QUANTITATIVE ARTERIAL ANALYSIS REPORT SR IOD TEMPLATES

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

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

TID 3213 Quantitative Arterial Analysis Template

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

TID 3213 QUANTITATIVE ARTERIAL ANALYSIS Type: Extensible Order: Significant

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 Template

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

TID 3214ANALYZED SEGMENTType: 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 (G-C0E3, SRT, “Finding Site”) 1 M DCID (3604) Arterial lesion locations
3 > CONTAINS IMAGE EV (121112, DCM, “Source of Measurements”) 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 (G-72BB, SRT, “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 (G-0364, SRT, “Vessel Luminal Diameter”) $Derivation = (R-404FB, SRT, “Minimum”) $Unit = DT (mm, UCUM, “mm”)
13 > CONTAINS INCLUDE DTID (300) Measurement 1 M $Measurement = EV (G-0364, SRT, “Vessel Luminal Diameter”) $Derivation =(G-A437, SRT, “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 (G-0364, SRT, “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 No purpose of reference 1 U

Content Item Descriptions

Row 1 Observation DateTime (0040,A032) of container needs to be flagged with the time of the analysis
Row 6 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.

Definition of Left and Right defined by the direction of the blood flow:

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TID 3215 Angiographic Lesion Analysis Template

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

TID 3215ANGIOGRAPHIC LESION ANALYSISType: Extensible Order: Significant

NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
2 > CONTAINS TEXT EV (121151, DCM, “Lesion Identifier”) 1 M
3 >> HAS PROPERTIES CODE EV (G-C0E3, SRT, “Finding Site”) 1 M DCID (3604) Arterial lesion locations
4 >>> HAS CONCEPT MOD CODE EV (G-A1F8, SRT, “Topographical modifier”) 1 U DCID (3019) Cardio-vascular Anatomic Location Modifiers
5 > CONTAINS INCLUDE DTID (300) Measurement 1 M $Measurement = EV (G-0364, SRT, “Vessel Luminal Diameter”) $Derivation =(R-404FB, SRT, “Minimum”) $Unit = DT (mm, UCUM, “mm”)
6 > CONTAINS INCLUDE DTID (300) Measurement 1-n U $Measurement = EV (G-0366, SRT, “Vessel Lumen Cross-Sectional Area”) $Method = DCID (3470) Vessel Lumen Cross-Sectional Area Calculation Methods $Derivation =(R-404FB, SRT, “Minimum”) $Unit = DT (mm2, UCUM, “mm^2”)
7 > CONTAINS CODE EV (122430, DCM, “Reference Method”) 1 M DCID (3465) QA Reference Method
8 > CONTAINS CONTAINER EV (122438, DCM, “Reference Points”) 1 U
9 >> CONTAINS NUM EV (122337, DCM, “Relative Position”) 1-n M $Unit = DT (mm, UCUM, “mm”)
10 >>> HAS PROPERTIES INCLUDE DTID (300) Measurement 1 U $Measurement = EV (G-0364, SRT, “Vessel Luminal Diameter”) $Unit = DT (mm, UCUM, “mm”)
11 > CONTAINS INCLUDE DTID (300) Measurement 1 M $Measurement = EV (G-0364, SRT, “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 (G-0366, SRT, “Vessel Lumen Cross-Sectional Area”) $Derivation = EV (122404, DCM, “Reconstructed”) $TargetSite = (122382, DCM, ”Site of Luminal Minimum”) $Unit = DT (mm2, UCUM, “mm^2”)
13 > CONTAINS INCLUDE DTID (300) Measurement 1 M $Measurement = EV (G-0364, SRT, “Vessel Luminal Diameter”) $Derivation = EV (R-41D2D, SRT, “Calculated”) $TargetSite =EV (122481, DCM, “Contour Start”) $Unit = DT (mm, UCUM, “mm”)
14 > CONTAINS INCLUDE DTID (300) Measurement 1 M $Measurement = EV (G-0364, SRT, “Vessel Luminal Diameter”) $Derivation = EV (R-41D2D, SRT, “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 (G-0366, SRT, ”Vessel Lumen Cross-Sectional Area”) $Unit = (mm2, UCUM, “mm^2”)
19 > CONTAINS INCLUDE DTID (300) Measurement 1 U $Measurement = EV (G-0366, SRT, “Vessel Lumen Cross-Sectional Area”) $Derivation = EV (R-41D2D, SRT, “Calculated”) $Method = EV(122474, DCM, “Densitometric method”) $TargetSite =EV (122481, DCM, “Contour Start”) $Unit = (mm2, UCUM, “mm^2”)
20 > CONTAINS INCLUDE DTID (300) Measurement 1 U $Measurement = EV (G-0366, SRT, “Vessel Lumen Cross-Sectional Area”) $Derivation = EV (R-41D2D, SRT, “Calculated”) $Method = EV(122474, DCM, “Densitometric method”) $TargetSite = EV (122482, DCM, “Contour End”) $Unit = (mm2, UCUM, “mm^2”)
21 > CONTAINS INCLUDE DTID (300) Measurement 1 M $Measurement = EV (R-101BC, SRT, “Lesion Length”) $Unit = DT (mm, UCUM, “mm”)
22 > CONTAINS INCLUDE DTID (300) Measurement 1 M $Measurement = EV (R-101BB, SRT, “Lumen Diameter Stenosis”) $Unit = DT (%, UCUM, “%”)
23 > CONTAINS INCLUDE DTID (300) Measurement 1-n U $Measurement = EV (R-101BA, SRT, “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, “mm^3”)
25 > CONTAINS INCLUDE DTID (300) Measurement 1 U $Measurement = EV (122542, DCM, “Plaque Area”) $Unit = DT (mm2, UCUM, “mm^2”)
26 > CONTAINS INCLUDE DTID (300) Measurement 1 U $Measurement = EV (122376, DCM, “Total Plaque Volume”) $Unit = DT (mm3, UCUM, “mm^3”)
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, “degrees”)
30 > CONTAINS INCLUDE DTID (300) Measurement 1 U $Measurement = EV (122547, DCM, “Outflow Angle”) $Unit = DT (deg, UCUM, “degrees”)
31 > CONTAINS INCLUDE DTID (3216) Stenotic Flow Reserve 1 U
32 > CONTAINS IMAGE No purpose of reference 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 Row 14)
Row 14 The diameter measurement at the end of the reconstruction line in the diameter graph (TID 3214 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
R0w 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, row 1 and 2)
Row 32 Secondary Capture image with obstruction analysis contour

TID 3216 Stenotic Flow Reserve Template

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

TID 3216STENOTIC FLOW RESERVEType: Extensible Order: Significant

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.s^2/cm^2”)
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 No purpose of reference 1 U

Content Item Descriptions

Row 6 Secondary Capture image with SFR analysis contour

TID 3217 Sub-segmental Data Template

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

TID 3217SUB-SEGMENTAL DATAType: 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 (G-C0E3, SRT, “Finding Site”) 1 M DCID (3604) Arterial lesion locations
3 >> HAS CONCEPT MOD CODE EV (G-A1F8, SRT, “Topographical modifier”) 1 U DCID (3019) Cardio-vascular 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 No purpose of reference 1 U

Content Item Descriptions

Row 7 Secondary Capture image with obstruction analysis contour

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.

TID 3218POSITION IN ARTERIAL SEGMENTType: Extensible Order: Significant

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 Row 14 is present Units = DT ({pixels}, UCUM, “pixels”)
6 CONTAINS NUM EV (122529, DCM, “Position of Distal Border”) 1 UC IFF TID 3214 Row 14 is present Units = DT ({pixels}, UCUM, “pixels”)
7 CONTAINS NUM EV (122382, DCM, “Site of Luminal Minimum”) 1 UC IFF TID 3214 Row 14 is present Units = DT ({pixels}, UCUM, “pixels”)
8 CONTAINS NUM EV (122516, DCM, “Site of Luminal Maximum”) 1 UC IFF TID 3214 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 row 14.

TID 3219 Segment Values Template

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

TID 3219 SEGMENT VALUES Type: Extensible Order: Significant

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 (G-0364, SRT, “Vessel Luminal Diameter”) $Derivation = (R-404FB, SRT, “Minimum”) $Unit = DT (mm, UCUM, “mm”)
3 CONTAINS INCLUDE DTID (300) Measurement 1 M $Measurement = EV (G-0364, SRT, “Vessel Luminal Diameter”) $Derivation =(G-A437, SRT, “Maximum”) $Unit = DT (mm, UCUM, “mm”)
4 CONTAINS INCLUDE DTID (300) Measurement 1 M $Measurement = EV (G-0364, SRT, “Vessel Luminal Diameter”) $Derivation = (R-00317, SRT, “Mean”) $Unit = DT (mm, UCUM, “mm”)
5 CONTAINS INCLUDE DTID (300) Measurement 1 U $Measurement = EV (G-0364, SRT, “Vessel Luminal Diameter”) $Derivation = (R-10047, SRT, “Standard Deviation”) $Unit = DT (mm, UCUM, “mm”)

Content Item Descriptions

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