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: The figure 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.

Notes: 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.

TID 3800Cardiac Catheterization Report RootType: Extensible Order: Significant

NL Relation with Parent Value Type Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINER EV (18745-0, LN, "Cardiac Catheterization Report") 1 M
2 > HAS CONCEPT MOD CODE EV (121058, DCM, ”Procedure reported”) 1 M DCID (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.

TID 3802Cardiovascular Patient HistoryType: Extensible Order: Significant

NL Relation with Parent Value Type Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINER EV (121110, DCM, "Patient Presentation") 1 M
2 > CONTAINS TEXT EV (122128, DCM, "Patient Transferred From") 1 U
3 > CONTAINS DATETIME EV (15, NCDR [2.0b], "Admission Date/Time") 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 (121109, DCM, "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 (G-C036, SRT, "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 (121110, DCM, "Patient Presentation") 1 U

TID 3806 Cath Procedure

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

TID 3806Cath ProcedureType: Extensible Order: Significant

NL Relation with Parent Value Type Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINER EV (121064, DCM, "Current Procedure Descriptions") 1 M
2 > CONTAINS DATETIME EV (52, NCDR [2.0b], "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 (F-04460, "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 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.

TID 3807Percutaneous Coronary Intervention ProcedureType: Extensible Order: Significant

NL Relation with Parent Value Type Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINER EV (121064, DCM, "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 (G-C09C, SRT, “Procedure Priority”) 1 M DCID (3414) Procedure Urgency
7 > CONTAINS CONTAINER EV (121109, DCM, "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 = (1, UCUM, "units")
14 > CONTAINS NUM EV (122176, DCM, "Number of lesion interventions successful") 1 M UNITS = (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.

Similarly, 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

TID 3808Lesion Intervention InformationType: Extensible Order: Significant

NL Relation with Parent Value Type 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 (G-C50A, SRT, "Uses Equipment") 1-n M DCID (3411) Coronary Intervention 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 (R-101BB, SRT, “Lumen Diameter Stenosis”) 1 M UNITS = EV (%, UCUM, "%")
13 >> HAS CONCEPT MOD CODE EV (G-72BB, SRT, “Catheterization Procedure Phase”) 1 M EV (G-7298, SRT, “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

TID 3809Other Interventional ProceduresType: Extensible Order: Significant

NL Relation with Parent Value Type Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINER EV (121064, DCM, "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 No BCID
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.

TID 3810Cardiac Catheterization FindingsType: Extensible Order: Significant

NL Relation with Parent Value Type Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINS CONTAINER EV (121070, DCM, "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 (G-C197, SRT, "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

TID 3812Hemodynamic FindingsType: Extensible Order: Significant

NL Relation with Parent Value Type Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINS CONTAINER EV (121070, DCM, "Findings") 1 M
2 > HAS CONCEPT MOD CODE EV (121058, DCM, ”Procedure reported”) 1 M DT (PA-50030, SRT, "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 (G-C197, SRT, "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 (G-C0B2, SRT, “Condition”) 1 U EV (R-102B9, SRT, “Large v-wave”)
8 > CONTAINS CODE EV (121071, DCM, “Finding”) 1 U EV (R-102BA, SRT, “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 DTID 3819 Common Findings Template) may be used to encode any significant hemodynamic numeric measurements. For reference, see Templates 3550 Pressure Waveform Measurements, and 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).

TID 3814Left Ventriculography FindingsType: Extensible Order: Significant

NL Relation with Parent Value Type Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINS CONTAINER EV (121070, DCM, "Findings") 1 M
2 > HAS CONCEPT MOD CODE EV (121058, DCM, ”Procedure reported”) 1 M DT (P5-30041, SRT, "Left Ventriculography")
3 > CONTAINS CODE EV ( F-30117, SRT, “Left Ventricular Function - Finding”) 1 M DCID (242) Normal-Abnormal
4 > INCLUDE TID (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 (F-0224E, SRT, "Left Ventricular Cavity Size") 1 U DCID (3705) Chamber Size
6 > CONTAINS CODE EV (F-02225, SRT, "Left Ventricular Contractility") 1 U DCID (3706) Overall Contractility
7 > CONTAINS CODE EV (121071, DCM, "Finding") 1 U EV (D4-31159, SRT, "Ventricular Septal Defect")
8 >> HAS PROPERTIES CODE EV (G-C504, SRT, "Associated Morphology") 1 U DCID (3707) VSD Description
9 > CONTAINS INCLUDE DTID (3816) Ventricular Assessment 1 U
10 > CONTAINS CONTAINER EV (121070, DCM, "Findings") 1 U
11 >> HAS CONCEPT MOD CODE EV (G-C0E3, SRT, “Finding Site”) 1 M DT (T-D0772, SRT, ”Myocardial Wall”)
12 >> CONTAINS CODE EV (LN, 18179-2, "Wall Segment”) 1-n M BCID (3717) Myocardial Wall Segments
13 >>> HAS PROPERTIES CODE EV (F-32050, SRT, ”Cardiac Wall Motion”) 1 M DCID (3703) Wall Motion
14 >>> HAS PROPERTIES CODE EV (G-C504, SRT, "Associated Morphology") 1 U DCID (3704) Myocardium Wall Morphology Findings
15 >>> HAS PROPERTIES NUM DT (G-C1E3, SRT, “Score”) 1 U
16 > CONTAINS CONTAINER EV (121070, DCM, "Findings") 1 U
17 >> HAS CONCEPT MOD CODE EV (G-C0E3, SRT, “Finding Site”) 1 M DT (F-04403, SRT, "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.

TID 3815Right Ventriculography FindingsType: Extensible Order: Significant

NL Relation with Parent Value Type Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINS CONTAINER EV (121070, DCM, "Findings") 1 M
2 > HAS CONCEPT MOD CODE EV (121058, DCM, ”Procedure reported”) 1 M DT (P5-3003F, SRT, "Right Ventriculography")
3 > INCLUDE TID (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 (F-022A1, SRT, "Right Ventricular Cavity Size") 1 U DCID (3705) Chamber Size
5 > CONTAINS CODE EV (F-0227A, "Right Ventricular Contractility") 1 U DCID (3706) Overall Contractility
6 > CONTAINS INCLUDE DTID (3816) Ventricular Assessment 1 U

TID 3816 Ventricular Assessment

TID 3816Ventricular AssessmentType: Extensible Order: Significant

NL Relation with Parent Value Type Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINS CONTAINER EV (121070, DCM, "Findings") 1-n U
2 > HAS CONCEPT MOD CODE EV (G-C0E3, SRT, “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 (G-C197, SRT, "Severity") 1 U DCID (3716) Severity
5 >> HAS PROPERTIES NUM DT (G-C1E3, SRT, “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).

TID 3817 Coronary Arteriography FindingsType: Extensible Order: Significant

NL Relation with Parent Value Type Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINS CONTAINER EV (121070, DCM, "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 (G-C0E3, SRT, “Finding Site”) 1 U BCID (3630) Cardiovascular Anatomic Locations
4 > CONTAINS INCLUDE DTID (3819) Common Findings 1-n M

TID 3819 Common Findings

TID 3819 Parameters

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

TID 3819 Common FindingsType: Extensible Order: Significant

NL Relation with Parent Value Type 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 No BCID 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

TID 3820Adverse Outcomes, CathType: Extensible Order: Significant

NL Relation with Parent Value Type Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINER EV (121113, DCM, "Complications") 1 M
2 > CONTAINS CODE EV (DD-60002, SRT, "Complication of Procedure") 1-n U DCID (3755) Cath Complications
3 >> HAS CONCEPT MOD CODE EV (G-D709, SRT, "Relative Time”) 1 U DCID (12102) Temporal Periods Relating to Procedure or Therapy
4 > CONTAINS CODE EV (DD-60002, SRT, "Complication of Procedure") 1-n U DCID (3754) Vascular Complications
5 >> HAS CONCEPT MOD CODE EV (G-D709, SRT, "Relative Time”) 1 U DCID (12102) Temporal Periods Relating to Procedure or Therapy
6 > CONTAINS TEXT EV (DD-60002, SRT, "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 (R-0038B, SRT, "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

TID 3824Summary, CathType: Extensible Order: Non-Significant

NL Relation with Parent Value Type Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINS CONTAINER EV (121111, DCM, "Summary") 1 M
2 > CONTAINS CODE EV (121071, DCM, "Finding") 1-n U DCID (3728) Cath Findings
3 >> HAS PROPERTIES CODE EV (G-C197, SRT, "Severity") 1 U DCID (3716) Severity
4 > CONTAINS TEXT EV (121111, DCM, "Summary") 1 U
5 > CONTAINS TEXT EV (121075, DCM, "Recommendation") 1-n U

TID 3828 Discharge Summary, Cath

TID 3828Discharge Summary, CathType: Extensible Order: Significant

NL Relation with Parent Value Type 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 (G-C09C, SRT, “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, "Date 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 (121111, DCM, "Summary") 1 U

TID 3829 Problem Properties

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

TID 3829Problem PropertiesType: Extensible Order: Significant

NL
$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

TID 3830Procedure PropertiesType: Extensible Order: Significant

NL
$Device Coded Value for type of device

TID 3831Medical Device UseType: Extensible Order: Significant

NL Relation with Parent Value Type Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINER EV (122600, DCM, “Cardiovascular Analysis Report”) 1 M
2 > HAS CONCEPT MOD CODE EV(121058, DCM, "Procedure Reported") 1-n M DCID(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) Patient History, Cardiovascular 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.

TID 3901Procedure SummaryType: Extensible Order: Significant

NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINS CONTAINER EV(121064, DCM, "Current Procedure Descriptions") 1 M
2 > CONTAINS TEXT EV(121065, DCM, "Current Procedure Description") 1-n M

TID 3902 Vascular Analysis

Contains either morphological or functional vascular measurement results of an analysis

TID 3902Vascular AnalysisType: Extensible Order: Significant

NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINER EV (121070, DCM, "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 (T-40501, SRT, ”Blood Vessel of Head”) $SectionLaterality = EV (G-A101, SRT, ”Left”) $Anatomy = DCID (12105) Intracranial Cerebral Vessels $AnalysisPerformed = $AnalysisPerformed
5 > CONTAINS INCLUDE DTID (3906) Vascular Section Measurements 1-n U $VascularSection = DT (T-40501, SRT, ”Blood Vessel of Head”) $SectionLaterality = EV (G-A100, SRT, ”Right”) $Anatomy = DCID (12105) Intracranial Cerebral Vessels $AnalysisPerformed = $AnalysisPerformed
6 > CONTAINS INCLUDE DTID (3906) Vascular Section Measurements 1-n U $VascularSection = DT (T-40501, SRT, ”Blood Vessel of Head” $SectionLaterality = EV (G-A103, SRT, ”Unilateral”) $Anatomy = DCID (12106) Unpaired Intracranial Cerebral Vessels (unilateral) $AnalysisPerformed = $AnalysisPerformed
7 > CONTAINS INCLUDE DTID (3906) Vascular Section Measurements 1-n U $VascularSection = DT(T-45005, SRT, ”Artery of Neck”) $SectionLaterality = EV (G-A101, SRT, ”Left”) $Anatomy = DCID (12104) Extracranial Arteries $AnalysisPerformed = $AnalysisPerformed
8 > CONTAINS INCLUDE DTID (3906) Vascular Section Measurements 1-n U $VascularSection = DT(T-45005, SRT, ”Artery of Neck”) $SectionLaterality = EV (G-A100, SRT, ”Right”) $Anatomy = DCID (12104) Extracranial Arteries $AnalysisPerformed = $AnalysisPerformed
9 > CONTAINS INCLUDE DTID (3906) Vascular Section Measurements 1-n U $VascularSection = DT(T-47040, SRT, ”Artery of Lower Extremity ”) $SectionLaterality = EV (G-A101, SRT, ”Left”) $Anatomy = DCID (12109) Lower Extremity Arteries $AnalysisPerformed = $AnalysisPerformed
10 > CONTAINS INCLUDE DTID (3906) Vascular Section Measurements 1-n U $VascularSection = DT(T-47040, SRT, ”Artery of Lower Extremity ”) $SectionLaterality = EV (G-A100, SRT, ”Right”) $Anatomy = DCID (12109) Lower Extremity Arteries $AnalysisPerformed = $AnalysisPerformed
11 > CONTAINS INCLUDE DTID (3906) Vascular Section Measurements 1-n U $VascularSection = DT (T-49403, SRT, ”Vein of Lower Extremity”) $SectionLaterality = EV (G-A101, SRT, ”Left”) $Anatomy = DCID (12110) Lower Extremity Veins $AnalysisPerformed = $AnalysisPerformed
12 > CONTAINS INCLUDE DTID (3906) Vascular Section Measurements 1-n U $VascularSection = DT (T-49403, SRT, ”Vein of Lower Extremity”) $SectionLaterality = EV (G-A100, SRT, ”Right”) $Anatomy = DCID (12110) Lower Extremity Veins $AnalysisPerformed = $AnalysisPerformed
13 > CONTAINS INCLUDE DTID (3906) Vascular Section Measurements 1-n U $VascularSection = DT (T-47020, SRT, ”Artery of Upper Extremity”) $SectionLaterality = EV (G-A101, SRT, ”Left”) $Anatomy = DCID (12107) Upper Extremity Arteries $AnalysisPerformed = $AnalysisPerformed
14 > CONTAINS INCLUDE DTID (3906) Vascular Section Measurements 1-n U $VascularSection = DT (T-47020, SRT, ”Artery of Upper Extremity”) $SectionLaterality = EV (G-A100, SRT, ”Right”) $Anatomy = DCID (12107) Upper Extremity Arteries $AnalysisPerformed = $AnalysisPerformed
15 > CONTAINS INCLUDE DTID (3906) Vascular Section Measurements 1-n U $VascularSection = DT (T-49103, SRT, ”Vein of Upper Extremity”) $SectionLaterality = EV (G-A101, SRT, ”Left”) $Anatomy = DCID (12108) Upper Extremity Veins $AnalysisPerformed = $AnalysisPerformed
16 > CONTAINS INCLUDE DTID (3906) Vascular Section Measurements 1-n U $VascularSection = DT (T-49103, SRT, ”Vein of Upper Extremity”) $SectionLaterality = EV (G-A100, SRT, ”Right”) $Anatomy = DCID (12108) Upper Extremity Veins $AnalysisPerformed = $AnalysisPerformed
17 > CONTAINS INCLUDE DTID (3906) Vascular Section Measurements 1-n U $VascularSection = DT (T-71019, SRT, ”Vascular Structure of Kidney”) $SectionLaterality = EV (G-A101, SRT, ”Left”) $Anatomy = DCID (12115) Renal Vessels $AnalysisPerformed = $AnalysisPerformed
18 > CONTAINS INCLUDE DTID (3906) Vascular Section Measurements 1-n U $VascularSection = DT (T-71019, SRT, ”Vascular Structure of Kidney”) $SectionLaterality = EV (G-A100, SRT, ”Right”) $Anatomy = DCID (12115) Renal Vessels $AnalysisPerformed = $AnalysisPerformed
19 > CONTAINS INCLUDE DTID (3906) Vascular Section Measurements 1-n U $VascularSection = DT (T-46002, SRT, ”Artery of Abdomen”) $SectionLaterality = EV(G-A101, SRT, ”Left”) $Anatomy = DCID (12111) Abdominal Arteries (lateral) $AnalysisPerformed = $AnalysisPerformed
20 > CONTAINS INCLUDE DTID (3906) Vascular Section Measurements 1-n U $VascularSection = DT (T-46002, SRT, ”Artery of Abdomen”) $SectionLaterality = EV (G-A100, SRT, ”Right”) $Anatomy = DCID (12111) Abdominal Arteries (lateral) $AnalysisPerformed = $AnalysisPerformed
21 > CONTAINS INCLUDE DTID (3906) Vascular Section Measurements 1-n U $VascularSection = DT (T-46002, SRT, ”Artery of Abdomen”) $SectionLaterality = EV (G-A103, SRT, ”Unilateral”) $Anatomy = DCID (12112) Abdominal Arteries (unilateral) $AnalysisPerformed = $AnalysisPerformed
22 > CONTAINS INCLUDE DTID (3906) Vascular Section Measurements 1-n U $VascularSection = DT (T-487A0, SRT, ”Vein of Abdomen”) $SectionLaterality = EV (G-A101, SRT, ”Left”) $Anatomy = DCID (12113) Abdominal Veins (lateral) $AnalysisPerformed = $AnalysisPerformed
23 > CONTAINS INCLUDE DTID (3906) Vascular Section Measurements 1-n U $VascularSection = DT (T-487A0, SRT, ”Vein of Abdomen”) $SectionLaterality = EV (G-A100, SRT, ”Right”) $Anatomy = DCID (12113) Abdominal Veins (lateral) $AnalysisPerformed = $AnalysisPerformed
24 > CONTAINS INCLUDE DTID (3906) Vascular Section Measurements 1-n U $VascularSection = DT (T-487A0, SRT, ”Vein of Abdomen”) $SectionLaterality = EV (G-A103, SRT, ”Unilateral”) $Anatomy = DCID (12114) Abdominal Veins (unilateral) $AnalysisPerformed = $AnalysisPerformed
25 > CONTAINS INCLUDE DTID (3906) Vascular Section Measurements 1-n U $VascularSection = DT (T-44000, SRT, ”Pulmonary Artery Structure”) $SectionLaterality = EV (G-A103, SRT, ”Unilateral”) $Anatomy = DCID (3829) Pulmonary Arteries $AnalysisPerformed = $AnalysisPerformed
26 > CONTAINS INCLUDE DTID (3906) Vascular Section Measurements 1-n U $VascularSection = DT(T-43000, SRT, "Coronary Artery Structure") $Anatomy = DCID(3015) Coronary Arteries $AnalysisPerformed = $AnalysisPerformed
27 > CONTAINS INCLUDE DTID (3906) Vascular Section Measurements 1-n U $VascularSection = DT(T-48400, SRT, "Cardiac Vein Structure") $Anatomy = DCID(3839) Coronary Veins $AnalysisPerformed = $AnalysisPerformed
28 > CONTAINS INCLUDE DTID (3906) Vascular Section Measurements 1-n U $VascularSection = DT(T-48581, SRT, "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.

TID 3905Calcium Scoring ResultsType: Extensible Order: Significant

NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINER EV (121070, DCM, "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/cm^3")
5 > CONTAINS NUM EV(122659, DCM, "Calcium Scoring Calibration") 1 U Units= DT(mg/[hnsf´U].cm3), UCUM, "mg/[hnsf´U].cm^3")
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= UCUM(mm3, UCUM, "mm^3")
8 > CONTAINS NUM EV(122661, DCM, "Calcium Mass") 1 U Units= UCUM(mg, UCUM, "mg")
9 > CONTAINS NUM EV(F-02A3B, SRT, "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.

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

TID 3906Vascular Section MeasurementsType: Extensible Order: Significant

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 (G-C171, SRT, “Laterality”) 1 MC IFF $SectionLaterality has a value $SectionLaterality
3 > CONTAINS CONTAINER EV (121070, DCM, "Findings") 1-n M
4 >> HAS CONCEPT MOD CODE EV(G-C0E3, SRT, "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 (121070, DCM, "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 (T-43000, SRT, "Coronary Artery Structure") DCID (12117) Vessel Branch Modifiers
10 >>> HAS CONCEPT MOD CODE EV (G-A1F8, SRT, “Topographical Modifier”) 1 UC IF concept value of row 4 is not equal to (T-43000, SRT, "Coronary Artery Structure") DCID (12116) Vessel Segment Modifiers
11 >>> HAS CONCEPT MOD CODE EV (G-A1F8, SRT, “Topographical Modifier”) 1 UC IF concept value of row 4 equals (T-43000, SRT, "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.

TID 3907Vessel MeasurementsType: Extensible Order: Significant

NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINS NUM EV(R-101BB, SRT, “Lumen Diameter Stenosis“) 1 U UNITS=DT(%,UCUM, “%”)
2 CONTAINS NUM EV(R-101BA, SRT, “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(G-C171, SRT, “Laterality”) 1 U DCID(244) Laterality
6 > INCLUDE DTID (320) Image or Spatial Coordinates 1 U
7 CONTAINS NUM EV(G-0364, SRT, "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 CONCEPT MOD 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

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 deteced 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.

TID 3908 Vascular Lesion Type: Extensible Order: Significant

NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINS CONTAINER EV(F-00585, SRT, "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(G-0364, SRT, "Vessel Lumen Diameter") $Derivation=DCID (3838) Diameter Derivation $FindingSite=DCID(3486) IVUS Measurement Sites $Units=DT(mm, UCUM, "mm")
8 > CONTAINS INCLUDE DTID(300) Measurement 1-n U $Measurement= EV(G-0366, SRT, "Vessel Lumen Cross-Sectional Area") $Derivation=DCID (3838) Diameter Derivation $FindingSite=DCID(3486) IVUS Measurement Sites $Units=DT(mm2, UCUM, "mm^2")
9 > CONTAINS CODE EV(G-C504, SRT, "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 (M-01470, SRT, "Plaque")
13 >> INCLUDE DTID(3912) Stenosis Properties 1 MC IFF value of row 9 equals (M-34200, "Stenosis")
14 >> INCLUDE DTID(3913) Aneurysm Properties 1 MC IFF value of row 9 equals (M-32200, SRT, "Aneurysm")
15 >> INCLUDE DTID(3914) Dissection Properties 1 MC IFF value of row 9 equals (D3-81310, SRT, "Arterial Dissection")
16 >> HAS PROPERTIES CODE EV(G-C504, SRT, "Associated Morphology") 1 MC IFF value of row 9 equals (M-520F8, SRT, "Vascular Sclerosis") DCID (3817) Vascular Sclerosis Types
17 >> INCLUDE DTID(3915) Vascular Occlusion Properties 1 MC IFF value of row 9 equals EVM-34000, SRT, "Occlusion")
18 >> INCLUDE DTID(3916) Stent Properties 1 MC IFF value of row 9 equals (A-25500, SRT, "Stent")

Content Item Descriptions

Row Description
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.

TID 3909Best Illustration of FindingsType: Extensible Order: Significant

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 no purpose of reference 1 M
5 CONTAINS TCOORD EV (121080, DCM, "Best illustration of finding") 1 U
6 > SELECTED FROM SCOORD no purpose of reference 1 MC XOR row 8, 9
7 >> SELECTED FROM IMAGE no purpose of reference 1 MC must be a multiframe image
8 > SELECTED FROM WAVEFORM no purpose of reference 1 MC XOR row 6, 9
9 > SELECTED FROM IMAGE no purpose of reference 1 MC XOR row 6, 8 must be a multiframe image

TID 3910 Flow Quantification

Contains the flow quantification measurement results

TID 3910 Flow Quantification Type: Extensible Order: Significant

NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINS CONTAINER EV (121070, DCM, "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(G-D321, SRT, "Start Time") 1 M
5 > HAS OBS CONTEXT DATETIME EV(G-D320, SRT, "Stop Time") 1 M
6 > CONTAINS INCLUDE DTID(3990) 2-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(F-0319E, SRT, "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(G-C0E3, SRT, "Finding Site") 1 MC XOR row 11
11 >> HAS CONCEPT MOD CODE EV(G-C0E3, SRT, "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(F-39200, SRT, "Blood Flow") $Derivation = EV(R-00317, SRT, "Mean") $Units = DT(ml/s, UCUM, "ml/s"")
15 >> CONTAINS INCLUDE DTID(300) Measurement 1-2 U $Measurement = EV(F-39200, SRT, "Blood Flow") $ModType = EV(G-C048, SRT, “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 = (ml/m2, UCUM, "ml/m^2")
18 >> CONTAINS INCLUDE DTID(300) Measurement 1-n U $Measurement = EV(G-0366, SRT, "Vessel Lumen Cross-Sectional Area") $Derivation = DCID (3488) Min/Max/Mean $Units = DT(mm2, UCUM, "mm^2")

TID 3911 Plaque Properties

Properties of a plaque finding

TID 3911Plaque PropertiesType: Extensible Order: Significant

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,"mm^3")
2 HAS PROPERTIES CODE EV(G-A428, SRT, "Margin") 1 U DCID(3715) Lesion Morphology
3 HAS PROPERTIES CODE EV(M-01000, SRT, "Morphological 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(R-102DA, SRT, "Contrast Media Seen in Plaque")

TID 3912 Stenosis Properties

Properties of a stenosis finding

TID 3912Stenosis PropertiesType: Extensible Order: Significant

NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
1 HAS PROPERTIES CODE EV(G-C036, SRT, "Measurement method") 1 M DCID(3804) Stenosis Measurement Methods
2 HAS PROPERTIES CODE EV(G-D775, SRT, "Type of Stenosis") 1 U DCID(3805) Stenosis Types
3 HAS PROPERTIES CODE EV(G-C002, SRT, "Associated with") 1 U DCID(3815) Source of Vascular Finding
4 HAS PROPERTIES CODE EV(G-C2FE, SRT, "Shape") 1 U DCID(3806) Stenosis Shapes
5 HAS PROPERTIES INCLUDE DTID(300) Measurement 1-n U $Measurement= EV(G-0364, SRT, "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(G-0366, SRT, "Vessel Lumen Cross-Sectional Area") $Derivation= DCID(3488) Min/Max/Mean $Units=DT(mm2,UCUM, "mm^2")
7 HAS PROPERTIES NUM EV(R-101BC, SRT, "Stenotic Lesion Length") 1 U Units=DT(mm, UCUM, "mm")
8 HAS PROPERTIES CODE EV(R-101BC, SRT, "Stenotic Lesion Length") 1 U DCID(3831) Stenosis Length
9 HAS PROPERTIES INCLUDE DTID(300) Measurement 1-n U $Measurement= EV(R-101BA, SRT, "Lumen Area Stenosis") $Derivation= DCID(3488) Min/Max/Mean $Units=DT(%,UCUM, “%")
10 HAS PROPERTIES INCLUDE DTID(300) Measurement 1-n U $Measurement= EV(R-101BB, SRT, "Lumen Diameter stenosis") $Derivation= DCID(3488) Min/Max/Mean $Units=DT(%,UCUM, “%")
11 HAS PROPERTIES CODE EV(R-101BA, SRT, "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(R-101BB, SRT, “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

TID 3913Aneurysm PropertiesType: Extensible Order: Significant

NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
1 HAS PROPERTIES CODE EV(G-C504, SRT, "Associated Morphology") 1-n M DCID (3808) Aneurysm Types
2 HAS PROPERTIES CODE EV(G-C002, SRT, "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(G-C504, SRT, "Associated Morphology") 1-n UC IFF value of row 1 equals (M-32206, SRT, "Compound 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

TID 3914Arterial Dissection PropertiesType: Extensible Order: Significant

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) IVUS Dissection Classification
2 HAS PROPERTIES CODE EV(G-C150, SRT, "Etiology") 1 U DCID(3809) Associated Conditions
3 HAS PROPERTIES NUM EV(G-A22A, SRT, "Length") 1 U Units= DT(mm, UCUM, "mm")
4 HAS PROPERTIES CODE EV(R-102DD, SRT, "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

TID 3915 Vascular Occlusion Properties Type: Extensible Order: Significant

NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
1 HAS PROPERTIES CODE EV(G-D775, SRT, "Type of Stenosis") 1 M DCID(3805) Stenosis Types
2 HAS PROPERTIES CODE EV(G-C002, SRT, "Associated with") 1 U DCID(3815) Source of Vascular Finding
3 HAS PROPERTIES CODE EV(G-C2FE, SRT, "Shape") 1 U DCID(3806) Stenosis Shapes
4 HAS PROPERTIES INCLUDE DTID(300) Measurement 1 U $Measurement=EV(R-101BC, SRT, "Stenotic Lesion Length") $Method= DCID(3804) Stenosis Measurement Methods $Units=DT(mm, UCUM, "mm")

TID 3916 Stent Properties

Properties of a stent finding

TID 3916Stent PropertiesType: Extensible Order: Significant

NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
1 HAS PROPERTIES CODE EV(155, DCM, "Stent Composition") 1-n M DCID(38014) Stent Composition
2 HAS PROPERTIES NUM EV(R-101AD, SRT, "Vascular Stent Diameter") 1 U Units= DT(mm, UCUM, "mm")
3 HAS PROPERTIES NUM EV(R-101B0, SRT, "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 (M-34200, SRT, "Stenosis")

TID 3917 Aneurysm Measurements

Measurements of aneurysms. TID 300 invoked from this template alllows the measurement to reference an image used as the source of the measurement.

TID 3917Aneurysm MeasurementsType: Extensible Order: Significant

NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
1 INCLUDE DTID(300) Measurement 1 U $Measurement= EV(G-A22A, SRT, "Length") $ModType = EV(G-C093, SRT, ”Extent”) $ModValue = DT(G-A143, SRT, ”Longitudinal” ) $Units=DT(mm, UCUM, "mm")
2 INCLUDE DTID(300) Measurement 1 U $Measurement= EV(G-D705, SRT, "Volume") $Method= DCID(3807) Volume Measurement Methods $Units=DT(mm3, UCUM, "mm^3")
3 INCLUDE DTID(300) Measurement 1 U $Measurement= EV(R-102DB, SRT, "Vessel Lumen Cross-Sectional Area Increase") $Units=DT(%, UCUM, “%")
4 INCLUDE DTID(300) Measurement 1 U $Measurement= EV(R-102DB, SRT, "Vessel Lumen Cross-Sectional Area Increase") $Units=DT(mm2, UCUM, "mm^2")
5 INCLUDE DTID(300) Measurement 1 U $Measurement= EV(R-102DC, SRT, "Vessel Lumen Cross-Sectional Diameter Increase") $Units=DT(%, UCUM, “%")
6 INCLUDE DTID(300) Measurement 1 U $Measurement= EV(R-102DC, SRT, "Vessel Lumen Cross-Sectional Diameter Increase") $Units=DT(mm, UCUM, "mm")

TID 3920 Ventricular Analysis

Contains the ventricular functional measurement results.

TID 3920Ventricular AnalysisType: Extensible Order: Significant

NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINER EV (121070, DCM, "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 (T-32600, SRT, "Left Ventricle”)
5 > CONTAINS INCLUDE DTID (3921) Ventricular Measurements 1-n U $Ventricle = EV (T-32500, SRT, "Right Ventricle”)
6 > CONTAINS INCLUDE DTID (3925) 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.

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

TID 3921Ventricular MeasurementsType: Extensible Order: Significant

NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINS CONTAINER EV (121070, DCM, "Findings") 1 M
2 > HAS CONCEPT MOD CODE EV(G-C0E3, SRT, "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.

TID 3922 Absolute Values Of Ventricular Measurements Type: Extensible Order: Significant

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(F-32100, SRT, "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(R-4089A, SRT, "Cardiac Cycle Point") 1 U DCID(12233) Cardiac Cycle Point
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(F-32011, SRT, "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

TID 3923BSA-normalized Ventricular Measurements Type: Extensible Order: Significant

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, “m^2”)
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/m^2")
6 > CONTAINS INCLUDE DTID(300) Measurement 1 U $Measurement = EV(F-32110, SRT, "Cardiac Index") $Units=DT(ml/min/m2, UCUM, “(ml/min)/m^2”)
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/m^2”)
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)/m^2”)
10 > CONTAINS INCLUDE DTID(300) Measurement 1 U $Measurement = EV(F-32070, SRT, "Peak Cardiac Ejection Fraction") $ModType = EV (121425, DCM, “Index”) $ModValue = DT(8277-6, LN, “Body Surface Area”) $Units=DT(%/m2, UCUM, “%/m^2”)

TID 3924 Heart Rate-Normalized Ventricular Measurements

Ventricular measurement results normalized based on the Heart Rate

TID 3924Heart Rate-Normalized Ventricular Measurements Type: Extensible Order: Significant

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(F-32100, SRT, "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(F-32070, SRT, "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

TID 3925Thickening AnalysisType: Extensible Order: Significant

NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINS CONTAINER EV (121070, DCM, "Findings") 1 M
2 > HAS CONCEPT MOD CODE EV(111004, DCM, "Analysis Performed") 1 M EV (122607, DCM, "Thickening Analysis")
3 > CONTAINS CONTAINER EV (121070, DCM, "Findings") 1-n M
4 >> CONTAINS CODE EV(G-C0E3, SRT, "Finding Site") 1-n MC XOR row 5 DCID(3717) Myocardial Wall Segments
5 >> CONTAINS TEXT EV(G-C0E3, SRT, "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(R-4089A, SRT, "Cardiac Cycle Point") $ModValue= DT(F-32011, SRT, "End-Diastolic") $Units = DT(mm, UCUM, "mm")
8 >> CONTAINS INCLUDE DTID(300) Measurement 1 M $Measurement = EV(122445, DCM, "Wall Thickness") $ModType= EV(R-4089A, SRT, "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(F-32050, SRT, "Cardiac Wall Motion") 1 U DCID (3703) Wall Motion
11 >> CONTAINS CODE EV(G-C504, SRT, "Associated Morphology") 1 U DCID (3704) 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)

TID 3926Myocardial Perfusion AnalysisType: Extensible Order: Significant

NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINS CONTAINER EV (121070, DCM, "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 (121070, DCM, "Findings") 1-n M
4 >> HAS CONCEPT MOD CODE EV(G-C0E3, SRT, "Finding Site") 1-n MC XOR row 6 DCID(3717) Myocardial Wall Segments
5 >>> HAS CONCEPT MOD CODE EV(G-A1F8, SRT, “Topographical Modifier” 1 U DCID(3843) Myocardial Subsegment
6 >> HAS CONCEPT MOD TEXT EV(G-C0E3, SRT, "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

TID 3927Report SummaryType: Extensible Order: Non-Significant

NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
1 CONTAINER BCID(7001) Diagnostic Imaging Reports 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

TID 3929Cardiovascular Analysis Observation ContextType: Extensible Order: Significant

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(F-008EC, SRT, "Systolic Blood Pressure") 1 U Units=DT(mm[Hg], UCUM, “mmHg”)
4 HAS OBS CONTEXT NUM EV(F-008ED, SRT, "Diastolic Blood Pressure") 1 U Units=DT(mm[Hg], UCUM, “mmHg”)
5 HAS OBS CONTEXT CODE EV (F-043E6, SRT, "Respiration Observable") 1 U DCID(3823) Respiratory Status
6 HAS ACQ CONTEXT INCLUDE DTID (3106) Drugs/Contrast Administered 1-n U

TID 3990 2-Dimensional Measurement Graph

Generic template representing arbitrary two-dimensional graphs.

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

TID 39902-Dimensional Measurement GraphType: Extensible Order: Significant

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 no concept name 0-n M
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

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