DCM | 111410 | Surgical consult |  |

## CID 6029 Recommended Follow-up from BI-RADS®

### Note

From BI-RADS®

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20160314

UID:

  1.2.840.10008.6.1.359

Table CID 6029. Recommended Follow-up from BI-RADS®

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 111135 | Additional projections |  |
SCT | 399163009 | Magnification views | R-102D6 | C1302233
SCT | 399055006 | Spot compression | R-102D7 | C1302185
DCM | 111136 | Spot magnification view(s) |  |
SCT | 16310003 | Diagnostic ultrasonography | P5-B0000 | C0041618
DCM | 111138 | Old films for comparison |  |
SCT | 18102001 | Mammary ductogram | P5-40060 | C0203033
DCM | 111140 | Normal interval follow-up |  |
DCM | 111141 | Any decision to biopsy should be based on clinical assessment |  |
DCM | 111142 | Follow-up at short interval (1-11 months) |  |
DCM | 111143 | Biopsy should be considered |  |
DCM | 111144 | Needle localization and biopsy |  |
DCM | 111145 | Histology using core biopsy |  |
DCM | 111146 | Suggestive of malignancy - take appropriate action |  |
DCM | 111147 | Cytologic analysis |  |
DCM | 111148 | Biopsy should be strongly considered |  |
DCM | 111149 | Highly suggestive of malignancy - take appropriate action |  |
DCM | 111122 | Known biopsy proven malignancy - take appropriate action |  |
SCT | 241615005 | MRI of breast | P5-0900D | C0344104

## CID 6030 Mammography Pathology Codes

### Note

In future extensions, Mammography Pathology Codes terms that are not derived from BI-RADS® should be added to this context group.

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.360

Table CID 6030. Mammography Pathology Codes

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 6031 “Benign Pathology Codes from BI-RADS®”
Include CID 6032 “High Risk Lesions Pathology Codes from BI-RADS®”
Include CID 6033 “Malignant Pathology Codes from BI-RADS®”

## CID 6031 Benign Pathology Codes from BI-RADS®

### Note

From BI-RADS® Third Edition, with Addendum 3.1 (National Mammography Database,F110)

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20210328

UID:

  1.2.840.10008.6.1.361

Table CID 6031. Benign Pathology Codes from BI-RADS®

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 44132006 | Abscess | M-41610 | C0000833
SCT | 57597008 | Adenosis | M-74200 | C0334050
SCT | 32048006 | Adenoma | M-81400 | C0001430
SCT | 22024005 | Adenolipoma | M-83240 | C0334325
SCT | 81274009 | Apocrine Metaplasia | M-73310 | C0269252
SCT | 128765009 | Adenomyoepithelioma | M-89830 | C1266146
SCT | 37279009 | Amyloid (tumor) | M-55160 | C0333572
DCM | 111251 | Normal axillary node |  |
SCT | 73219006 | Angiolipoma | M-88610 | C0206632
DCM | 111252 | Axillary node with calcifications |  |
SCT | 14350002 | Angiomatosis | M-76100 | C0002992
DCM | 111253 | Axillary node hyperplasia |  |
SCT | 130963002 | Asynchronous involution of breast | F-8A063 | C1295577
SCT | 399294002 | Cyst of breast | D7-90035 | C0006144
DCM | 111255 | Benign cyst with blood |  |
DCM | 111256 | Benign Calcifications |  |
SCT | 31186001 | Chondroma | M-92200 | C0936248
SCT | 47488001 | Intracystic papilloma | M-85040 | C0334374
DCM | 111258 | Ductal adenoma |  |
SCT | 22049009 | Mammary duct ectasia | D7-90370 | C0152442
DCM | 111259 | Diabetic fibrous mastopathy |  |
SCT | 67617000 | Ductal hyperplasia, Usual | M-72170 | C0333994
SCT | 47284001 | Extra abdominal desmoid | M-88211 | C0079218
SCT | 1896004 | Ectopic (accessory) breast tissue | D4-48014 | C0266012
SCT | 419670003 | Epidermal inclusion cyst | M-33415 | C0014511
SCT | 79654002 | Edema | M-36300 | C0013604
SCT | 65877006 | Fibroadenoma | M-90100 | C0206650
DCM | 111263 | Fibroadenomatoid hyperplasia |  |
DCM | 111264 | Fibroadenolipoma |  |
SCT | 37058002 | Foreign body (reaction) | M-44140 | C0016549
SCT | 27431007 | Fibrocystic disease of breast | D7-90310 | C0016034
SCT | 45559001 | Focal fibrosis | M-78266 | C0521195
SCT | 19928005 | Fibromatosis | M-78800 | C0016048
SCT | 21381006 | Fat necrosis of breast | D7-90434 | C0156321
SCT | 42385006 | Galactocele | D7-90364 | C0152243
SCT | 12169001 | Granular cell tumor | M-95800 | C0085167
SCT | 34882000 | Giant fibroadenoma | M-90160 | C0334500
SCT | 4754008 | Gynecomastia | D7-90420 | C0018418
SCT | 51398009 | Hamartoma | M-75500 | C0018552
SCT | 2099007 | Hemangioma | M-91200 | C0018916
SCT | 93473009 | Hemangioma of subcutaneous tissue | D3-F0620 | C0685200
SCT | 56468002 | Hemangioma - venous | M-91220 | C0334532
SCT | 35566002 | Hematoma | M-35060 | C0018944
SCT | 76197007 | Hyperplasia, usual | M-72000 | C0020507
SCT | 77296004 | Infarction of breast | D7-90452 | C0269266
SCT | 409774005 | Inflammation | M-0100C | C1444073
SCT | 443808008 | Intramammary lymph node | T-C430B | C2733350
SCT | 5244003 | Intraductal papilloma | M-85030 | C0206713
SCT | 46212000 | Juvenile fibroadenoma | M-90300 | C0346158
DCM | 111277 | Juvenile papillomatosis |  |
SCT | 128651002 | Lactating adenoma | M-82040 | C1266023
SCT | 46720004 | Lipoma | M-88500 | C0023798
DCM | 111279 | Lactational change |  |
SCT | 6703006 | Breast lobular hyperplasia | D7-90428 | C0269263
SCT | 44598004 | Leiomyoma | M-88900 | C0042133
SCT | 59441001 | Lymph node | T-C4000 | C0024204
DCM | 111281 | Large duct papilloma |  |
SCT | 69954004 | Thrombophlebitis of breast (Mondor's disease) | D3-87780 | C0265070
SCT | 128738002 | Myofibroblastoma | M-88250 | C0242404
DCM | 111284 | Microglandular adenosis |  |
DCM | 111285 | Multiple Intraductal Papillomas |  |
DCM | 111286 | No abnormality |  |
DCM | 111287 | Normal breast tissue |  |
SCT | 89084002 | Neurofibroma | M-95400 | C0027830
SCT | 81669005 | Neurofibromatosis | M-95401 | C0162678
SCT | 92248004 | Benign neoplasm of nipple of female breast (Nipple adenoma) | D7-F0810 | C0686290
DCM | 111290 | Oil cyst (fat necrosis cyst) |  |
SCT | 23730008 | Papilloma | M-80500 | C0030354
SCT | 8360001 | Pleomorphic adenoma | M-89400 | C0026277
DCM | 111291 | Post reduction mammoplasty |  |
DCM | 111292 | Pseudoangiomatous stromal hyperplasia |  |
SCT | 133855003 | Radial scar | M-78731 | C1297883
SCT | 50916005 | Sclerosing adenosis | M-74220 | C0235590
SCT | 56021002 | Seroma | M-36050 | C0262627
DCM | 111296 | Silicone granuloma |  |
SCT | 12402003 | Scar tissue | M-78060 | C2004491
SCT | 19665009 | Tubular adenoma | M-82110 | C0334292
DCM | 111298 | Virginal hyperplasia |  |

## CID 6032 High Risk Lesions Pathology Codes from BI-RADS®

### Note

From BI-RADS® Third Edition, with Addendum 3.1 (National Mammography Database,F110)

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.362

Table CID 6032. High Risk Lesions Pathology Codes from BI-RADS®

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 6660000 | Atypical intraductal hyperplasia | M-72175 | C0521187
SCT | 33889003 | Atypical lobular hyperplasia | M-72105 | C0442835
SCT | 109888004 | Lobular carcinoma in situ of breast | D7-F0A02 | C0279563
DCM | 111299 | Peripheral duct papillomas |  |
SCT | 71232009 | Phyllodes tumor | M-90201 | C0010701

## CID 6033 Malignant Pathology Codes from BI-RADS®

### Note

From BI-RADS® Third Edition, with Addendum 3.1 (National Mammography Database,F110)

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.363

Table CID 6033. Malignant Pathology Codes from BI-RADS®

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 11671000 | Adenoid cystic carcinoma | M-82003 | C0010606
DCM | 111300 | Axillary node with lymphoma |  |
DCM | 111301 | Axillary nodal metastases |  |
SCT | 57141000 | Apocrine adenocarcinoma | M-84013 | C0334346
SCT | 39000009 | Angiosarcoma | M-91203 | C0018923
DCM | 111307 | Basal cell carcinoma of nipple |  |
DCM | 111303 | Blood vessel (vascular) invasion |  |
SCT | 72495009 | Mucinous adenocarcinoma (Colloid carcinoma) | M-84803 | C0007130
DCM | 111304 | Carcinoma in children |  |
SCT | 14990007 | Chondrosarcoma | M-92203 | C0008479
DCM | 111305 | Carcinoma in ectopic breast |  |
DCM | 111306 | Carcinoma with endocrine differentiation |  |
SCT | 78197004 | Comedocarcinoma (intraductal) | M-85012 | C0334369
SCT | 92652009 | Carcinoma in situ of male breast | D7-F0902 | C0686328
SCT | 22694002 | Carcinoma with metaplasia | M-85733 | C0334396
DCM | 111309 | Cartilaginous and osseous change |  |
DCM | 111310 | Carcinoma in pregnancy and lactation |  |
SCT | 63264007 | Carcinosarcoma | M-89803 | C0007140
DCM | 111312 | Intraductal comedocarcinoma with necrosis |  |
DCM | 111341 | Intraductal carcinoma, high grade |  |
DCM | 111313 | Intraductal carcinoma, low grade |  |
SCT | 128696009 | Intraductal carcinoma micro-papillary | M-85072 | C1266080
SCT | 53654007 | Fibrosarcoma | M-88103 | C0016057
SCT | 74280008 | Glycogen-rich carcinoma | M-83153 | C0334319
SCT | 36060005 | Hemangiopericytoma | M-91501 | C0018922
SCT | 14537002 | Hodgkin's disease (lymphoma) | M-96503 | C0019829
SCT | 30156004 | Invasive cribriform carcinoma | M-82013 | C0205643
DCM | 111315 | Intracystic papillary carcinoma |  |
SCT | 82711006 | Infiltrating duct carcinoma | M-85003 | C1412014
DCM | 111316 | Invasive and in-situ carcinoma |  |
SCT | 89740008 | Invasive lobular carcinoma | M-85203 | C0206692
SCT | 32968003 | Inflammatory carcinoma | M-85303 | C0334385
SCT | 25910003 | Papillary carcinoma (invasive) | M-80503 | C0007133
DCM | 111318 | Leukemic infiltration |  |
SCT | 51549004 | Leiomyosarcoma | M-88903 | C0023269
SCT | 49430005 | Liposarcoma | M-88503 | C0023827
SCT | 3839000 | Lipid-rich (lipid-secreting) carcinoma | M-83143 | C0334318
DCM | 111320 | Lympathic vessel invasion |  |
SCT | 21964009 | Lymphoma | M-95903 | C0024299
DCM | 111322 | Occult carcinoma presenting with axillary lymph node metastases |  |
DCM | 111323 | Metastatic cancer to the breast |  |
DCM | 111324 | Metastatic cancer to the breast from the colon |  |
DCM | 111325 | Metastatic cancer to the breast from the lung |  |
DCM | 111326 | Metastatic melanoma to the breast |  |
DCM | 111327 | Metastatic cancer to the breast from the ovary |  |
DCM | 111328 | Metastatic sarcoma to the breast |  |
SCT | 32913002 | Medullary carcinoma | M-85103 | C0206693
DCM | 111329 | Multifocal intraductal carcinoma |  |
DCM | 111330 | Metastatic disease to axillary node |  |
SCT | 34360000 | Malignant fibrous histiocytoma | M-88303 | C0334463
DCM | 111332 | Multifocal invasive ductal carcinoma |  |
DCM | 111333 | Metastasis to an intramammary lymph node |  |
DCM | 111334 | Malignant melanoma of nipple |  |
SCT | 1929004 | Non-Hodgkin's lymphoma | M-95913 | C0024305
SCT | 126510002 | Neoplasm of the mammary skin | D0-F035F | C1290094
SCT | 21708004 | Osteogenic sarcoma | M-91803 | C0029463
SCT | 10376009 | Papillary carcinoma in-situ | M-80502 | C0334242
SCT | 2985005 | Paget's disease, mammary (of the nipple) | M-85403 | C0030185
SCT | 10639003 | Plasmacytoma | M-97313 | C0032131
SCT | 87913009 | Phyllodes tumor, malignant | M-90203 | C0600066
DCM | 111338 | Recurrent malignancy |  |
SCT | 87737001 | Signet ring cell carcinoma | M-84903 | C0206696
DCM | 111340 | Squamous cell carcinoma of the nipple |  |
SCT | 110451006 | Spindle cell nodule (tumor) | M-78190 | C0333821
SCT | 41919003 | Secretory (juvenile) carcinoma of the breast | M-85023 | C0334371
SCT | 28899001 | Squamous cell carcinoma | M-80703 | C0007137
SCT | 4631006 | Tubular adenocarcinoma | M-82113 | C0205645

## CID 6034 Intended Use of CAD Output

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Non-Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.364

Table CID 6034. Intended Use of CAD Output

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111150 | Presentation Required: Rendering device is expected to present
DCM | 111151 | Presentation Optional: Rendering device may present
DCM | 111152 | Not for Presentation: Rendering device expected not to present

## CID 6035 Composite Feature Relations

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Non-Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.365

Table CID 6035. Composite Feature Relations

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111153 | Target content items are related temporally
DCM | 111154 | Target content items are related spatially
DCM | 111155 | Target content items are related contra-laterally

## CID 6036 Scope of Feature

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Non-Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.366

Table CID 6036. Scope of Feature

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111156 | Feature detected on the only image
DCM | 111157 | Feature detected on only one of the images
DCM | 111158 | Feature detected on multiple images
DCM | 111159 | Feature detected on images from multiple modalities

## CID 6037 Mammography Quantitative Temporal Difference Type

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Type:

  Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.367

Table CID 6037. Mammography Quantitative Temporal Difference Type

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 129806009 | Difference in size | F-017B1 | C1268722
SCT | 129807000 | Difference in opacity | F-017B2 | C1268723
SCT | 129808005 | Difference in location | F-017B3 | C1268724
SCT | 129809002 | Difference in spatial proximity | F-017B4 | C1268725
SCT | 129810007 | Difference in number of calcifications | F-017B5 | C1268726

## CID 6038 Mammography Qualitative Temporal Difference Type

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Type:

  Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.368

Table CID 6038. Mammography Qualitative Temporal Difference Type

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 129811006 | Difference in shape | F-017B6 | C1268727
SCT | 129812004 | Difference in margin | F-017B7 | C1268728
SCT | 129813009 | Difference in symmetry | F-017B8 | C1268729

## CID 6039 Nipple Characteristic

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  1.2.840.10008.6.1.369

Table CID 6039. Nipple Characteristic

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 31842008 | Normal shape | M-02000 | C0332480
SCT | 31845005 | Nipple retraction | D7-90554 | C0221370

## CID 6040 Non-lesion Object Type

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Version:

  20170914

UID:

  1.2.840.10008.6.1.370

Table CID 6040. Non-lesion Object Type

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 6401 “Non-lesion Object Type - Physical Objects”
Include CID 6402 “Non-lesion Object Type - Substances”
Include CID 6403 “Non-lesion Object Type - Tissues”
DCM | 111176 | Unspecified |  |

### Note

The use of (111176, DCM, "Unspecified") is explicitly permitted in this context group to allow for the communication of measurements of an object of unknown type using TID 4012 “Mammography CAD Non-lesion”.

## CID 6041 Mammography Image Quality Finding

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Type:

  Extensible

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  20020904

UID:

  1.2.840.10008.6.1.371

Table CID 6041. Mammography Image Quality Finding

Coding Scheme Designator | Code Value | Code Meaning | Source
--- | --- | --- | ---
DCM | 111177 | View and Laterality Marker is missing | MQSA
DCM | 111178 | View and Laterality Marker does not have both view and laterality | MQCM 1999
DCM | 111179 | View and Laterality Marker does not have approved codes | MQCM 1999
DCM | 111180 | View and Laterality Marker is not near the axilla | MQCM 1999
DCM | 111181 | View and Laterality Marker overlaps breast tissue | MQCM 1999
DCM | 111182 | View and Laterality Marker is partially obscured | MQCM 1999
DCM | 111183 | View and Laterality Marker is incorrect |
DCM | 111184 | View and Laterality Marker is off image |
DCM | 111185 | Flash is not near edge of film | MQCM 1999
DCM | 111186 | Flash is illegible, does not fit, or is lopsided | MQSA
DCM | 111187 | Flash doesn't include patient name and additional patient id | MQCM 1999
DCM | 111188 | Flash doesn't include date of examination | MQCM 1999
DCM | 111189 | Flash doesn't include facility name and location | MQSA
DCM | 111190 | Flash doesn't include technologist identification | MQCM 1999
DCM | 111191 | Flash doesn't include cassette/screen/detector identification | MQCM 1999
DCM | 111192 | Flash doesn't include mammography unit identification | MQCM 1999
DCM | 111193 | Date sticker is missing | MQCM 1999
DCM | 111194 | Technical factors missing | MQCM 1999
DCM | 111195 | Collimation too close to breast | MQCM 1999
DCM | 111196 | Inadequate compression | MQCM 1999
DCM | 111197 | MLO Insufficient pectoral muscle | MQCM 1999
DCM | 111198 | MLO No fat is visualized posterior to fibroglandular tissues | MQCM 1999
DCM | 111199 | MLO Poor separation of deep and superficial breast tissues | MQCM 1999
DCM | 111200 | MLO Evidence of motion blur | MQCM 1999
DCM | 111201 | MLO Inframammary fold is not open | MQCM 1999
DCM | 111202 | CC Not all medial tissue visualized | MQCM 1999
DCM | 111203 | CC Nipple not centered on image | MQCM 1999
DCM | 111204 | CC Posterior nipple line does not measure within 1 cm of MLO | MQCM 1999
DCM | 111205 | Nipple not in profile |
DCM | 111206 | Insufficient implant displacement incorrect | MQCM 1999
DCM | 111208 | Grid artifact(s) |
DCM | 111209 | Positioning |
DCM | 111210 | Motion blur |
DCM | 111211 | Under exposed |
DCM | 111212 | Over exposed |
DCM | 111213 | No image |
DCM | 111214 | Detector artifact(s) |
DCM | 111215 | Artifact(s) other than grid or detector artifact |
DCM | 111216 | Mechanical failure |
DCM | 111217 | Electrical failure |
DCM | 111218 | Software failure |
DCM | 111219 | Inappropriate image processing |
DCM | 111220 | Other failure |
DCM | 111221 | Unknown failure |

## CID 6042 Status of Results

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Type:

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  20020904

UID:

  1.2.840.10008.6.1.372

Table CID 6042. Status of Results

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111222 | Succeeded
DCM | 111223 | Partially Succeeded
DCM | 111224 | Failed
DCM | 111225 | Not Attempted

## CID 6043 Types of Mammography CAD Analysis

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  Extensible

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  20020904

UID:

  1.2.840.10008.6.1.373

Table CID 6043. Types of Mammography CAD Analysis

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | Notes
--- | --- | --- | --- | --- | ---
SCT | 133884007 | Spatial collocation analysis | P5-B3402 | C1297892 | See Note 1
SCT | 133885008 | Spatial proximity analysis | P5-B3404 | C1297893 | See Note 2
SCT | 133886009 | Temporal correlation | P5-B3406 | C1297894 |
SCT | 133887000 | Image quality analysis | P5-B3408 | C1297895 |
SCT | 133888005 | Focal asymmetric density analysis | P5-B3410 | C1297896 |
SCT | 133889002 | Asymmetric breast tissue analysis | P5-B3412 | C1297897 |
SCT | 133890006 | Breast composition analysis | P5-B3414 | C1297898 |
DCM | 111233 | Individual Impression / Recommendation Analysis |  |  |
DCM | 111234 | Overall Impression / Recommendation Analysis |  |  |

### Note

1. Spatial Collocation Analysis is used to identify features that are the same or located in the same place.

2. Spatial Proximity Analysis is used to identify features that are related spatially, such as nipple retraction associated with a spiculated mass.

## CID 6044 Types of Image Quality Assessment

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UID:

  1.2.840.10008.6.1.374

Table CID 6044. Types of Image Quality Assessment

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111235 | Unusable - Quality renders image unusable
DCM | 111236 | Usable - Does not meet the quality control standard
DCM | 111237 | Usable - Meets the quality control standard

## CID 6045 Mammography Types of Quality Control Standard

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  1.2.840.10008.6.1.375

Table CID 6045. Mammography Types of Quality Control Standard

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111238 | Mammography Quality Control Manual 1999, ACR
DCM | 111239 | Title 21 CFR Section 900, Subpart B
DCM | 111240 | Institutionally defined quality control standard

## CID 6046 Units of Follow-up Interval

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  20020904

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  1.2.840.10008.6.1.376

Table CID 6046. Units of Follow-up Interval

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
UCUM | d | day
UCUM | wk | week
UCUM | mo | month
UCUM | a | year

## CID 6047 CAD Processing and Findings Summary

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Type:

  Non-Extensible

Version:

  20020904

UID:

  1.2.840.10008.6.1.377

Table CID 6047. CAD Processing and Findings Summary

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111241 | All algorithms succeeded; without findings
DCM | 111242 | All algorithms succeeded; with findings
DCM | 111243 | Not all algorithms succeeded; without findings
DCM | 111244 | Not all algorithms succeeded; with findings
DCM | 111245 | No algorithms succeeded; without findings

## CID 6048 CAD Operating Point Axis Label

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Version:

  20060612

UID:

  1.2.840.10008.6.1.378

Table CID 6048. CAD Operating Point Axis Label

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111012 | Certainty of Finding
DCM | 111047 | Probability of cancer
DCM | 111086 | False Markers per Image
DCM | 111087 | False Markers per Case
DCM | 111088 | Case Sensitivity
DCM | 111089 | Lesion Sensitivity
DCM | 111090 | Case Specificity
DCM | 111091 | Image Specificity

## CID 6050 Breast Procedure Reported

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  Extensible

Version:

  20190912

UID:

  1.2.840.10008.6.1.379

Table CID 6050. Breast Procedure Reported

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 111408 | Film Screen Mammography |  |
SCT | 47079000 | Ultrasonography of breast | P5-B8500 | C0080264
SCT | 241615005 | MRI of breast | P5-0900D | C0344104
SCT | 237380007 | Pre-biopsy localization of breast lesion | P1-48011 | C0473515
SCT | 387736007 | Fine needle aspiration of breast | P1-48145 | C0542415
SCT | 287572003 | Diagnostic aspiration of breast cyst | P1-48142 | C0565162
SCT | 44578009 | Core needle biopsy of breast | P1-48304 | C0191853
SCT | 274331003 | Breast - surgical biopsy | P1-4830F | C0585992
SCT | 18102001 | Mammary ductogram | P5-40060 | C0203033
SCT | 241539009 | CT of breast | P5-0801C | C0412609
SCT | 66377006 | Radionuclide localization of tumor, limited area | P5-D0042 | C0203652
SCT | 80865008 | Specimen radiography of breast | P5-40030 | C0203031
SCT | 46662001 | Examination of breast | P2-4A000 | C0199850
DCM | 111410 | Surgical consult |  |
DCM | 111411 | Mammography CAD |  |
SCT | 396487001 | Sentinel lymph node biopsy | P1-65359 | C0796693
SCT | 169167001 | Radioisotope scan of lymphatic system | P5-D0061 | C0412375
DCM | 111123 | Marker placement |  |
SCT | 45211000 | Insertion of catheter | P1-05535 | C0007430
LN | 36626-0 | breast - bilateral mammogram |  | C1524974
LN | 30795-9 | breast - bilateral mr |  | C1114600
LN | 36150-1 | breast - bilateral mr w contrast iv |  | C1524494
LN | 36277-2 | breast - bilateral mr wo and w contrast iv |  | C1524125
LN | 46342-2 | breast ffd mammogram |  | C1830243
LN | 36627-8 | breast - left mammogram |  | C1524975
LN | 35954-7 | breast - left mr |  | C1524349
LN | 36151-9 | breast - left mr w contrast iv |  | C1524495
LN | 36278-0 | breast - left mr wo and w contrast iv |  | C1524126
LN | 36149-3 | breast mr w contrast iv |  | C1524493
LN | 36276-4 | breast mr wo and w contrast iv |  | C1524610
LN | 37774-7 | breast - right mammogram |  | C1525124
LN | 35955-4 | breast - right mr |  | C1524350
LN | 36152-7 | breast - right mr w contrast iv |  | C1524496
LN | 36279-8 | breast - right mr wo and w contrast iv |  | C1524127
LN | 36279-8 | breast - right mr wo and w contrast iv |  | C1524127
LN | 46339-8 | breast - unilateral mammogram |  | C1830240
LN | 46299-4 | breast - unilateral mr |  | C1830200
LN | 46323-2 | breast - unilateral mr w contrast iv |  | C1830224
LN | 43528-9 | breast - unilateral mr wo and w contrast iv |  | C1714927
LN | 46333-1 | breast - unilateral mr wo contrast |  | C1830234
LN | 46305-9 | whole body ct |  | C1830206
LN | 44139-4 | whole body pt w rnc iv |  | C1715409

### Note

1. (241615005, SCT, "MRI of breast") is used historically in preference to (30794-2, LN, "breast mr") even though LOINC is used for more specific pre-coordinated concepts.

2. (46342-2, LN, "breast ffd mammogram") is used in place of the retired (111409, DCM, "Digital Mammography").

## CID 6051 Breast Procedure Reason

### Note

Some of these terms were obtained from BI-RADS®

Resources:

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Type:

  Extensible

Version:

  20160314

UID:

  1.2.840.10008.6.1.380

Table CID 6051. Breast Procedure Reason

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 6061 “Breast Imaging Procedure Modifiers” |  |
DCM | 111415 | Additional evaluation requested from prior study |  |
DCM | 111416 | Follow-up at short interval from prior study |  |
DCM | 111417 | History of breast augmentation, asymptomatic |  |
DCM | 111418 | Review of an outside study |  |
DCM | 111402 | Clinical finding |  |
SCT | 59214008 | Reduction mammoplasty | P1-48830 | C0191922
SCT | 53438000 | Radiation therapy | P5-C0000 | C1522449
SCT | 22890008 | Augmentation mammoplasty | P1-48840 | C0191925
DCM | 111419 | Additional evaluation requested from abnormal screening exam |  |
SCT | 384692006 | Brachytherapy | P5-C018A | C0006098
DCM | 111420 | History of benign breast biopsy |  |
DCM | 111421 | Personal history of breast cancer with breast conservation therapy |  |
DCM | 111124 | Personal history of breast cancer with mastectomy |  |
DCM | 111125 | Known biopsy proven malignancy |  |
SCT | 415076002 | Personal history of breast cancer | G-03D3 | C1387407
DCM | 111590 | Recall for technical reasons |  |
DCM | 111591 | Recall for imaging findings |  |
DCM | 111592 | Recall for patient symptoms/ clinical findings |  |

## CID 6052 Breast Imaging Report Section Title

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Type:

  Extensible

Version:

  20200310

UID:

  1.2.840.10008.6.1.381

Table CID 6052. Breast Imaging Report Section Title

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 111423 | Physical Examination Results |  |
DCM | 111424 | Comparison to previous exams |  |
LN | 59776-5 | Findings |  |
LN | 19005-8 | Impressions |  | C0801998
LN | 18783-1 | Recommendations |  |
LN | 55110-1 | Conclusions |  |
LN | 55107-7 | Addendum |  |
SCT | 129715009 | Breast composition | F-01710 | C0005890
DCM | 111413 | Overall Assessment |  |
DCM | 121058 | Procedure reported |  |
LN | 18785-6 | Indications for Procedure |  | C0801797

## CID 6053 Breast Imaging Report Elements

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Type:

  Extensible

Version:

  20200310

UID:

  1.2.840.10008.6.1.382

Table CID 6053. Breast Imaging Report Elements

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 111423 | Physical Examination Results |  |
DCM | 111424 | Comparison to previous exams |  |
DCM | 121071 | Finding |  |
DCM | 121073 | Impression |  |
DCM | 121075 | Recommendation |  |
DCM | 121077 | Conclusion |  |
SCT | 129715009 | Breast composition | F-01710 | C0005890
DCM | 111413 | Overall Assessment |  |
DCM | 121058 | Procedure reported |  |
LN | 18785-6 | Indications for Procedure |  | C0801797

## CID 6054 Breast Imaging Findings

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Type:

  Extensible

Version:

  20050110

UID:

  1.2.840.10008.6.1.383

Table CID 6054. Breast Imaging Findings

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 290084006 | Breast normal | F-8A084 | C0567498
SCT | 309587003 | Calcification of breast | F-8A057 | C0587094
SCT | 40388003 | Implant | A-04010 | C0021102
Include CID 6016 “Mammography Composite Feature” |  |
Include CID 6057 “Ductography Findings for Breast” |  |
Include CID 6064 “Ultrasound Findings for Breast” |  |

## CID 6055 Breast Clinical Finding or Indicated Problem

### Note

Some of these terms were obtained from BI-RADS®

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20160314

UID:

  1.2.840.10008.6.1.384

Table CID 6055. Breast Clinical Finding or Indicated Problem

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 268951004 | O/E - Breast lump palpated | R-207D7 | C0437107
SCT | 290113009 | Bloody nipple discharge | D7-90565 | C0541951
DCM | 111478 | Non-bloody discharge (from nipple) |  |
DCM | 111479 | Difficult physical/clinical examination |  |
SCT | 271989003 | Disorder of breast implant | D7-90010 | C0405486
SCT | 129797000 | Skin thickening of breast | F-0179A | C1268720
SCT | 129796009 | Skin retraction of breast | F-01799 | C0238832
SCT | 87386002 | Peau d'orange surface of breast | D7-90560 | C0425791
SCT | 290119008 | Nipple problem | F-8A09C | C0567530
SCT | 164150006 | O/E - axillary lymphadenopathy | R-20099 | C0437624
SCT | 53430007 | Breast pain | F-8A030 | C0024902
DCM | 111480 | Cancer elsewhere |  |
SCT | 89164003 | Breast lump | D7-90530 | C0024103
SCT | 290069002 | Discoloration of skin of breast | F-8A074 | C0567486
SCT | 129748009 | Radiographic calcification finding | F-01760 | C0015663
DCM | 111126 | Image detected mass |  |
SCT | 162164007 | Nipple discharge symptom | F-03753 | C0149741
SCT | 247441003 | Erythema | F-4410C | C0041834
SCT | 274303007 | O/E - lymphadenopathy | R-202A9 | C0558515
SCT | 285645000 | Disseminated malignancy of unknown primary | DF-00577 | C0563521

## CID 6056 Associated Findings for Breast

### Note

These terms were obtained from BI-RADS®

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20040112

UID:

  1.2.840.10008.6.1.385

Table CID 6056. Associated Findings for Breast

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 302924003 | Breast hematoma | D7-9002A | C0342095
SCT | 63130001 | Surgical scar | M-78280 | C0334150
SCT | 31845005 | Nipple retraction | D7-90554 | C0221370
Include CID 6015 “Single Image Finding from BI-RADS®” |  |

## CID 6057 Ductography Findings for Breast

### Note

These terms were obtained from BI-RADS®

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20040112

UID:

  1.2.840.10008.6.1.386

Table CID 6057. Ductography Findings for Breast

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 111287 | Normal breast tissue |  |
DCM | 111425 | Intraluminal filling defect |  |
SCT | 22049009 | Mammary duct ectasia | D7-90370 | C0152442
DCM | 111426 | Multiple filling defect |  |
DCM | 111427 | Abrupt duct termination |  |
DCM | 111428 | Extravasation |  |
DCM | 111429 | Duct narrowing |  |
DCM | 111430 | Cyst fill |  |

## CID 6058 Procedure Modifiers for Breast

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20050822

UID:

  1.2.840.10008.6.1.387

Table CID 6058. Procedure Modifiers for Breast

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 6059 “Breast Implant Types”
Include CID 6060 “Breast Biopsy Techniques”
Include CID 6061 “Breast Imaging Procedure Modifiers”
Include CID 12224 “Ultrasound Image Modes”

## CID 6059 Breast Implant Types

### Note

Some of these terms were obtained from BI-RADS®

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20190817

UID:

  1.2.840.10008.6.1.388

Table CID 6059. Breast Implant Types

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 2282003 | Breast implant, type not specified | A-04830 | C0179412
SCT | 465380004 | Silicone gel implant | R-FDF65 | C0741713
DCM | 111481 | Saline implant |  |
DCM | 111482 | Polyurethane implant |  |
DCM | 111483 | Percutaneous silicone injection |  |
DCM | 111484 | Combination implant |  |
DCM | 111485 | Pre-pectoral implant |  |
DCM | 111486 | Retro-pectoral implant |  |

## CID 6060 Breast Biopsy Techniques

### Note

Some of these terms were obtained from BI-RADS®

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20160314

UID:

  1.2.840.10008.6.1.389

Table CID 6060. Breast Biopsy Techniques

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 392021009 | Lumpectomy | P1-030C4 | C0851238
UMLS | C0024881 | Mastectomy |  | C0024881
SCT | 172049005 | Quadrantectomy of breast | P1-4834A | C0337354
SCT | 64318009 | Diagnostic radiography, stereotactic localization | P5-00032 | C0202577
SCT | 61593002 | Ultrasonic guidance procedure | P5-B0700 | C0442973
SCT | 71651007 | Mammography | P5-40010 | C0024671
DCM | 111487 | Mammographic (crosshair) |  |
DCM | 111488 | Mammographic (grid) |  |
SCT | 277592004 | Magnetic resonance imaging guided biopsy | P1-03107 | C0456854
SCT | 277591006 | Computed tomography guided biopsy | P1-03106 | C0456853
DCM | 111489 | Palpation guided |  |
DCM | 111490 | Vacuum assisted |  |

### Note

1. In a prior version of this Context Group, the code P1-03115 was specified for the concept "Ultrasound guided biopsy". The use of this code is too restrictive, and its use in this context is deprecated. There is minimal possibility of misinterpretation with SOP Instances that may include the deprecated use.

2. The incorrect code P1-43850 was previously used for mastectomy, presumably a two-character transposition of the actual SNOMED concept (5884001, SCT, "Mastectomy"); since the correct SNOMED concept is inactive (has a ConceptStatus in SNOMED of ambiguous) and there is no replacement, the corresponding UMLS concept (which maps to multiple coding schemes) is used instead. Currently SNOMED contains a more generic parent concept "Excision of breast tissue", which includes procedures that are less than a mastectomy, e.g., "excisional biopsy of breast", and only specific types of mastectomy, e.g., "simple mastectomy" or "mastectomy of left breast".

## CID 6061 Breast Imaging Procedure Modifiers

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20090819

UID:

  1.2.840.10008.6.1.390

Table CID 6061. Breast Imaging Procedure Modifiers

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 360156006 | Screening | R-42453 | C1305399
SCT | 261004008 | Diagnostic | R-408C3 | C0348026
DCM | 111127 | Targeted |  |
DCM | 111128 | Survey |  |
DCM | 122505 | Calibration |  |
DCM | 110002 | Quality Control |  |
DCM | 111144 | Needle localization and biopsy |  |
DCM | 111123 | Marker placement |  |

## CID 6062 Interventional Procedure Complications

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  1.2.840.10008.6.1.391

Table CID 6062. Interventional Procedure Complications

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 110265006 | Hemorrhage postprocedure | DD-66A67 | C0032788
DCM | 111491 | Abnormal discharge |  |
SCT | 213262007 | Hematoma - postoperative | F-01FBA | C0472340
SCT | 247472004 | Weal | D0-00165 | C0221232
SCT | 408678008 | Healthcare associated infection | DD-67703 | C0010356
SCT | 279047007 | Persistent pain following procedure | F-A2632 | C0458166
SCT | 36118008 | Pneumothorax | D2-80300 | C0032326
SCT | 271807003 | Rash | D0-00058 | C0015230
SCT | 65124004 | Swelling | M-02570 | C0038999
SCT | 398665005 | Vasovagal syncope | F-A558A | C0042420
DCM | 111492 | No complications |  |

## CID 6063 Interventional Procedure Results

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  1.2.840.10008.6.1.392

Table CID 6063. Interventional Procedure Results

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 30807003 | Benign | G-A249 | C0205183
SCT | 258270003 | High risk tumor | R-41DDC | C0475283
SCT | 21594007 | Malignant | G-A425 | C0205282
SCT | 281268007 | Insufficient sample | M-09024 | C0460062
SCT | 280416009 | Indeterminate result | F-01E06 | C0459425

## CID 6064 Ultrasound Findings for Breast

### Note

These terms were obtained from BI-RADS®

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  1.2.840.10008.6.1.393

Table CID 6064. Ultrasound Findings for Breast

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 169254007 | Ultrasound scan normal | F-01BF8 | C0581117
SCT | 399294002 | Cyst of breast | D7-90035 | C0006144
DCM | 111460 | Complex cyst |  |
DCM | 111461 | Intracystic lesion |  |
SCT | 22049009 | Mammary duct ectasia | D7-90370 | C0152442
DCM | 111462 | Solid mass |  |
SCT | 59441001 | Lymph node | T-C4000 | C0024204
SCT | 76649007 | Sebaceous cyst of skin of breast | D7-90382 | C0342082
DCM | 111129 | Clustered microcysts |  |
DCM | 111130 | Complicated cyst |  |
SCT | 19227008 | Foreign body | M-30400 | C0016542

## CID 6065 Instrument Approach

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  1.2.840.10008.6.1.394

Table CID 6065. Instrument Approach

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 255561001 | Medial | R-404D5 | C0205098
SCT | 49370004 | Lateral | G-A104 | C0205093
SCT | 264217000 | Superior | R-42191 | C1282910
SCT | 261089000 | Inferior | R-4094A | C0542339
DCM | 111432 | Inferolateral to superomedial |  |
DCM | 111433 | Inferomedial to superolateral |  |
DCM | 111434 | Superolateral to inferomedial |  |
DCM | 111435 | Superomedial to inferolateral |  |

## CID 6066 Target Confirmation

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  1.2.840.10008.6.1.395

Table CID 6066. Target Confirmation

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111443 | Target contained in the specimen
DCM | 111444 | Target partially obtained in the specimen
DCM | 111445 | Target not in the specimen
DCM | 111446 | Calcifications seen in the core
DCM | 111447 | Lesion completely removed
DCM | 111448 | Lesion partially removed
DCM | 111449 | Fluid obtained

## CID 6067 Fluid Color

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  1.2.840.10008.6.1.396

Table CID 6067. Fluid Color

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 371251000 | White color | G-A12B | C0220938
SCT | 371244009 | Yellow color | G-A11D | C0221205
DCM | 111450 | Light brown color |  |
SCT | 371246006 | Green color | G-A11E | C0332583
SCT | 371253002 | Gray color | G-A12D | C1269776
DCM | 111451 | Dark red color |  |
DCM | 111452 | Dark brown color |  |
SCT | 263707001 | Clear | R-4205B | C2963144
SCT | 371254008 | Brown color | G-A12E | C0678579
DCM | 111453 | Bright red color |  |
DCM | 111454 | Blood tinged color |  |
SCT | 371252007 | Black color | G-A12C | C0439541

## CID 6068 Tumor Stages From AJCC

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  1.2.840.10008.6.1.397

Table CID 6068. Tumor Stages From AJCC

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111494 | Stage 0
DCM | 111495 | Stage I
DCM | 111496 | Stage IIA
DCM | 111497 | Stage IIB
DCM | 111498 | Stage IIIA
DCM | 111499 | Stage IIIB
DCM | 111500 | Stage IIIC
DCM | 111501 | Stage IV

## CID 6069 Nottingham Combined Histologic Grade

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  1.2.840.10008.6.1.398

Table CID 6069. Nottingham Combined Histologic Grade

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 384668003 | Nottingham Combined Grade cannot be determined | F-02B9B | C1273755
SCT | 369790002 | Nottingham Combined Grade I: 3-5 points | G-F616 | C1298194
SCT | 369791003 | Nottingham Combined Grade II: 6-7 points | G-F617 | C1298195
SCT | 369792005 | Nottingham Combined Grade III: 8-9 points | G-F618 | C1298196

## CID 6070 Bloom-Richardson Histologic Grade

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  1.2.840.10008.6.1.399

Table CID 6070. Bloom-Richardson Histologic Grade

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 54102005 | Grade 1: well differentiated | G-F211 | C0475269
SCT | 1663004 | Grade 2: moderately differentiated | G-F212 | C0475270
SCT | 61026006 | Grade 3: poorly differentiated | G-F213 | C0475271
SCT | 258245003 | Grade 4: undifferentiated | R-41DC5 | C0475272

## CID 6071 Histologic Grading Method

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  1.2.840.10008.6.1.400

Table CID 6071. Histologic Grading Method

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 111502 | Bloom-Richardson Grade |  |
SCT | 372276001 | Nottingham Combined Grade | R-00288 | C1276778

## CID 6072 Breast Implant Findings

### Note

These terms were obtained from BI-RADS®

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  1.2.840.10008.6.1.401

Table CID 6072. Breast Implant Findings

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 111503 | Normal implants |  |
DCM | 111504 | Asymmetric implants |  |
DCM | 111505 | Calcified implant |  |
DCM | 111506 | Distorted implant |  |
DCM | 111507 | Silicone-laden lymph nodes |  |
DCM | 111508 | Free silicone |  |
DCM | 111509 | Herniated implant |  |
SCT | 237473006 | Rupture of breast implant | DD-66544 | C0405491
DCM | 111510 | Explantation |  |

## CID 6080 Gynecological Hormones

### Note

Some of these terms were obtained from BI-RADS®

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  20050822

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  1.2.840.10008.6.1.402

Table CID 6080. Gynecological Hormones

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 108899006 | Contraceptives | C-B7100 | C0009871
SCT | 61946003 | Estrogen product | C-A0900 | C0014939
SCT | 50318003 | Progesterone product | C-A1204 | C0033308
SCT | 75959001 | Tamoxifen | C-781E0 | C0039286
DCM | 111542 | Unspecified gynecological hormone |  |
SCT | 109029006 | Raloxifene | C-A0005 | C0244404
SCT | 386910003 | Anastrozole | F-61B21 | C0290883

## CID 6081 Breast Cancer Risk Factors

### Note

Some of these terms were obtained from BI-RADS®

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  1.2.840.10008.6.1.403

Table CID 6081. Breast Cancer Risk Factors

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 111550 | Personal breast cancer history |  |
DCM | 111551 | History of endometrial cancer |  |
DCM | 111552 | History of ovarian cancer |  |
DCM | 111553 | History of high risk lesion on previous biopsy |  |
DCM | 111554 | Post menopausal patient |  |
SCT | 102877006 | Nulliparous | F-84430 | C0425979
DCM | 111555 | Late child bearing (after 30) |  |
DCM | 111556 | BRCA1 breast cancer gene |  |
DCM | 111557 | BRCA2 breast cancer gene |  |
DCM | 111558 | BRCA3 breast cancer gene |  |
SCT | 429740004 | Family history of breast cancer | G-04C5 | C1261325
DCM | 111559 | Weak family history of breast cancer |  |
DCM | 111560 | Intermediate family history of breast cancer |  |
DCM | 111561 | Very strong family history of breast cancer |  |
DCM | 111562 | Family history of prostate cancer |  |
DCM | 111563 | Family history unknown |  |
SCT | 313376005 | No family history of breast carcinoma | R-207AD | C1277317

## CID 6082 Gynecological Procedures

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  1.2.840.10008.6.1.404

Table CID 6082. Gynecological Procedures

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 386802000 | Endometrial biopsy | P0-05CCA | C1510477
SCT | 236886002 | Hysterectomy | P1-8330D | C0020699
SCT | 13091001 | Dilation and curettage | P1-03151 | C0012358

## CID 6083 Procedures for Breast

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  1.2.840.10008.6.1.405

Table CID 6083. Procedures for Breast

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111564 | Nipple discharge cytology
Include CID 6050 “Breast Procedure Reported”
Include CID 6084 “Mammoplasty Procedures”
Include CID 6085 “Therapies for Breast”

## CID 6084 Mammoplasty Procedures

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  1.2.840.10008.6.1.406

Table CID 6084. Mammoplasty Procedures

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 302343007 | Breast prosthesis insertion | P1-48502 | C0178391
SCT | 59214008 | Reduction mammoplasty | P1-48830 | C0191922
SCT | 33496007 | Breast reconstruction | P1-48820 | C0085076
SCT | 27315000 | Removal of breast implant | P1-48520 | C0191909

## CID 6085 Therapies for Breast

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  1.2.840.10008.6.1.407

Table CID 6085. Therapies for Breast

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 367336001 | Chemotherapy | P0-0058E | C3665472
SCT | 53438000 | Radiation therapy | P5-C0000 | C1522449
SCT | 169413002 | Hormone therapy | P0-007AC | C0279025
SCT | 23719005 | Bone marrow transplant | P1-67D40 | C0005961

## CID 6086 Menopausal Phase

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  1.2.840.10008.6.1.408

Table CID 6086. Menopausal Phase

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 309606002 | Before menopause | R-41FFF | C0587111
SCT | 303111005 | During menopause | R-422A5 | C0587112
SCT | 307429007 | After menopause | R-410C3 | C0587113
SCT | 371036001 | Postsurgical menopause | D7-76202 | C0740421
SCT | 31351009 | Artificial menopause state | D7-76200 | C0232972

## CID 6087 General Risk Factors

This context group collects risk factor terms from specialized risk factor context groups into one aggregate list for general purpose use.

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  1.2.840.10008.6.1.409

Table CID 6087. General Risk Factors

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 6081 “Breast Cancer Risk Factors”
Include CID 6088 “OB-GYN Maternal Risk Factors”

## CID 6088 OB-GYN Maternal Risk Factors

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  1.2.840.10008.6.1.410

Table CID 6088. OB-GYN Maternal Risk Factors

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 161445009 | History of - diabetes mellitus | G-023F | C0455488
SCT | 161501007 | History of - hypertension | G-0269 | C0455527
SCT | 161453001 | History of - obesity | G-0244 | C0455493
SCT | 161656000 | History of - regular medication | G-02D0 | C0455633
SCT | 371422002 | History of substance abuse | G-0338 | C1299544
SCT | 266995000 | History of - cardiovascular disease | G-0335 | C0455539
DCM | 111565 | Uterine malformations |  |
SCT | 161763005 | History of - ectopic pregnancy | G-0304 | C0438096
DCM | 111566 | Spontaneous Abortion |  |
DCM | 111567 | Gynecologic condition |  |
DCM | 111568 | Gynecologic surgery |  |
SCT | 161806007 | History of - eclampsia | G-031E | C0438072
SCT | 161807003 | History of - severe pre-eclampsia | G-031F | C0438073
DCM | 111569 | Previous LBW or IUGR birth |  |
DCM | 111570 | Previous fetal malformation/syndrome |  |
SCT | 161765003 | History of - premature delivery | G-0305 | C0438076
DCM | 111571 | Previous RH negative or blood dyscrasia at birth |  |
SCT | 161798008 | History of infertility | G-0319 | C0438063
DCM | 111572 | History of multiple fetuses |  |
SCT | 16356006 | Multiple pregnancy | D8-20100 | C0032989
DCM | 111573 | Current pregnancy, known or suspected malformations/syndromes |  |
DCM | 111574 | Family history, fetal malformation/syndrome |  |

## CID 6089 Substances

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  1.2.840.10008.6.1.411

Table CID 6089. Substances

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 419442005 | Ethyl alcohol | C-21047 | C0001962
SCT | 703842006 | Amphetamine | R-FBDEA | C0002658
SCT | 398705004 | Marijuana | F-61D6F | C0678449
SCT | 387085005 | Cocaine | F-61C76 | C0009170
SCT | 387341002 | Heroin | F-61AC4 | C0011892
SCT | 15698006 | Lysergic acid diethlyamide | C-63A10 | C0024334
SCT | 373780001 | Mescaline | F-6169A | C0025460
SCT | 9721008 | Phencyclidine | C-6A180 | C0031381
SCT | 387286002 | Methadone | F-61A95 | C0025605
SCT | 373529000 | Morphine | F-618D7 | C0026549
SCT | 373337007 | Methlyphenidate | F-618FE | C0025810
SCT | 81911001 | Chewing tobacco | C-F3310 | C0008038
SCT | 66562002 | Cigarette smoking tobacco | C-F3302 | C0301612
SCT | 255641001 | Caffeine | F-61117 | C0006644

## CID 6090 Relative Usage, Exposure Amount

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  20050822

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  1.2.840.10008.6.1.412

Table CID 6090. Relative Usage, Exposure Amount

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111575 | High
DCM | 111576 | Medium
DCM | 111577 | Low
DCM | 111587 | No known exposure

## CID 6091 Relative Frequency of Event Values

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  1.2.840.10008.6.1.413

Table CID 6091. Relative Frequency of Event Values

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 255238004 | Continuous | R-40377 | C0549178
SCT | 70232002 | Frequent | G-7154 | C0332183
SCT | 255218000 | Mid-frequency | R-40365 | C0439604
SCT | 27789000 | Infrequent | G-7155 | C0521114
SCT | 225761000 | As required | R-40B16 | C0558288
SCT | 307486002 | Single event | R-4112F | C0585347

## CID 6092 Quantitative Concepts for Usage, Exposure

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  1.2.840.10008.6.1.414

Table CID 6092. Quantitative Concepts for Usage, Exposure

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 260911001 | Dosage | G-C0B7 | C0178602
DCM | 111578 | Dose frequency |  |
DCM | 111579 | Rate of exposure |  |
DCM | 111580 | Volume of use |  |

## CID 6093 Qualitative Concepts for Usage, Exposure Amount

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Type:

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  1.2.840.10008.6.1.415

Table CID 6093. Qualitative Concepts for Usage, Exposure Amount

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111581 | Relative dose amount
DCM | 111582 | Relative amount of exposure
DCM | 111583 | Relative amount of use

## CID 6094 Qualitative Concepts for Usage, Exposure Frequency

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  1.2.840.10008.6.1.416

Table CID 6094. Qualitative Concepts for Usage, Exposure Frequency

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111584 | Relative dose frequency
DCM | 111585 | Relative frequency of exposure
DCM | 111586 | Relative frequency of use

## CID 6095 Numeric Properties of Procedures

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  1.2.840.10008.6.1.417

Table CID 6095. Numeric Properties of Procedures

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111465 | Needle Gauge
DCM | 111467 | Needle Length

## CID 6096 Pregnancy Status

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  1.2.840.10008.6.1.418

Table CID 6096. Pregnancy Status

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 60001007 | not pregnant | F-81890 | C0232973
SCT | 102874004 | possible pregnancy | F-84094 | C0425965
SCT | 77386006 | patient currently pregnant | F-84000 | C0549206
SCT | 261665006 | Unknown | R-41198 | C0439673

## CID 6097 Side of Family

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  1.2.840.10008.6.1.419

Table CID 6097. Side of Family

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 111541 | Maternal |  |
SCT | 224944003 | Paternal | R-40333 | C0337493

## CID 6098 Clinical Course of Disease

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Type:

  Extensible

Version:

  20190125

UID:

  1.2.840.10008.6.1.1277

Table CID 6098. Clinical Course of Disease

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
NCIt | C40413 | No Evidence of Disease |  | C1518340
NCIt | C38155 | Recurrent Disease |  | C0277556

## CID 6099 Racial Group

### Note

This Context Group is intended to be a set of values that is the union of concepts used in various jurisdictions. It does not distinguish race from ethnic group.

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Version:

  20201115

UID:

  1.2.840.10008.6.1.1278

Table CID 6099. Racial Group

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 413464008 | African race | S-0004E | C0027567
SCT | 413582008 | Asian race | S-00051 | C0078988
SCT | 413773004 | Caucasian race | S-0003D | C0007457
SCT | 413490006 | American Indian or Alaska native | S-0004B | C1515945
NCIt | C41219 | Native Hawaiian or other Pacific Islander |  | C1513907
SCT | 413581001 | Asian or Pacific Islander race | S-0004C | C1531604
SCT | 413600007 | Australian aborigine race | S-00052 | C0337948
SCT | 414481008 | Indian race | S-0003E | C1524069
SCT | 414752008 | Mixed racial group | S-00043 | C0682081

## CID 6100 Chest Component Categories

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Version:

  20030108

UID:

  1.2.840.10008.6.1.420

Table CID 6100. Chest Component Categories

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 39607008 | Lung | T-28000 | C0024109
DCM | 112052 | Bronchovascular |  |
SCT | 3120008 | Pleural structure | T-29000 | C0032225
SCT | 72410000 | Mediastinum | T-D3300 | C0025066
SCT | 80891009 | Heart | T-32000 | C0018787
DCM | 112053 | Osseous |  |
SCT | 281157001 | Systemic vascular structure | T-4000E | C0459962
SCT | 263816006 | Muscular | R-420AE | C0442025

## CID 6101 Chest Finding or Feature

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20030108

UID:

  1.2.840.10008.6.1.421

Table CID 6101. Chest Finding or Feature

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 112061 | Abnormal lines (1D)
DCM | 112033 | Abnormal opacity
DCM | 112062 | Abnormal lucency
DCM | 112063 | Abnormal calcifications
DCM | 112064 | Abnormal texture
DCM | 112005 | Radiographic anatomy
DCM | 111102 | Non-lesion
DCM | 111101 | Image quality
DCM | 111099 | Selected region

## CID 6102 Chest Finding or Feature Modifier

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20030108

UID:

  1.2.840.10008.6.1.422

Table CID 6102. Chest Finding or Feature Modifier

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 6103 “Abnormal Lines Finding or Feature”
Include CID 6104 “Abnormal Opacity Finding or Feature”
Include CID 6105 “Abnormal Lucency Finding or Feature”
Include CID 6106 “Abnormal Texture Finding or Feature”
Include CID 6109 “Radiographic Anatomy Finding or Feature”
Include CID 6138 “Chest Non-lesion Object Type”

## CID 6103 Abnormal Lines Finding or Feature

### Note

Original source of terms is [Fraser and Pare].

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20030108

UID:

  1.2.840.10008.6.1.423

Table CID 6103. Abnormal Lines Finding or Feature

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 112065 | Reticulonodular pattern |  |
DCM | 112104 | Air-fluid level |  |
DCM | 112105 | Corona radiata |  |
DCM | 112106 | Honeycomb pattern |  |
DCM | 112107 | Fleischner's line(s) |  |
DCM | 112108 | Intralobular lines |  |
DCM | 112109 | Kerley A line |  |
DCM | 112110 | Kerley B line |  |
DCM | 112111 | Kerley C lines |  |
DCM | 112112 | Parenchymal band |  |
SCT | 40779009 | Plate-like atelectasis | D2-60302 | C0264494
DCM | 112113 | Reticular pattern |  |
DCM | 112114 | Septal line(s) |  |
DCM | 112115 | Subpleural line |  |
DCM | 112116 | Tramline shadow |  |
DCM | 112117 | Tubular shadow |  |

## CID 6104 Abnormal Opacity Finding or Feature

### Note

Original source of terms is [Fraser and Pare].

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20030108

UID:

  1.2.840.10008.6.1.424

Table CID 6104. Abnormal Opacity Finding or Feature

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 112066 | Beaded septum sign |  |
DCM | 112067 | Nodular pattern |  |
DCM | 112059 | Primary complex |  |
DCM | 112068 | Pseudoplaque |  |
DCM | 112065 | Reticulonodular pattern |  |
DCM | 112069 | Signet-ring sign |  |
DCM | 112004 | Abnormal interstitial pattern |  |
SCT | 308689002 | Coin lesion | F-20172 | C0009250
DCM | 112118 | Density |  |
DCM | 112119 | Dependent opacity |  |
DCM | 112120 | Ground glass opacity |  |
DCM | 112121 | Infiltrate |  |
SCT | 4147007 | Mass | M-03000 | C0577559
DCM | 112122 | Micronodule |  |
SCT | 27925004 | Nodule | M-03010 | C0028259
DCM | 112001 | Opacity |  |
DCM | 112123 | Phantom tumor (pseudotumor) |  |
DCM | 112124 | Shadow |  |
DCM | 112125 | Small irregular opacities |  |
DCM | 112126 | Small rounded opacities |  |
DCM | 112127 | Tree-in-bud sign |  |
SCT | 59282003 | Pulmonary embolism | D3-40230 | C0034065

## CID 6105 Abnormal Lucency Finding or Feature

### Note

Original source of terms is [Fraser and Pare].

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20030108

UID:

  1.2.840.10008.6.1.425

Table CID 6105. Abnormal Lucency Finding or Feature

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 112070 | Air bronchiologram |  |
DCM | 112071 | Air bronchogram |  |
DCM | 112072 | Air crescent |  |
SCT | 76171001 | Air-trapping | F-20240 | C0231819
DCM | 112073 | Halo sign |  |
SCT | 16838000 | Pneumomediastinum | D2-81180 | C0025062
SCT | 36118008 | Pneumothorax | D2-80300 | C0032326

## CID 6106 Abnormal Texture Finding or Feature

### Note

Original source of terms is [Fraser and Pare].

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20030108

UID:

  1.2.840.10008.6.1.426

Table CID 6106. Abnormal Texture Finding or Feature

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 112067 | Nodular pattern
DCM | 112065 | Reticulonodular pattern
DCM | 112004 | Abnormal interstitial pattern
DCM | 112128 | Granular pattern
DCM | 112106 | Honeycomb pattern
DCM | 112129 | Miliary pattern
DCM | 112130 | Mosaic pattern
DCM | 112113 | Reticular pattern
DCM | 112125 | Small irregular opacities

## CID 6107 Width Descriptor

### Note

Original source of terms is [Fraser and Pare].

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20030108

UID:

  1.2.840.10008.6.1.427

Table CID 6107. Width Descriptor

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 260376009 | Enlarged | R-40750 | C0442800
SCT | 134223000 | Narrow | R-41727 | C0333164
DCM | 112077 | Vasoconstriction |  |
DCM | 112078 | Vasodilation |  |

## CID 6108 Chest Anatomic Structure Abnormal Distribution

### Note

Original source of terms is [Fraser and Pare].

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20030108

UID:

  1.2.840.10008.6.1.428

Table CID 6108. Chest Anatomic Structure Abnormal Distribution

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 76171001 | Air-trapping | F-20240 | C0231819
DCM | 112079 | Architectural distortion |  |
DCM | 112080 | Mosaic perfusion |  |
DCM | 112060 | Oligemia |  |
DCM | 112081 | Pleonemia |  |

## CID 6109 Radiographic Anatomy Finding or Feature

### Note

Original source of terms is [Fraser and Pare].

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20030108

UID:

  1.2.840.10008.6.1.429

Table CID 6109. Radiographic Anatomy Finding or Feature

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 6110 “Lung Anatomy Finding or Feature”
Include CID 6111 “Bronchovascular Anatomy Finding or Feature”
Include CID 6112 “Pleura Anatomy Finding or Feature”
Include CID 6113 “Mediastinum Anatomy Finding or Feature”
Include CID 6114 “Osseous Anatomy Finding or Feature”
Include CID 6116 “Muscular Anatomy”
Include CID 6117 “Vascular Anatomy”
DCM | 112082 | Interface
DCM | 112083 | Line
DCM | 112084 | Lucency

## CID 6110 Lung Anatomy Finding or Feature

### Note

Original source of terms is [Fraser and Pare].

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20030108

UID:

  1.2.840.10008.6.1.430

Table CID 6110. Lung Anatomy Finding or Feature

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 31094006 | Lobe of lung | T-28770 | C0225752
DCM | 112085 | Midlung window |  |
DCM | 112054 | Secondary pulmonary lobule |  |
SCT | 72674008 | Segment of lung | T-280D0 | C0225705

## CID 6111 Bronchovascular Anatomy Finding or Feature

### Note

Original source of terms is [Fraser and Pare].

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20030108

UID:

  1.2.840.10008.6.1.431

Table CID 6111. Bronchovascular Anatomy Finding or Feature

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 89187006 | Airway structure | T-20001 | C0458827
SCT | 955009 | Bronchus | T-26000 | C0006255
SCT | 28700002 | Carina | T-25201 | C0225594
DCM | 112086 | Carina angle |  |
DCM | 112087 | Centrilobular structures |  |
SCT | 46750007 | Hilum of lung | T-28080 | C0225701

## CID 6112 Pleura Anatomy Finding or Feature

### Note

Original source of terms is [Fraser and Pare].

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20030108

UID:

  1.2.840.10008.6.1.432

Table CID 6112. Pleura Anatomy Finding or Feature

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 112088 | Anterior junction line |  |
SCT | 278983006 | Fissure of lung | T-D051D | C0458078
DCM | 112089 | Posterior junction line |  |

## CID 6113 Mediastinum Anatomy Finding or Feature

### Note

Original source of terms is [Fraser and Pare].

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20130617

UID:

  1.2.840.10008.6.1.433

Table CID 6113. Mediastinum Anatomy Finding or Feature

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 6148 “Mediastinum Finding or Feature”
Include CID 6149 “Mediastinum Anatomy”

## CID 6114 Osseous Anatomy Finding or Feature

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20170914

UID:

  1.2.840.10008.6.1.434

Table CID 6114. Osseous Anatomy Finding or Feature

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 51299004 | Clavicle | T-12310 | C0008913
SCT | 85050009 | Humerus | T-12410 | C0020164
SCT | 113197003 | Rib | T-11300 | C0035561
SCT | 79601000 | Scapula | T-12280 | C0036277
SCT | 421060004 | Spine | T-D04FF | C0037949
SCT | 56873002 | Sternum | T-11210 | C0038293
SCT | 51282000 | Vertebra | T-11510 | C0549207

## CID 6115 Osseous Anatomy Modifiers

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20160314

UID:

  1.2.840.10008.6.1.435

Table CID 6115. Osseous Anatomy Modifiers

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 31934006 | Acromion process of scapula | T-12281 | C0001209
SCT | 14510004 | Angle of rib | T-11307 | C0222812
SCT | 40265002 | Arch of vertebra | T-11511 | C0223076
SCT | 52509009 | Body of sternum | T-11220 | C0222771
SCT | 75319007 | Clavicular notch of sternum | T-11219 | C0222770
SCT | 8931003 | Coracoid process of scapula | T-12282 | C0223626
SCT | 17399006 | Costal groove | T-11308 | C0222813
SCT | 51698000 | Dorsal aspect of scapula | T-12287 | C0223631
SCT | 46385009 | Glenoid cavity of scapula | T-1228A | C1261046
SCT | 12872006 | Head of rib | T-11301 | C0222806
SCT | 181901007 | Inferior articular facet of axis | T-116EF | C0223115
SCT | 317766009 | Inferior articular process of vertebra | T-1153F | C0223083
SCT | 89340005 | Lamina of vertebra | T-11514 | C0223079
SCT | 37285002 | Manubrium of sternum | T-11211 | C0024764
SCT | 72184008 | Neck of rib | T-11303 | C0222808
SCT | 26444007 | Pectoral girdle | T-12200 | C0427245
SCT | 78972004 | Pedicle of vertebra | T-11515 | C0223080
DCM | 112096 | Rib Scalene Tubercle |  |
DCM | 112101 | Scapular Infraspinatus Fossa |  |
DCM | 112099 | Scapular Spine |  |
DCM | 112100 | Scapular Supraspinatus Fossa |  |
SCT | 41601005 | Shaft of rib | T-11309 | C0448161
SCT | 55678000 | Spinous process of vertebra | T-11512 | C0223077
SCT | 44612009 | Sternal angle | T-11221 | C0222772
DCM | 112098 | Subscapular Fossa |  |
SCT | 181900008 | Superior articular facet of axis | T-116EE | C0223114
SCT | 317665004 | Superior articular process of vertebra | T-1153E | C0223082
SCT | 26493002 | Suprasternal notch | T-11218 | C0222769
SCT | 73400003 | Transverse process or vertebra | T-11513 | C0223078
SCT | 113198008 | Tubercle of rib | T-11304 | C0222809
SCT | 61853006 | Vertebral canal | T-1151F | C0037922
SCT | 280734009 | Vertebral foramen | T-11531 | C0459720
DCM | 112097 | Vertebral Intervertebral Notch |  |
SCT | 20298003 | Xiphoid process of sternum | T-11227 | C0043356

## CID 6116 Muscular Anatomy

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20170914

UID:

  1.2.840.10008.6.1.436

Table CID 6116. Muscular Anatomy

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 102298001 | Chordae tendineae cordis | T-35020 | C0008484
SCT | 35259002 | Deltoid muscle | T-13660 | C0224234
SCT | 5798000 | Diaphragm | T-D3400 | C0011980
SCT | 44947003 | Erector spinae muscle | T-14020 | C0224301
SCT | 53967007 | External intercostal muscle | T-14161 | C1744535
SCT | 57651003 | Iliocostalis muscle | T-14030 | C0224302
SCT | 72573008 | Infraspinatus muscle | T-13620 | C0584882
SCT | 24062007 | Innermost intercostal muscles | T-14165 | C0224357
SCT | 58095006 | Interatrial septum | T-32150 | C0225836
SCT | 41313007 | Internal intercostal muscle | T-14163 | C1744536
SCT | 589001 | Interventricular septum | T-32410 | C0225870
SCT | 15665001 | Latissimus dorsi muscle | T-14172 | C0224362
SCT | 73930003 | Levatores costarum muscles | T-14150 | C1744586
SCT | 88340001 | Longissimus muscle | T-14040 | C0224306
SCT | 60005003 | Pectoralis major muscle | T-14110 | C0585574
SCT | 18686000 | Pectoralis minor muscle | T-14120 | C0224347
SCT | 50755001 | Scalenous anterior muscle | T-13450 | C0224173
SCT | 18346003 | Serratus anterior muscle | T-14140 | C0224349
SCT | 4317002 | Spinalis muscle | T-14050 | C0224310
SCT | 22823000 | Sternocleidomastoid muscle | T-13310 | C0224153
SCT | 64658001 | Subcostal muscle | T-14166 | C0224358
SCT | 90588001 | Subscapularis muscle | T-13650 | C0584884
SCT | 6423006 | Supraspinatus muscle | T-13610 | C0584869
SCT | 1193009 | Teres major muscle | T-13640 | C0224232
SCT | 51159009 | Teres minor muscle | T-13630 | C0224231
SCT | 118755002 | Trabeculae carnae | T-32423 | C0502348
SCT | 88454005 | Transversus thoracis | T-14167 | C1744608
SCT | 31764008 | Trapezius muscle | T-14171 | C0224361

## CID 6117 Vascular Anatomy

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20200309

UID:

  1.2.840.10008.6.1.437

Table CID 6117. Vascular Anatomy

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 3015 “Coronary Arteries”
SCT | 57034009 | Aortic arch | T-42300 | C0003489
SCT | 88593004 | Aortic isthmus | T-42310 | C0226019
DCM | 112102 | Aortic knob |  |
DCM | 112103 | Arch of the Azygos vein |  |
SCT | 54247002 | Ascending aorta | T-42100 | C0003956
SCT | 67937003 | Axillary Artery | T-47100 | C0004455
SCT | 68705008 | Axillary vein | T-49110 | C0004456
SCT | 72107004 | Azygos vein | T-48340 | C0004526
SCT | 17137000 | Brachial artery | T-47160 | C0006087
SCT | 12691009 | Brachiocephalic trunk | T-46010 | C0006094
SCT | 8887007 | Brachiocephalic vein | T-48620 | C0006095
SCT | 64468002 | Bronchial artery | T-46310 | C0006257
SCT | 32062004 | Common carotid artery | T-45100 | C0162859
SCT | 3159004 | Costocervical trunk | T-46180 | C0226273
SCT | 281130003 | Descending aorta | T-D0765 | C0011666
SCT | 91732003 | Dorsal scapular artery | T-461A0 | C0500583
SCT | 206034008 | Esophageal artery | T-4630D | C0226294
SCT | 71585003 | External jugular vein | T-48160 | C0226543
SCT | 29660000 | Inferior phrenic artery | T-46940 | C0226406
SCT | 64131007 | Inferior vena cava | T-48710 | C0042458
SCT | 281134007 | Intercostal artery | T-D305A | C0459917
SCT | 12123001 | Internal jugular vein | T-48170 | C0226550
SCT | 69327007 | Internal thoracic artery | T-46200 | C0226276
SCT | 3924000 | Pericardiophrenic Artery | T-46210 | C0226287
SCT | 81040000 | Pulmonary artery | T-44000 | C0034052
SCT | 45341000 | Pulmonary trunk | T-44100 | C0034052
SCT | 122972007 | Pulmonary vein | T-48581 | C0034090
SCT | 36765005 | Subclavian artery | T-46100 | C0038530
SCT | 9454009 | Subclavian vein | T-48330 | C0038532
SCT | 38991005 | Superior phrenic artery | T-46350 | C0226295
SCT | 48345005 | Superior vena cava | T-48610 | C0042459
SCT | 6538005 | Thyrocervical trunk | T-46130 | C0226263
SCT | 85234005 | Vertebral artery | T-45700 | C0042559

### Note

In a prior version of this Context Group the code (T-48500, SRT, "Entire pulmonary vein") rather than (122972007, SCT, "Pulmonary Vein") was defined for the concept Pulmonary Vein; this was inconsistent with the DICOM approach of selecting the "structure of" rather than "entire" concept. Although there is minimal possibility of misinterpretation with SOP Instances that may include the deprecated use, receiving applications should be aware of this change; see Annex J.

## CID 6118 Size Descriptor

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20030108

UID:

  1.2.840.10008.6.1.438

Table CID 6118. Size Descriptor

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 112131 | Extremely small |  |
DCM | 112132 | Very small |  |
SCT | 255507004 | Small | R-404A8 | C0700321
SCT | 255508009 | Medium | R-404A9 | C0439536
SCT | 255509001 | Large | R-404AA | C0549177
SCT | 260376009 | Enlarged | R-40750 | C0442800
DCM | 112133 | Too small |  |

## CID 6119 Chest Border Shape

### Note

Original source of terms is [Fraser and Pare].

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20030108

UID:

  1.2.840.10008.6.1.439

Table CID 6119. Chest Border Shape

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 42700002 | Round shape | M-02100 | C0332490
DCM | 112134 | Elliptic |  |
SCT | 49608001 | Irregular | G-A402 | C0205271
DCM | 112135 | Lobulated |  |
DCM | 112136 | Spiculated |  |

## CID 6120 Chest Border Definition

### Note

Original source of terms is [Fraser and Pare].

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20190326

UID:

  1.2.840.10008.6.1.440

Table CID 6120. Chest Border Definition

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 260409000 | Well defined | R-40771 | C0442825
DCM | 112137 | Sharply defined |  |
SCT | 300841009 | Poorly defined | R-428E7 | C0577553
DCM | 112138 | Distinctly defined |  |
DCM | 112139 | Well demarcated |  |
DCM | 112140 | Sharply demarcated |  |
DCM | 112141 | Poorly demarcated |  |
SCT | 263706005 | Circumscribed | R-4205A | C1282914

## CID 6121 Chest Orientation Descriptor

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20030108

UID:

  1.2.840.10008.6.1.441

Table CID 6121. Chest Orientation Descriptor

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 24020000 | Horizontal | G-A142 | C0205126
SCT | 33096000 | Vertical | G-A144 | C0205128
SCT | 21114003 | Oblique | G-A472 | C0205315

## CID 6122 Chest Content Descriptor

### Note

Original source of terms is [Fraser and Pare].

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20200921

UID:

  1.2.840.10008.6.1.442

Table CID 6122. Chest Content Descriptor

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 112143 | Air |  |
SCT | 256674009 | Fat | T-D008A | C0015677
SCT | 87784001 | Soft tissue | T-1A000 | C0225317
DCM | 112145 | Calcium |  |
SCT | 19227008 | Foreign material (iodized oil, mercury,talc) | M-30400 | C0016542

## CID 6123 Chest Opacity Descriptor

### Note

Original source of terms is [Fraser and Pare].

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20030108

UID:

  1.2.840.10008.6.1.443

Table CID 6123. Chest Opacity Descriptor

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 112146 | Acinar
DCM | 112147 | Air space
DCM | 112148 | Fibronodular
DCM | 112149 | Fluffy
DCM | 112150 | Linear
DCM | 112151 | Profusion
DCM | 112152 | Silhouette sign

## CID 6124 Location in Chest

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20030108

UID:

  1.2.840.10008.6.1.444

Table CID 6124. Location in Chest

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 6125 “General Chest Location”
Include CID 6126 “Location in Lung”
Include CID 6127 “Segment Location in Lung”

## CID 6125 General Chest Location

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20030108

UID:

  1.2.840.10008.6.1.445

Table CID 6125. General Chest Location

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 26216008 | Central | G-A110 | C0205099
SCT | 14414005 | Peripheral | G-A111 | C0205100
SCT | 43674008 | Apical | G-A122 | C0205111
SCT | 57195005 | Basal | G-A123 | C0205112

## CID 6126 Location in Lung

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Version:

  20210328

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  1.2.840.10008.6.1.446

Table CID 6126. Location in Lung

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 281392002 | Upper zone of lung | T-D3208 | C0559286
SCT | 281393007 | Middle zone of lung | T-D3209 | C0559287
SCT | 281394001 | Lower zone of lung | T-D320A | C0559288
SCT | 45653009 | Upper lobe of lung | T-28820 | C0225756
SCT | 72481006 | Middle lobe of right lung | T-28300 | C4281590
SCT | 90572001 | Lower lobe of lung | T-28830 | C0225758
DCM | 112153 | Subpleural |  |

## CID 6127 Segment Location in Lung

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  20030108

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  1.2.840.10008.6.1.447

Table CID 6127. Segment Location in Lung

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 39743006 | Anterior segment of right upper lobe | T-28230 | C0225718
SCT | 22270008 | Anterior segment of left upper lobe | T-28630 | C0225742
SCT | 3236000 | Posterior segment of right upper lobe | T-28220 | C0225717

## CID 6128 Chest Distribution Descriptor

### Note

Original source of terms is [Fraser and Pare].

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  Extensible

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  20030108

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  1.2.840.10008.6.1.448

Table CID 6128. Chest Distribution Descriptor

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 112154 | Bat's wing distribution |  |
DCM | 112155 | Butterfly distribution |  |
DCM | 112156 | Centrilobular |  |
DCM | 112157 | Coalescent |  |
SCT | 19648000 | Diffuse | G-A321 | C0205219
SCT | 255282008 | Discoid | M-020FA | C0439641
SCT | 65709003 | Disseminated | G-A324 | C0205221
SCT | 87017008 | Focal | G-A351 | C0205234
SCT | 60132005 | Generalized | G-A366 | C0205246
DCM | 112158 | Lobar |  |
SCT | 524008 | Multifocal | G-A443 | C0205292
SCT | 62372003 | Segmental | G-A137 | C0205122
SCT | 31099001 | Systemic | G-A572 | C0205373

## CID 6129 Chest Site Involvement

### Note

Original source of terms is [Fraser and Pare].

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  Extensible

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  20030108

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  1.2.840.10008.6.1.449

Table CID 6129. Chest Site Involvement

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 39607008 | Lung | T-28000 | C0024109
SCT | 72410000 | Mediastinum | T-D3300 | C0025066
DCM | 112158 | Lobar |  |
SCT | 85293002 | Interstitial tissue | T-1A007 | C0225318
SCT | 261061003 | Bronchial | R-40939 | C0205039
SCT | 46750007 | Hilum of lung | T-28080 | C0225701
SCT | 15825003 | Aorta | T-42000 | C0003483
SCT | 3120008 | Pleural structure | T-29000 | C0032225
SCT | 78904004 | Chest wall | T-D3050 | C0205076
SCT | 80581009 | Upper abdomen | T-D4001 | C2937240

## CID 6130 Severity Descriptor

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  Extensible

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  20160314

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  1.2.840.10008.6.1.450

Table CID 6130. Severity Descriptor

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 255604002 | Mild | R-404FA | C2945599
SCT | 6736007 | Moderate | G-A002 | C0205081
SCT | 24484000 | Severe | G-A003 | C0205082
SCT | 373933003 | Acute onset | R-424BE | C1276802
SCT | 90734009 | Chronic | G-A270 | C0205191
DCM | 112159 | Hyper-acute |  |
SCT | 19939008 | Subacute | G-A561 | C0205365

## CID 6131 Chest Texture Descriptor

### Note

Original source of terms is [Fraser and Pare].

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  Extensible

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  20030108

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  1.2.840.10008.6.1.451

Table CID 6131. Chest Texture Descriptor

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 112160 | Homogeneous
DCM | 112161 | Inhomogeneous

## CID 6132 Chest Calcification Descriptor

### Note

Original source of terms is [Fraser and Pare].

Resources:

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  20030108

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  1.2.840.10008.6.1.452

Table CID 6132. Chest Calcification Descriptor

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 129751002 | Eggshell calcification | F-01763 | C1313950
SCT | 129749001 | Coarse (popcorn-like) calcification | F-01761 | C1268677
DCM | 112162 | Target |  |
SCT | 88446008 | Laminated | G-A405 | C0205274
DCM | 112163 | Fibrocalcific |  |
DCM | 112164 | Flocculent |  |
SCT | 255288007 | Nodular | R-403A7 | C0205297
SCT | 83323007 | Ossification | F-12100 | 83323007

## CID 6133 Chest Quantitative Temporal Difference Type

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  20100604

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  1.2.840.10008.6.1.453

Table CID 6133. Chest Quantitative Temporal Difference Type

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 442714003 | Difference in size | F-05173 | C2711955
SCT | 442726008 | Difference in location | F-05179 | C2711109

## CID 6134 Chest Qualitative Temporal Difference Type

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  Extensible

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  20090717

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  1.2.840.10008.6.1.454

Table CID 6134. Chest Qualitative Temporal Difference Type

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 442755000 | Difference in border shape | F-0517E | C2711283
SCT | 442688001 | Difference in border definition | F-05166 | C2711343
SCT | 442704007 | Difference in distribution | F-0516C | C2711851
SCT | 442711006 | Difference in site involvement | F-05170 | C2711937
SCT | 442691001 | Difference in substance | F-05167 | C2711644
SCT | 442700003 | Difference in Texture | F-0516A | C2711323
SCT | 129722001 | Finding partially removed | F-01722 | C1268650
SCT | 129723006 | No significant changes in the finding | F-01723 | C1268651
SCT | 15454001 | Increase in size | M-02520 | C0332509
SCT | 19776001 | Decrease in size | M-02530 | C0332511
SCT | 129728002 | Less defined | F-01728 | C1268656
SCT | 129729005 | More defined | F-01729 | C1268657

## CID 6135 Image Quality Finding

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  Extensible

Version:

  20090402

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  1.2.840.10008.6.1.455

Table CID 6135. Image Quality Finding

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111208 | Grid artifact(s)
DCM | 111209 | Positioning
DCM | 111210 | Motion blur
DCM | 111211 | Under exposed
DCM | 111212 | Over exposed
DCM | 111213 | No image
DCM | 111214 | Detector artifact(s)
DCM | 111215 | Artifact(s) other than grid or detector artifact
DCM | 111216 | Mechanical failure
DCM | 111217 | Electrical failure
DCM | 111218 | Software failure
DCM | 111219 | Inappropriate image processing
DCM | 111220 | Other failure
DCM | 111221 | Unknown failure
RADLEX | RID11327 | Beam-hardening artifact

## CID 6136 Chest Types of Quality Control Standard

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  1.2.840.10008.6.1.456

Table CID 6136. Chest Types of Quality Control Standard

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 112035 | Performance of Pediatric and Adult Chest Radiography, ACR
DCM | 112036 | ACR Position Statement
DCM | 111240 | Institutionally defined quality control standard
DCM | 112184 | Performance of Pediatric and Adult Thoracic CT
DCM | 112185 | Performance of CT for Detection of Pulmonary Embolism in Adults
DCM | 112186 | Performance of High-Resolution CT of the Lungs in Adults

## CID 6137 Types of CAD Analysis

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  1.2.840.10008.6.1.457

Table CID 6137. Types of CAD Analysis

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | Notes
--- | --- | --- | --- | --- | ---
SCT | 133884007 | Spatial collocation analysis | P5-B3402 | C1297892 | See Note 1
SCT | 133885008 | Spatial proximity analysis | P5-B3404 | C1297893 | See Note 2
SCT | 133886009 | Temporal correlation | P5-B3406 | C1297894 |
SCT | 133887000 | Image quality analysis | P5-B3408 | C1297895 |

### Note

1. Spatial Co-location Analysis is used to identify features that are the same or located in the same place.

2. Spatial Proximity Analysis is used to identify different features that are related spatially.

## CID 6138 Chest Non-lesion Object Type

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  20170914

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  1.2.840.10008.6.1.458

Table CID 6138. Chest Non-lesion Object Type

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 6404 “Chest Non-lesion Object Type - Physical Objects”
Include CID 6405 “Chest Non-lesion Object Type - Tissues”

### Note

The use of (111176, DCM, "Unspecified") was previously included in this context group but was removed since it does not make sense to have Chest CAD detections of an unknown type (was using TID 4015 “CAD Detections Performed” invoked by TID 4100 “Chest CAD Document Root”, TID 4102 “Chest CAD Composite Feature” and TID 4104 “Chest CAD Single Image Finding” of an unknown type).

## CID 6139 Non-lesion Modifiers

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  Extensible

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  20030108

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  1.2.840.10008.6.1.459

Table CID 6139. Non-lesion Modifiers

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 260521003 | Internal | R-40819 | C0205102
SCT | 261074009 | External | R-40941 | C0205101

## CID 6140 Calculation Methods

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  20070625

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  1.2.840.10008.6.1.460

Table CID 6140. Calculation Methods

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 414135002 | Estimated | R-10260 | C0750572
DCM | 112187 | Unspecified method of calculation |  |
DCM | 112055 | Agatston scoring method |  |
DCM | 112056 | Volume scoring method |  |
DCM | 112057 | Mass scoring method |  |
DCM | 112188 | Two-dimensional method |  |
DCM | 112189 | Three-dimensional method |  |

## CID 6141 Attenuation Coefficient Measurements

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  Extensible

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  20030108

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  1.2.840.10008.6.1.461

Table CID 6141. Attenuation Coefficient Measurements

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 112031 | Attenuation Coefficient
DCM | 112179 | Minimum Attenuation Coefficient
DCM | 112180 | Maximum Attenuation Coefficient
DCM | 112181 | Mean Attenuation Coefficient
DCM | 112182 | Median Attenuation Coefficient
DCM | 112183 | Standard Deviation of Attenuation Coefficient

## CID 6142 Calculated Value

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  20070625

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  1.2.840.10008.6.1.462

Table CID 6142. Calculated Value

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 112017 | Cavity extent as percent of volume
DCM | 112018 | Calcification extent as percent of surface
DCM | 112019 | Calcification extent as percent of volume
DCM | 112058 | Calcium score
DCM | 112191 | Breast tissue density
DCM | 112192 | Volume of parenchymal tissue
DCM | 112193 | Volume of breast
DCM | 112194 | Mass of parenchymal tissue
DCM | 112195 | Mass of breast
DCM | 112196 | Area of Vascular Calcification
DCM | 112197 | Volume of Vascular Calcification
DCM | 112198 | Percentage of Vascular Calcification
DCM | 112199 | Mass of Vascular Calcification
DCM | 112200 | Average calcification distance in a calcification cluster
DCM | 112201 | Standard deviation distance of calcifications in a cluster

## CID 6143 Lesion Response

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  Extensible

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  20030108

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  1.2.840.10008.6.1.463

Table CID 6143. Lesion Response

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 6144 “RECIST Defined Lesion Response”

## CID 6144 RECIST Defined Lesion Response

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  1.2.840.10008.6.1.464

Table CID 6144. RECIST Defined Lesion Response

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 112041 | Target Lesion Complete Response
DCM | 112042 | Target Lesion Partial Response
DCM | 112043 | Target Lesion Progressive Disease
DCM | 112044 | Target Lesion Stable Disease
DCM | 112045 | Non-Target Lesion Complete Response
DCM | 112046 | Non-Target Lesion Incomplete Response or Stable Disease
DCM | 112047 | Non-Target Lesion Progressive Disease

## CID 6145 Baseline Category

### Note

From RECIST

Resources:

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  20030108

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  1.2.840.10008.6.1.465

Table CID 6145. Baseline Category

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 112074 | Target Lesion at Baseline
DCM | 112075 | Non-Target Lesion at Baseline
DCM | 112076 | Non-Lesion at Baseline

## CID 6146 Time Point Types

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20141110

UID:

  1.2.840.10008.6.1.1002

Table CID 6146. Time Point Types

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
UMLS | C1442488 | Baseline
UMLS | C3539075 | Pretreatment
DCM | 126074 | Posttreatment
DCM | 126075 | Eligibility
UMLS | C1699701 | Unscheduled
UMLS | C1708760 | Nadir

### Note

1. (C1442488, UMLS, "Baseline") is (C25213, NCIt, "Baseline"). The undefined (121079, DCM, "Baseline") that is used in CID 7003 Diagnostic Imaging Report Purposes of Reference is not used in this context.

2. (C3539075, UMLS, "Pretreatment") is (C103341, NCIt, "Pretreatment").

3. (C1708760, UMLS, "Nadir") is (C43517, NCIt, "Nadir"), and is a synonymn for "lowest", though "nadir" is more commnly used in the context of therapeutic response criteria.

## CID 6147 Response Criteria

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  Extensible

Version:

  20141110

UID:

  1.2.840.10008.6.1.1004

Table CID 6147. Response Criteria

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 112029 | WHO
DCM | 126080 | RECIST 1.0
DCM | 126081 | RECIST 1.1
NCIt | C114879 | RANO

## CID 6148 Mediastinum Finding or Feature

### Note

Original source of terms is [Fraser and Pare].

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20200309

UID:

  1.2.840.10008.6.1.1313

Table CID 6148. Mediastinum Finding or Feature

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 70142008 | Atrial Septal Defect | D4-31220 | C0018817
DCM | 112090 | Azygoesophageal recess interface |  |
SCT | 120576005 | Fascial layer | T-D0634 | C1268198
DCM | 112095 | Hiatus |  |
DCM | 112091 | Paraspinal line |  |
DCM | 112092 | Posterior tracheal stripe |  |
DCM | 112093 | Right tracheal stripe |  |
DCM | 112094 | Stripe |  |

## CID 6149 Mediastinum Anatomy

### Note

Original source of terms is [Fraser and Pare].

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

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  Extensible

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  20200309

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  1.2.840.10008.6.1.1314

Table CID 6149. Mediastinum Anatomy

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 368536000 | Axillary Fascia | T-18774 | C0225236
SCT | 28700002 | Carina | T-25201 | C0225594
SCT | 51345006 | Carotid Body | T-B4000 | C0007277
SCT | 50016007 | Costal Cartilage | T-11240 | C0222787
SCT | 280062008 | Esophageal Hiatus | T-D3412 | C0230160
SCT | 32849002 | Esophagus | T-56000 | C0014876
SCT | 80891009 | Heart | T-32000 | C0018787
SCT | 75245000 | Left main bronchus | T-26500 | C0225630
SCT | 2160002 | Ligamentum arteriosum | T-42370 | C0226023
SCT | 59441001 | Lymph node | T-C4000 | C0024204
SCT | 91134007 | Mitral Valve | T-35300 | C0026264
SCT | 39057004 | Pulmonary valve | T-35200 | C0034086
SCT | 70074004 | Right main bronchus | T-26100 | C0225608
SCT | 1732005 | Thoracic Duct | T-C6510 | C0039979
SCT | 9875009 | Thymus Gland | T-C8000 | C0040113
SCT | 69748006 | Thyroid | T-B6000 | C0040132
SCT | 44567001 | Trachea | T-25000 | C0040578
SCT | 31764008 | Trapezius muscle | T-14171 | C0224361
SCT | 46030003 | Tricuspid Valve | T-35100 | C0040960
SCT | 21814001 | Ventricle | T-32400 | C0018827

## CID 6151 Background Echotexture

### Note

From BI-RADS®

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20050822

UID:

  1.2.840.10008.6.1.466

Table CID 6151. Background Echotexture

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111351 | Homogeneous fat echotexture
DCM | 111352 | Homogeneous fibroglandular echotexture
DCM | 111353 | Heterogeneous echotexture

## CID 6152 Orientation

### Note

From BI-RADS®

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20050822

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  1.2.840.10008.6.1.467

Table CID 6152. Orientation

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111355 | Parallel
DCM | 111356 | Not parallel

## CID 6153 Lesion Boundary

### Note

From BI-RADS®

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20050822

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  1.2.840.10008.6.1.468

Table CID 6153. Lesion Boundary

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111358 | Abrupt interface
DCM | 111359 | Echogenic halo

## CID 6154 Echo Pattern

### Note

From BI-RADS®

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20050822

UID:

  1.2.840.10008.6.1.469

Table CID 6154. Echo Pattern

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111361 | Anechoic
DCM | 111362 | Hyperechoic
DCM | 111363 | Complex
DCM | 111364 | Hypoechoic
DCM | 111365 | Isoechoic

## CID 6155 Posterior Acoustic Features

### Note

From BI-RADS®

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20060622

UID:

  1.2.840.10008.6.1.470

Table CID 6155. Posterior Acoustic Features

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111367 | No posterior acoustic features
DCM | 111368 | Posterior enhancement
DCM | 111369 | Posterior shadowing
DCM | 111370 | Combined posterior enhancement and shadowing

## CID 6157 Vascularity

### Note

From BI-RADS®

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

Type:

  Extensible

Version:

  20050822

UID:

  1.2.840.10008.6.1.471

Table CID 6157. Vascularity

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111373 | Vascularity not present
DCM | 111374 | Vascularity not assessed
DCM | 111375 | Vascularity present in lesion
DCM | 111376 | Vascularity present immediately adjacent to lesion
DCM | 111377 | Diffusely increased vascularity in surrounding tissue

## CID 6158 Correlation to Other Findings

### Note

From BI-RADS®

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

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  Extensible

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  20050822

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  1.2.840.10008.6.1.472

Table CID 6158. Correlation to Other Findings

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111381 | Correlates to physical exam findings
DCM | 111382 | Correlates to mammography findings
DCM | 111383 | Correlates to MRI findings
DCM | 111384 | Correlates to ultrasound findings
DCM | 111385 | Correlates to other imaging findings
DCM | 111386 | No correlation to other imaging findings
DCM | 111387 | No correlation to clinical findings

## CID 6159 Malignancy Type

### Note

From BI-RADS®

Resources:

  HTML | FHIR JSON | FHIR XML | IHE SVS XML

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  Extensible

Version:

  20050822

UID:

  1.2.840.10008.6.1.473

Table CID 6159. Malignancy Type

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 111389 | Invasive breast carcinoma |  |
SCT | 86616005 | Intraductal carcinoma, non-infiltrating | M-85002 | C0007124
DCM | 111390 | Other malignancy type |  |

## CID 6160 Breast Primary Tumor Assessment From AJCC

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  Extensible

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  20050822

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  1.2.840.10008.6.1.474

Table CID 6160. Breast Primary Tumor Assessment From AJCC

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 373173008 | TX: Primary tumor cannot be assessed (breast) | R-003B8 | C1276754
SCT | 373174002 | T0: No evidence of primary tumor (breast) | R-003B9 | C1276755
SCT | 373175001 | Tis: Carcinoma in situ (breast) | R-003BB | C1276756
SCT | 373176000 | Tis: Ductal carcinoma in situ (breast) | R-003BC | C1276757
SCT | 373177009 | Tis: Lobular carcinoma in situ (breast) | R-003BD | C1276758
SCT | 373178004 | Tis: Paget's disease of the nipple with no tumor | R-003BE | C1269975
SCT | 373172003 | T1: Tumor 2 cm or less in greatest dimension (breast) | R-003BA | C1272784
SCT | 373179007 | T1mic: Microinvasion 0.1 cm or less in greatest dimension... | R-003BF | C1269976
SCT | 373180005 | T1a: Tumor more than 0.1 cm but not more than 0.5 cm... | R-003C0 | C1269977
SCT | 373204007 | T1b: Tumor more than 0.5 cm but not more than 1 cm... | R-003C1 | C1269981
SCT | 373183007 | T1c: Tumor more than 1 cm but not more than 2 cm... | R-003C2 | C1272785
SCT | 373182002 | T2: Tumor more than 2 cm but not more than 5 cm... | R-003C3 | C1269978
SCT | 373184001 | T3: Tumor more than 5 cm in greatest dimension (breast) | R-003C4 | C1269979
SCT | 373185000 | T4: Tumor of any size with direct extension to chest wall... | R-003C5 | C1276759
SCT | 373186004 | T4a: Tumor of any size with extension to chest wall, not incl... | R-003C6 | C1276760
SCT | 373187008 | T4b: Tumor of any size with edema (including peau d'orange) ... | R-003C7 | C1276761
SCT | 373189006 | T4c: Tumor of any size with direct extension to chest wall... | R-003C8 | C1268960
SCT | 373190002 | T4: Inflammatory carcinoma (breast) | R-003C9 | C1276762

## CID 6161 Clinical Regional Lymph Node Assessment for Breast

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  1.2.840.10008.6.1.475

Table CID 6161. Clinical Regional Lymph Node Assessment for Breast

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 373150000 | NX: Regional lymph nodes cannot be assessed... | R-003CA | C1276765
SCT | 373151001 | N0: No regional lymph node metastasis histologically... | R-003CB | C1272783
SCT | 373156006 | N1: Metastasis in 1 to 3 axillary lymph nodes... | R-003D0 | C1276766
SCT | 373162001 | N2: Metastasis in 4 to 9 axillary lymph nodes... | R-003D6 | C1276749
SCT | 373163006 | N2a: Metastasis in 4 to 9 axillary lymph nodes (...2.0 mm)... | R-003D7 | C1276750
SCT | 373164000 | N2b: Metastasis in clinically apparent internal... nodes... | R-003D8 | C1276751
SCT | 369991007 | N3: Metastasis to ipsilateral internal mammary lymph node(s) | G-F749 | C1276711
SCT | 373165004 | N3a: Metastasis in 10 or more axillary lymph nodes... | R-003D9 | C1276752
SCT | 373167007 | N3b: Metastasis in clinically apparent ipsilateral internal... | R-003DA | C1274009
SCT | 373166003 | N3c: Metastasis in ipsilateral supraclavicular lymph nodes... | R-003DB | C1276753

## CID 6162 Assessment of Metastasis for Breast

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Table CID 6162. Assessment of Metastasis for Breast

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 373170006 | MX: Distant metastasis cannot be assessed (breast) | R-003DC | C1268958
SCT | 373169005 | M0: No distant metastasis (breast) | R-003DD | C1268957
SCT | 373171005 | M1: Distant metastasis (breast) | R-003DE | C1268959

## CID 6163 Menstrual Cycle Phase

### Note

From BI-RADS®

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Table CID 6163. Menstrual Cycle Phase

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 111392 | 1st week |  |
DCM | 111393 | 2nd week |  |
DCM | 111394 | 3rd week |  |
SCT | 289894009 | Menstruation present | F-840B3 | C0567306

## CID 6164 Time Intervals

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Table CID 6164. Time Intervals

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 111396 | < 3 months ago
DCM | 111397 | 4 months to 1 year ago
DCM | 111398 | > 1 year ago
DCM | 111399 | Not sure

## CID 6165 Breast Linear Measurements

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  20050822

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  1.2.840.10008.6.1.479

Table CID 6165. Breast Linear Measurements

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 7470 “Linear Measurements”
DCM | 121242 | Distance from nipple
DCM | 121243 | Distance from skin
DCM | 121244 | Distance from chest wall

## CID 6166 CAD Geometry Secondary Graphical Representation

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  Extensible

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  20060822

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  1.2.840.10008.6.1.480

Table CID 6166. CAD Geometry Secondary Graphical Representation

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 113661 | Outline of lobulations |  |
DCM | 113662 | Inner limits of fuzzy margin |  |
DCM | 113663 | Outer limits of fuzzy margin |  |
DCM | 113664 | Outline of spiculations |  |
DCM | 113665 | Linear spiculation |  |
DCM | 113666 | Pixelated spiculations |  |
SCT | 103339001 | Long axis | G-A185 | C0522487
SCT | 103340004 | Short axis | G-A186 | C0522488
DCM | 113669 | Orthogonal location arc |  |
DCM | 113670 | Orthogonal location arc inner margin |  |
DCM | 113671 | Orthogonal location arc outer margin |  |

## CID 6200 Colon Overall Assessment

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  Extensible

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  20090402

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  1.2.840.10008.6.1.787

Table CID 6200. Colon Overall Assessment

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 112240 | C0 - Inadequate Study/Awaiting Prior Comparisons
DCM | 112241 | C1 - Normal Colon or Benign Lesion
DCM | 112242 | C2 - Intermediate Polyp or Indeterminate Finding
DCM | 112243 | C3 - Polyp, Possibly Advanced Adenoma
DCM | 112244 | C4 - Colonic Mass, Likely Malignant

## CID 6201 Colon Finding or Feature

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  1.2.840.10008.6.1.788

Table CID 6201. Colon Finding or Feature

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 111101 | Image quality |  |
DCM | 111099 | Selected region |  |
SCT | 68496003 | Polyp of colon | D5-41170 | C0009376
SCT | 126838000 | Tumor of colon | D5-F131F | C0009375
SCT | 248523006 | Rectal mass | F-54005 | C0240873
SCT | 31113003 | Diverticulum | M-32700 | C0012817
SCT | 6533001 | Colonic haustra | T-59345 | C0227361
SCT | 39477002 | Feces | T-59666 | C0015733
SCT | 46720004 | Lipoma | M-88500 | C0023798
SCT | 442170005 | Intraluminal fluid | T-50153 | C2711278
SCT | 385420005 | Contrast media | F-61D54 | C0009924
SCT | 23153004 | Ileocecal valve | T-58650 | C0020880
SCT | 441901008 | Inverted diverticulum | M-32704 | C2711356
SCT | 43526002 | Operative Site | M-18000 | C0332850
DCM | 111102 | Non-lesion |  |
DCM | 112238 | Anatomic non-colon |  |

## CID 6202 Colon Finding or Feature Modifier

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  Extensible

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  20090402

UID:

  1.2.840.10008.6.1.789

Table CID 6202. Colon Finding or Feature Modifier

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
Include CID 6203 “Colon Non-lesion Object Type”
Include CID 6204 “Anatomic Non-colon Findings”

## CID 6203 Colon Non-lesion Object Type

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  20160314

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  1.2.840.10008.6.1.790

Table CID 6203. Colon Non-lesion Object Type

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 86122002 | Bullet | A-32110 | C0336699
SCT | 56353002 | Staple | A-13600 | C0524724
SCT | 27065002 | Suture | A-13500 | C0038969
SCT | 12402003 | Scar tissue | M-78060 | C2004491
SCT | 19923001 | Catheter | A-26800 | C0085590
DCM | 112173 | Chest tube |  |
SCT | 257409000 | Vena cava filter | A-14611 | C0080306
SCT | 53350007 | Prosthesis | A-04000 | C0175649
SCT | 126065006 | Jejunostomy tube | A-26434 | C0879216
DCM | 112175 | Kidney stent |  |
SCT | 286558002 | Ureteral stent | A-11C08 | C0183518
DCM | 112176 | Pancreatic stent |  |
SCT | 80919006 | Jewelry | A-61000 | C0336902
DCM | 112178 | Coin |  |
SCT | 77444004 | Pin | A-12024 | C0175718
SCT | 79068005 | Needle | A-30360 | C0027551
DCM | 112171 | Fiducial mark |  |
SCT | 341036005 | Colostomy set | A-120DD | C0180028
SCT | 339648008 | Colostomy bag | A-10DBC | C0180026
SCT | 342706005 | Ileostomy set | A-1009E | C0181271
SCT | 417136005 | Ileostomy bag | A-10029 | C1563151
SCT | 344575009 | Urostomy set | A-10703 | C0467978
SCT | 344088002 | Urostomy bag | A-105E3 | C0467658
SCT | 67966000 | Rectal tube | A-26440 | C0175752
SCT | 34759008 | Urethral catheter | A-26864 | C0179800

### Note

The use of (111176, DCM, "Unspecified") was previously included in this context group but was removed since it does not make sense to have Colon CAD composite feature modifiers (TID 4125 “Colon CAD Composite Feature”) and single image finding modifiers (TID 4127 “Colon CAD Single Image Finding”) of an unknown type.

## CID 6204 Anatomic Non-colon Findings

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  1.2.840.10008.6.1.791

Table CID 6204. Anatomic Non-colon Findings

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 10200004 | Liver | T-62000 | C0023884
SCT | 78961009 | Spleen | T-C3000 | C0037993
SCT | 64033007 | Kidney | T-71000 | C0022646
SCT | 23451007 | Adrenal gland | T-B3000 | C0001625
SCT | 15825003 | Aorta | T-42000 | C0003483
SCT | 64131007 | Inferior vena cava | T-48710 | C0042458
SCT | 39607008 | Lung | T-28000 | C0024109
SCT | 272673000 | Bone | T-D016E | C0262950
SCT | 40689003 | Testis | T-94000 | C0039597
SCT | 35039007 | Uterus | T-83000 | C0042149
SCT | 15497006 | Ovary | T-87000 | C0029939
SCT | 71252005 | Cervix | T-83200 | C0007874
SCT | 41216001 | Prostate | T-92000 | C0033572
SCT | 64739004 | Seminal Vesicle | T-93000 | C0036628
SCT | 34402009 | Rectum | T-59600 | C0034896
SCT | 89837001 | Bladder | T-74000 | C0005682
SCT | 71616004 | Muscle | T-13001 | C0026845
SCT | 59820001 | Blood Vessel | T-40000 | C0005847
SCT | 66754008 | Appendix | T-59200 | C0003617
SCT | 441850003 | Appendiceal stump | T-D0874 | C2711602

## CID 6205 Clockface Location for Colon

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  1.2.840.10008.6.1.792

Table CID 6205. Clockface Location for Colon

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 129772004 | 1 o'clock position | F-01781 | C1268696
SCT | 129773009 | 2 o'clock position | F-01782 | C1268697
SCT | 129774003 | 3 o'clock position | F-01783 | C1268698
SCT | 129775002 | 4 o'clock position | F-01784 | C1268699
SCT | 129776001 | 5 o'clock position | F-01785 | C1268700
SCT | 129777005 | 6 o'clock position | F-01786 | C1268701
SCT | 129778000 | 7 o'clock position | F-01787 | C1268702
SCT | 129779008 | 8 o'clock position | F-01788 | C1268703
SCT | 129780006 | 9 o'clock position | F-01789 | C1268704
SCT | 129781005 | 10 o'clock position | F-0178A | C1268705
SCT | 129782003 | 11 o'clock position | F-0178B | C1268706
SCT | 129783008 | 12 o'clock position | F-0178C | C1268707

## CID 6206 Recumbent Patient Orientation for Colon

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  1.2.840.10008.6.1.793

Table CID 6206. Recumbent Patient Orientation for Colon

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 1240000 | Prone | F-10310 | C0033422
SCT | 40199007 | Supine | F-10340 | C0038846
SCT | 102535000 | right lateral decubitus | F-10317 | C0559228
SCT | 102536004 | left lateral decubitus | F-10319 | C0559227

## CID 6207 Colon Quantitative Temporal Difference Type

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  20090717

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  1.2.840.10008.6.1.794

Table CID 6207. Colon Quantitative Temporal Difference Type

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 442714003 | Difference in size | F-05173 | C2711955
SCT | 442726008 | Difference in location | F-05179 | C2711109
SCT | 442707000 | Difference in attenuation | F-0516E | C2711926

## CID 6208 Colon Types of Quality Control Standard

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  1.2.840.10008.6.1.795

Table CID 6208. Colon Types of Quality Control Standard

Coding Scheme Designator | Code Value | Code Meaning
--- | --- | ---
DCM | 112036 | ACR Position Statement
DCM | 111240 | Institutionally defined quality control standard
DCM | 112248 | ACR Guideline, Performance of Adult CT Colonography
DCM | 112249 | ACR Standard, CT medical physics performance monitoring

## CID 6209 Colon Morphology Descriptor

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Table CID 6209. Colon Morphology Descriptor

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 5712003 | Sessile | G-A530 | C0205348
SCT | 25126001 | Pedunculated | G-A477 | C0205320
SCT | 6041008 | Flat | G-A485 | C0205324
SCT | 255593009 | Circumferential | R-404F0 | C0205113
SCT | 56208002 | Ulcer | M-38000 | C0041582

## CID 6210 Location in Intestinal Tract

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  1.2.840.10008.6.1.797

Table CID 6210. Location in Intestinal Tract

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 34402009 | Rectum | T-59600 | C0034896
SCT | 60184004 | Sigmoid colon | T-59470 | C0227391
SCT | 32622004 | Descending colon | T-59460 | C0227389
SCT | 485005 | Transverse colon | T-59440 | C0227386
SCT | 9040008 | Ascending colon | T-59420 | C0227375
SCT | 32713005 | Cecum | T-59100 | C0007531
SCT | 72592005 | Splenic flexure of colon | T-59442 | C0227387
SCT | 48338005 | Hepatic flexure of colon | T-59438 | C0227385

## CID 6211 Colon CAD Material Description

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  Extensible

Version:

  20200921

UID:

  1.2.840.10008.6.1.798

Table CID 6211. Colon CAD Material Description

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 87784001 | Soft tissue | T-1A000 | C0225317
SCT | 256674009 | Fat | T-D008A | C0015677
SCT | 15158005 | Air | A-80230 | C0001861
SCT | 45001002 | Bone matrix | T-11034 | C0005962

## CID 6212 Calculated Value for Colon Findings

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  1.2.840.10008.6.1.799

Table CID 6212. Calculated Value for Colon Findings

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 395511002 | Polyp stalk length | R-0045B | C1273121
SCT | 373197004 | Polyp size, largest dimension | R-00286 | C1272618
DCM | 112232 | Polyp stalk width |  |
DCM | 112233 | Distance from anus |  |

## CID 6300 Prostate Anatomy

### Note

In future extensions, Prostate Anatomy terms that are not derived from PI-RADS should be added to this context group.

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Version:

  20210120

UID:

  1.2.840.10008.6.1.1138

Table CID 6300. Prostate Anatomy

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 6304 “Prostate Sector Anatomy from PI-RADS v2.1”
Include CID 6302 “Prostate Sector Anatomy from European Concensus 16 Sector (Minimal) Model”
Include CID 6303 “Prostate Sector Anatomy from European Concensus 27 Sector (Optimal) Model”
SCT | 41216001 | Prostate | T-92000 | C0033572
SCT | 64739004 | Seminal Vesicle | T-93000 | C0036628
SCT | 279706003 | Peripheral zone of the prostate | T-D05E4 | C0458696
SCT | 399384005 | Transition zone of the prostate | T-D0823 | C1261214
SCT | 717025007 | Anterior fibromuscular stroma of prostate | R0-00024 | C1183910
SCT | 71553001 | Prostatic Urethra | T-75110 | C0458450

## CID 6301 Prostate Sector Anatomy from PI-RADS v2

### Note

From [PI-RADS].

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Version:

  20161106

UID:

  1.2.840.10008.6.1.1139

Table CID 6301. Prostate Sector Anatomy from PI-RADS v2

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | FMA ID | PI-RADS v2 Abbreviation | NCI Thesaurus
--- | --- | --- | --- | --- | --- | --- | ---
SCT | 716901006 | Central zone of left half prostate | R-FFFFC | C4273550 | 302475 | Base L CZ | C128587
SCT | 716900007 | Central zone of right half prostate | R-FFFD0 | C4274157 | 302473 | Base R CZ | C128593
SCT | 716937001 | Left anterior apical peripheral zone of prostate | R0-00025 | C4274170 | 328760 | Apex L PZa | C128575
SCT | 716931000 | Left anterior apical transition zone of prostate | R-FFFE5 | C4274174 | 328795 | Apex L TZa | C128578
SCT | 716905002 | Left anterior basal peripheral zone of prostate | R0-00001 | C4273857 | 328753 | Base L PZa | C128588
SCT | 716897000 | Left anterior basal transition zone of prostate | R-FFFD6 | C4274207 | 328785 | Base L TZa | C128589
SCT | 716920008 | Left anterior middle peripheral zone of prostate | R-FFFB0 | C4274185 | 328768 | Mid L PZa | C128600
SCT | 716914007 | Left anterior middle transition zone of prostate | R0-00013 | C4274190 | 328784 | Mid L TZa | C128603
SCT | 716927006 | Left apical anterior fibromuscular stroma of prostate | R-FFFDF | C4274178 | 328772 | Apex L AS | C128574
SCT | 716893001 | Left basal anterior fibromuscular stroma of prostate | R-FFFDC | C4274482 | 328758 | Base L AS | C128586
SCT | 716910003 | Left middle anterior fibromuscular stroma of prostate | R0-00027 | C4274479 | 328781 | Mid L AS | C128599
SCT | 716933002 | Left posterior apical transition zone of prostate | R0-00014 | C4274173 | 328775 | Apex L TZp | C128579
SCT | 716899002 | Left posterior basal transition zone of prostate | R-FFFB7 | C4274204 | 328789 | Base L TZp | C128590
SCT | 716916009 | Left posterior middle transition zone of prostate | R-FFFAB | C4274189 | 328786 | Mid L TZp | C128604
SCT | 716939003 | Left posterolateral apical peripheral zone of prostate | R-FFFDD | C4274168 | 328752 | Apex L PZpl | C128576
SCT | 716907005 | Left posterolateral basal peripheral zone of prostate | R-FFFC2 | C4274197 | 328759 | Base L PZpl | C128591
SCT | 716922000 | Left posterolateral middle peripheral zone of prostate | R-FFFE9 | C4274180 | 328791 | Mid L PZpl | C128601
SCT | 716941002 | Left posteromedial apical peripheral zone of prostate | R0-0000B | C4274166 | 328792 | Apex L PZpm | C128577
SCT | 716924004 | Left posteromedial middle peripheral zone of prostate | R-FFFB5 | C4274183 | 328777 | Mid L PZpm | C128602
SCT | 42320003 | Left seminal vesicle | T-93020 | C0227980 | 19388 | L SV | C128598
SCT | 717027004 | Male external urethral sphincter | R-FFFD9 | C0815353 | 19733 | US | C128612
SCT | 716936005 | Right anterior apical peripheral zone of prostate | R0-00003 | C4274125 | 328779 | Apex R PZa | C128581
SCT | 716930004 | Right anterior apical transition zone of prostate | R0-00006 | C4274131 | 328761 | Apex R TZa | C128584
SCT | 716904003 | Right anterior basal peripheral zone of prostate | R-FFFE2 | C4274200 | 328798 | Base R PZa | C128594
SCT | 716896009 | Right anterior basal transition zone of prostate | R0-00000 | C4273547 | 328793 | Base R TZa | C128596
SCT | 716919002 | Right anterior middle peripheral zone of prostate | R-FFFCD | C4274141 | 328796 | Mid R PZa | C128606
SCT | 716913001 | Right anterior middle transition zone of prostate | R-FFFF4 | C4274147 | 328800 | Mid R TZa | C128609
SCT | 716926002 | Right apical anterior fibromuscular stroma of prostate | R-FFFFD | C4273870 | 328801 | Apex R AS | C128580
SCT | 716892006 | Right basal anterior fibromuscular stroma of prostate | R-FFFF2 | C4273849 | 328778 | Base R AS | C128592
SCT | 716909008 | Right middle anterior fibromuscular stroma of prostate | R0-00004 | C4273544 | 328783 | Mid R AS | C128605
SCT | 716932007 | Right posterior apical transition zone of prostate | R-FFFF3 | C4274099 | 328763 | Apex R TZp | C128585
SCT | 716898005 | Right posterior basal transition zone of prostate | R-FFFB1 | C4274205 | 328799 | Base R TZp | C128597
SCT | 716915008 | Right posterior middle transition zone of prostate | R-FFFC9 | C4273542 | 328787 | Mid R TZp | C128610
SCT | 716938006 | Right posterolateral apical peripheral zone of prostate | R-FFFC0 | C4273861 | 328782 | Apex R PZpl | C128582
SCT | 716906001 | Right posterolateral basal peripheral zone of prostate | R0-0001E | C4274198 | 328797 | Base R PZpl | C128595
SCT | 716921007 | Right posterolateral middle peripheral zone of prostate | R0-0000C | C4274184 | 328771 | Mid R PZpl | C128607
SCT | 716940001 | Right posteromedial apical peripheral zone of prostate | R-FFFEA | C4274167 | 328764 | Apex R PZpm | C128583
SCT | 716923005 | Right posteromedial middle peripheral zone of prostate | R-FFFD4 | C4274181 | 328766 | Mid R PZpm | C128608
SCT | 74308000 | Right seminal vesicle | T-93010 | C0227979 | 19387 | R SV | C128611

## CID 6302 Prostate Sector Anatomy from European Concensus 16 Sector (Minimal) Model

### Note

From [Prostate Eu Concensus].

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Table CID 6302. Prostate Sector Anatomy from European Concensus 16 Sector (Minimal) Model

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | FMA ID | 16 Sector Code
--- | --- | --- | --- | --- | --- | ---
SCT | 716901006 | Central zone of left half prostate | R-FFFFC | C4273550 | 302475 | 6p
SCT | 716900007 | Central zone of right half prostate | R-FFFD0 | C4274157 | 302473 | 1p
SCT | 716935009 | Left apical peripheral zone of prostate | R-FFFD3 | C4274171 | 328790 | 10p
SCT | 716929009 | Left apical transition zone of prostate | R-FFFA9 | C4274176 | 328769 | 6a
SCT | 716895008 | Left basal part transition zone of prostate | R0-00020 | C4274160 | 328755 | 4a
SCT | 716903009 | Left basal peripheral zone of prostate | R-FFFC4 | C4274120 | 328765 | 7p
SCT | 716918005 | Left lateral middle peripheral zone of prostate | R-FFFE6 | C4274142 | 328767 | 9p
SCT | 716912006 | Left middle transition zone of prostate | R-FFFD5 | C4274192 | 328762 | 5a
SCT | 716924004 | Left posteromedial middle peripheral zone of prostate | R-FFFB5 | C4274183 | 328777 | 8p
SCT | 42320003 | Left seminal vesicle | T-93020 | C0227980 | 19388 | L SV
SCT | 717027004 | Male external urethral sphincter | R-FFFD9 | C0815353 | 19733 | US
SCT | 716934008 | Right apical peripheral zone of prostate | R-FFFB3 | C4274128 | 328794 | 5p
SCT | 716928001 | Right apical transition zone of prostate | R-FFFC1 | C4273855 | 328773 | 3a
SCT | 716902004 | Right basal peripheral zone of prostate | R0-00018 | C4274155 | 328802 | 2p
SCT | 716894007 | Right basal transition zone of prostate | R-FFFBE | C4274164 | 328780 | 1a
SCT | 716917000 | Right lateral middle peripheral zone of prostate | R0-0000F | C4274143 | 328803 | 4p
SCT | 716911004 | Right middle transition zone of prostate | R-FFFB6 | C4273545 | 328757 | 2a
SCT | 716923005 | Right posteromedial middle peripheral zone of prostate | R-FFFD4 | C4274181 | 328766 | 3p
SCT | 74308000 | Right seminal vesicle | T-93010 | C0227979 | 19387 | R SV

## CID 6303 Prostate Sector Anatomy from European Concensus 27 Sector (Optimal) Model

### Note

From [Prostate Eu Concensus].

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  1.2.840.10008.6.1.1141

Table CID 6303. Prostate Sector Anatomy from European Concensus 27 Sector (Optimal) Model

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | FMA ID | 27 Sector Code
--- | --- | --- | --- | --- | --- | ---
SCT | 716925003 | Apical anterior fibromuscular stroma of prostate | R0-0001B | C4274179 | 302546 | 15as
SCT | 716891004 | Basal anterior fibromuscular stroma of prostate | R0-00017 | C4273850 | 302539 | 13as
SCT | 716901006 | Central zone of left half prostate | R-FFFFC | C4273550 | 302475 | 7p
SCT | 716900007 | Central zone of right half prostate | R-FFFD0 | C4274157 | 302473 | 1p
SCT | 716937001 | Left anterior apical peripheral zone of prostate | R0-00025 | C4274170 | 328760 | 12a
SCT | 716905002 | Left anterior basal peripheral zone of prostate | R0-00001 | C4273857 | 328753 | 8a
SCT | 716920008 | Left anterior middle peripheral zone of prostate | R-FFFB0 | C4274185 | 328768 | 10a
SCT | 716929009 | Left apical transition zone of prostate | R-FFFA9 | C4274176 | 328769 | 11a
SCT | 716895008 | Left basal part transition zone of prostate | R0-00020 | C4274160 | 328755 | 7a
SCT | 716912006 | Left middle transition zone of prostate | R-FFFD5 | C4274192 | 328762 | 9a
SCT | 716939003 | Left posterolateral apical peripheral zone of prostate | R-FFFDD | C4274168 | 328752 | 12p
SCT | 716907005 | Left posterolateral basal peripheral zone of prostate | R-FFFC2 | C4274197 | 328759 | 8p
SCT | 716922000 | Left posterolateral middle peripheral zone of prostate | R-FFFE9 | C4274180 | 328791 | 10p
SCT | 716941002 | Left posteromedial apical peripheral zone of prostate | R0-0000B | C4274166 | 328792 | 11p
SCT | 716924004 | Left posteromedial middle peripheral zone of prostate | R-FFFB5 | C4274183 | 328777 | 9p
SCT | 42320003 | Left seminal vesicle | T-93020 | C0227980 | 19388 | L SV
SCT | 717027004 | Male external urethral sphincter | R-FFFD9 | C0815353 | 19733 | US
SCT | 716908000 | Middle anterior fibromuscular stroma of prostate | R-FFFE0 | C4274194 | 302542 | 14as
SCT | 716936005 | Right anterior apical peripheral zone of prostate | R0-00003 | C4274125 | 328779 | 6a
SCT | 716904003 | Right anterior basal peripheral zone of prostate | R-FFFE2 | C4274200 | 328798 | 2a
SCT | 716919002 | Right anterior middle peripheral zone of prostate | R-FFFCD | C4274141 | 328796 | 4a
SCT | 716928001 | Right apical transition zone of prostate | R-FFFC1 | C4273855 | 328773 | 5a
SCT | 716894007 | Right basal transition zone of prostate | R-FFFBE | C4274164 | 328780 | 1a
SCT | 716911004 | Right middle transition zone of prostate | R-FFFB6 | C4273545 | 328757 | 3a
SCT | 716938006 | Right posterolateral apical peripheral zone of prostate | R-FFFC0 | C4273861 | 328782 | 6p
SCT | 716906001 | Right posterolateral basal peripheral zone of prostate | R0-0001E | C4274198 | 328797 | 2p
SCT | 716921007 | Right posterolateral middle peripheral zone of prostate | R0-0000C | C4274184 | 328771 | 4p
SCT | 716940001 | Right posteromedial apical peripheral zone of prostate | R-FFFEA | C4274167 | 328764 | 5p
SCT | 716923005 | Right posteromedial middle peripheral zone of prostate | R-FFFD4 | C4274181 | 328766 | 3p
SCT | 74308000 | Right seminal vesicle | T-93010 | C0227979 | 19387 | R SV

## CID 6304 Prostate Sector Anatomy from PI-RADS v2.1

### Note

From [PI-RADS v2.1].

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Table CID 6304. Prostate Sector Anatomy from PI-RADS v2.1

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | FMA ID | PI-RADS v2.1 Abbreviation | NCI Thesaurus
--- | --- | --- | --- | --- | --- | --- | ---
Include CID 6301 “Prostate Sector Anatomy from PI-RADS v2”
SCT | 836427009 | Left posteromedial basal peripheral zone of prostate |  |  |  | Base L PZpm |
SCT | 836428004 | Right posteromedial basal peripheral zone of prostate |  |  |  | Base R PZpm |

## CID 6310 Prostate Reporting Systems

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Table CID 6310. Prostate Reporting Systems

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 130564 | PI-RADS v2.0 |  |
DCM | 130565 | PI-RADS v2.1 |  |

## CID 6311 MR Signal Intensity

This context group contains terms specific to describing the types of MR sequences used in mpMRI of the prostate.

### Note

Imaging findings will be applicable for indications other than PI-RADS® disease assessment.

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Table CID 6311. MR Signal Intensity

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 110805 | T2 Weighted MR Signal Intensity |  |
DCM | 113043 | Diffusion weighted |  |
DCM | 130566 | Diffusion-weighted Acquisition Highest b-value image |  |
DCM | 130567 | Dynamic Contrast-Enhanced Acquisition |  |
DCM | 130568 | Dynamic Contrast-Enhanced Acquisition Subtraction image |  |
DCM | 110804 | T1 Weighted MR Signal Intensity |  |
DCM | 113041 | Apparent Diffusion Coefficient |  |

## CID 6312 Cross-sectional Scan Plane Orientation

This context group contains terms to conveniently and explicitly describe scan plane orientation used for a specific acquisition type.

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  1.2.840.10008.6.1.1369

Table CID 6312. Cross-sectional Scan Plane Orientation

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 30730003 | Sagittal | G-A145 | C0205129
SCT | 24422004 | Axial | G-A147 | C0205131
SCT | 81654009 | Coronal | G-A138 | C0205123
SCT | 21114003 | Oblique | G-A472 | C0205315

## CID 6313 History of Prostate Disease

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Table CID 6313. History of Prostate Disease

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 9713002 | Prostatitis | D7-51010 | C0033581
SCT | 254900004 | Prostate cancer | D7-F0465 | C0600139
SCT | 444808002 | Benign Prostate Hyperplasia | D7-F047C | C0878697
DCM | 130569 | Utricle cyst |  |

## CID 6314 Prostate MRI Study Quality Findings

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Table CID 6314. Prostate MRI Study Quality Findings

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 130570 | Protocol not followed |  |
DCM | 130571 | Coil placement concern |  |
DCM | 130572 | Coil selection concern |  |
DCM | 130573 | Study performed did not match request |  |
DCM | 130574 | Incomplete study |  |
DCM | 130575 | Suboptimal patient preparation |  |
RADLEX | RID11281 | Suboptimal patient positioning |  |

## CID 6315 Prostate MRI Series Quality Findings

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Table CID 6315. Prostate MRI Series Quality Findings

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 130576 | Anatomy coverage incomplete |  |
DCM | 130577 | Poor FOV selection |  |
DCM | 130578 | Poor SNR |  |
Include CID 6316 “MR Imaging Artifacts” |  |
Include CID 6317 “Prostate DCE MRI Quality Findings” |  |
Include CID 6318 “Prostate DWI MRI Quality Findings” |  |

## CID 6316 MR Imaging Artifacts

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Table CID 6316. MR Imaging Artifacts

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
RADLEX | RID11423 | Motion related artifact |  |
RADLEX | RID11395 | Phase wraparound artifact |  |
RADLEX | RID11424 | Smearing |  |
RADLEX | RID11426 | Ghost |  |
RADLEX | RID11372 | Tissue magnetic susceptibility effect |  |
RADLEX | RID11370 | Ferromagnetic implant magnetic susceptibility effect |  |
RADLEX | RID11408 | Non-uniform signal intensity artifact |  |
RADLEX | RID11464 | Parallel imaging artifact |  |
RADLEX | RID11374 | Chemical shift artifact |  |

## CID 6317 Prostate DCE MRI Quality Findings

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Table CID 6317. Prostate DCE MRI Quality Findings

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 130579 | Poor contrast timing |  |
DCM | 130580 | Inadequate contrast enhancement |  |
DCM | 130581 | Subtraction image missing |  |
DCM | 130582 | Unwanted subtraction images |  |

## CID 6318 Prostate DWI MRI Quality Findings

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Table CID 6318. Prostate DWI MRI Quality Findings

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 130583 | Expected b-value is missing |  |
DCM | 130584 | Severe distortion in the area of interest |  |
DCM | 130585 | Expected ADC map is missing |  |
DCM | 130586 | Distortion artifact in the area of interest |  |

## CID 6319 Abdominal Intervention Types

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Table CID 6319. Abdominal Intervention Types

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 387713003 | Surgical procedure | P0-009C3 | C0543467
SCT | 103693007 | Diagnostic procedure | P0-00002 | C0430022
SCT | 277132007 | Therapeutic procedure | P0-0000E | C0087111

## CID 6320 Abdominal Interventions

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Table CID 6320. Abdominal Interventions

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 12745006 | Operative procedure on pelvis | P1-14020 | C0186080
SCT | 90470006 | Prostatectomy | P1-78320 | C0033573
NCIt | C15215 | Cryoablation |  | C0010408
NCIt | C131483 | Irreversible electroporation |  | C4319935
NCIt | C68681 | Focused ultrasound ablation |  | C2348970

## CID 6321 Prostate Cancer Diagnostic Procedures

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  1.2.840.10008.6.1.1378

Table CID 6321. Prostate Cancer Diagnostic Procedures

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 63476009 | Prostate Cancer Antigen Measurement | P3-67350 | C0201544
SCT | 410006001 | Digital Examination of Rectum | P2-015A2 | C1384593

## CID 6322 Prostate Cancer Family History

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  1.2.840.10008.6.1.1379

Table CID 6322. Prostate Cancer Family History

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 111562 | Family history of prostate cancer |  |
DCM | 130587 | No family history of prostate cancer |  |
SCT | 407559004 | Family history unknown | F-03F6E | C1319897

## CID 6323 Prostate Cancer Therapy

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Table CID 6323. Prostate Cancer Therapy

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
SCT | 707266006 | Androgen Deprivation Therapy | R-FC5CD | C0279492
SCT | 425767004 | Implantation of radioactive seed into prostate | P5-C0641 | C1960738
SCT | 90470006 | Prostatectomy | P1-78320 | C0033573

## CID 6324 Prostate MRI Assessment

### Note

In future extensions, MRI Assessment terms that are not derived from PI-RADS® should be added to this group (such as Likert scale and PI-RADS® v1, e.g., see [Rozenkrantz 2013]).

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  1.2.840.10008.6.1.1381

Table CID 6324. Prostate MRI Assessment

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 6325 “Overall Assessment from PI-RADS®” |  |

## CID 6325 Overall Assessment from PI-RADS®

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Table CID 6325. Overall Assessment from PI-RADS®

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
RADLEX | RID50289 | PI-RADS 1 - Very low |  |
RADLEX | RID50290 | PI-RADS 2 - Low |  |
RADLEX | RID50291 | PI-RADS 3 - Intermediate |  |
RADLEX | RID50292 | PI-RADS 4 - High |  |
RADLEX | RID50293 | PI-RADS 5 - Very high |  |
RADLEX | RID50322 | PI-RADS X - Inadequate or absent |  |

## CID 6326 Image Quality Control Standards

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  1.2.840.10008.6.1.1383

Table CID 6326. Image Quality Control Standards

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 111240 | Institutionally defined quality control standard |  |
Include CID 6353 “Prostate Imaging Types of Quality Control Standard” |  |
Include CID 6045 “Mammography Types of Quality Control Standard” |  |

## CID 6327 Prostate Imaging Indications

This CID contains terms that are used by Section TID 4300 to describe the intent for the imaging procedure.

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Table CID 6327. Prostate Imaging Indications

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
DCM | 130589 | Active surveillance of prostate cancer |  |
DCM | 111562 | Family history of prostate cancer |  |
SCT | 373825000 | Staging | R-408F2 | C1276306
DCM | 130590 | Assess change |  |
I10 | R97.20 | Elevated Prostate Specific Antigen |  | C0178415
DCM | 111418 | Review of an outside study |  |
SCT | 384692006 | Brachytherapy | P5-C018A | C0006098
DCM | 130588 | Pre-biopsy localization of prostate lesion |  |

## CID 6328 PI-RADS® v2 Lesion Assessment Category

The codes in this Context Group describe the overall lesion assessment, based on assessment of the individual image types considered in the evaluation.

### Note

The use of "Lesion" as opposed to "Finding" is done to follow the conventions already implemented in RADLEX.

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  1.2.840.10008.6.1.1385

Table CID 6328. PI-RADS® v2 Lesion Assessment Category

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
RADLEX | RID50296 | PI-RADS 1 - Very low (lesion) |  |
RADLEX | RID50297 | PI-RADS 2 - Low (lesion) |  |
RADLEX | RID50298 | PI-RADS 3 - Intermediate (lesion) |  |
RADLEX | RID50299 | PI-RADS 4 - High (lesion) |  |
RADLEX | RID50300 | PI-RADS 5 - Very high (lesion) |  |
RADLEX | RID50323 | PI-RADS X - Inadequate or absent (lesion) |  |

## CID 6329 PI-RADS® v2 T2WI PZ Lesion Assessment Category

The codes in this CID describe lesion assessment in T2-weighted MR images for the lesions located in the peripheral zone of the prostate.

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Table CID 6329. PI-RADS® v2 T2WI PZ Lesion Assessment Category

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
RADLEX | RID50302 | PI-RADS 1 - T2WI PZ Very low |  |
RADLEX | RID50303 | PI-RADS 2 - T2WI PZ Low |  |
RADLEX | RID50304 | PI-RADS 3 - T2WI PZ Intermediate |  |
RADLEX | RID50305 | PI-RADS 4 - T2WI PZ High |  |
RADLEX | RID50306 | PI-RADS 5 - T2WI PZ Very high |  |
RADLEX | RID50324 | PI-RADS X - T2WI PZ Inadequate or absent |  |

## CID 6330 PI-RADS® v2 T2WI TZ Lesion Assessment Category

The codes in this CID describe lesion assessment in T2-weighted MR images for the lesions located in the transitional zone of the prostate.

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  1.2.840.10008.6.1.1387

Table CID 6330. PI-RADS® v2 T2WI TZ Lesion Assessment Category

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
RADLEX | RID50308 | PI-RADS 1 - T2WI TZ Very low |  |
RADLEX | RID50309 | PI-RADS 2 - T2WI TZ Low |  |
RADLEX | RID50310 | PI-RADS 3 - T2WI TZ Intermediate |  |
RADLEX | RID50311 | PI-RADS 4 - T2WI TZ High |  |
RADLEX | RID50312 | PI-RADS 5 - T2WI TZ Very high |  |
RADLEX | RID50325 | PI-RADS X - T2WI TZ Inadequate or absent |  |

## CID 6331 PI-RADS® v2 DWI Lesion Assessment Category

The codes in this CID describe lesion assessment in diffusion-weighted MR images.

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  1.2.840.10008.6.1.1388

Table CID 6331. PI-RADS® v2 DWI Lesion Assessment Category

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
RADLEX | RID50314 | PI-RADS 1 - DWI Very low |  |
RADLEX | RID50315 | PI-RADS 2 - DWI Low |  |
RADLEX | RID50316 | PI-RADS 3 - DWI Intermediate |  |
RADLEX | RID50317 | PI-RADS 4 - DWI High |  |
RADLEX | RID50318 | PI-RADS 5 - DWI Very high |  |
RADLEX | RID50326 | PI-RADS X - DWI Inadequate or absent |  |

## CID 6332 PI-RADS® v2 DCE Lesion Assessment Category

The codes in this CID describe lesion assessment in the dynamic contrast-enhanced MR images.

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  1.2.840.10008.6.1.1389

Table CID 6332. PI-RADS® v2 DCE Lesion Assessment Category

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
RADLEX | RID50320 | PI-RADS DCE -ve |  |
RADLEX | RID50321 | PI-RADS DCE +ve |  |
RADLEX | RID50327 | PI-RADS X - DCE Inadequate or absent |  |

## CID 6333 mpMRI Assessment Types

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Table CID 6333. mpMRI Assessment Types

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 6334 “mpMRI Assessment Types from PI-RADS®” |  |

## CID 6334 mpMRI Assessment Types from PI-RADS®

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  Extensible

Version:

  20210714

UID:

  1.2.840.10008.6.1.1391

Table CID 6334. mpMRI Assessment Types from PI-RADS®

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID | mpMRI Assessment Values
--- | --- | --- | --- | --- | ---
NCIt | C9440 | Abnormality |  | C1704258 | CID 6336 “MRI Abnormalities”
SCT | 300842002 | Shape | G-C2FE | C0522512 | CID 6339 “MRI Shape Characteristics”
DCM | Margin | Margin |  |  | CID 6341 “MRI Margin Characteristics”
RADLEX | RID6049 | Signal characteristic |  |  | CID 6343 “MRI Signal Characteristics”
RADLEX | RID6058 | Enhancement pattern |  |  | CID 6345 “MRI Enhancement Patterns”

## CID 6335 mpMRI Assessment Values

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Type:

  Extensible

Version:

  20210714

UID:

  1.2.840.10008.6.1.1392

Table CID 6335. mpMRI Assessment Values

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 6336 “MRI Abnormalities” |  |
Include CID 6339 “MRI Shape Characteristics” |  |
Include CID 6341 “MRI Margin Characteristics” |  |
Include CID 6343 “MRI Signal Characteristics” |  |
Include CID 6345 “MRI Enhancement Patterns” |  |

## CID 6336 MRI Abnormalities

Malignant or benign abnormalities that can be identified from mpMRI.

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  Extensible

Version:

  20210714

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  1.2.840.10008.6.1.1393

Table CID 6336. MRI Abnormalities

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | UMLS Concept Unique ID
--- | --- | --- | --- | ---
Include CID 6337 “mpMRI Prostate Abnormalities from PI-RADS®” |  |

## CID 6337 mpMRI Prostate Abnormalities from PI-RADS®

The list of abnormalities includes both those that are explicitly mentioned in the PI-RADS® v2 lexicon (Appendix III), and the benign abnormalities that are listed in the Weinreb et al. manuscript [PI-RADS].

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Type:

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Version:

  20210714

UID:

  1.2.840.10008.6.1.1394

Table CID 6337. mpMRI Prostate Abnormalities from PI-RADS®

Coding Scheme Designator | Code Value | Code Meaning | SNOMED-RT ID | RADLEX Code Value | UMLS Concept Unique ID
--- | --- | --- | --- | --- | ---
DCM | Focal abnormality | Focal abnormality |  |  |
SCT | 87017008 | Focal | G-A351 | RID34301 | C0205234
NCIt | C110961 | Index lesion |  | RID11517 | <