QUANTitAtive Ventricular analysis REPORT SR IOD TEMPLATES

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

[pic]

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

TID 3202 Ventricular Analysis Template

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

TID 3202VENTRICULAR ANALYSISType: Extensible Order: Significant

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 Measurements”) 1-n M
11 >>> HAS CONCEPT MOD CODE EV (G-A60B), SRT, “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 Template

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

Parameter Name Parameter Usage
$CalibrationPlane XA Imaging plane

TID 3205 CALIBRATION Type: Extensible Order: Significant

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 Object
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 Measurements”)
11 > CONTAINS IMAGE No purpose of reference 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, row 3)
Row 11 Secondary Capture image with calibration position

TID 3206 VA Main Results Template

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

TID 3206 VA MAIN RESULTS Type: 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 (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 (1, 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 (1, 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 (F-32120, SRT, “Stroke Volume”) $Unit = DT (ml, UCUM, “ml”)
13 > CONTAINS NUM EV (8867-4, LN, “Heart Rate”) 1 U Unit = DT ({hb}/min, UCUM, “beats/min”)
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/m^ 2”)
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/m^2”)
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 (F-32120, SRT, “Stroke Volume”) $ModType = EV (121425, DCM, “Index”) $ModValue = DCID (3455) Index Methods $Unit = DT (ml/m2, UCUM, “ml/m^2”)
19 > CONTAINS INCLUDE DTID (300) Measurement 1 U $Measurement = EV (F-32120, SRT, “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 (F-32100, SRT, “Cardiac Output”) $Unit = DT (l/min, UCUM, “l/min”)
21 > CONTAINS INCLUDE DTID (300) Measurement 1 U $Measurement = EV (F-32110, SRT, “Cardiac Index”) $ModType = EV (121425, DCM, “Index”) $ModValue = DCID (3455) Index Methods $Unit = DT (l/min/m2, UCUM, “l/min/m^2”)
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/m^2”)
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/cm^2”)
28 > CONTAINS IMAGE No purpose of reference 1-n U

Content Item Descriptions

Row 28 Secondary Capture image with ED and/or ES contours

TID 3207 AA Main Results Template

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

TID 3207AA MAIN 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 > HAS CONCEPT MOD CODE EV (G-C0E3, SRT, “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 (1, 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 (1, 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 No purpose of reference 1-n U

Content Item Descriptions

Row 11 Secondary Capture image with ED and/or ES contours

TID 3208 Frame-to-Frame Results Template

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

TID 3208FRAME-TO-FRAME RESULTType: Extensible Order: Significant

NL
Row 5,6 Includes one measurement for each frame referenced in Row 3.
Row 7 Secondary Capture image with ventricular contours

TID 3209 Centerline Wall Motion Template

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

TID 3209CENTERLINE WALL MOTIONType: 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 (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 (F-32050, SRT, “Cardiac Wall Motion”) 1 M DCID (3703) Wall Motion
8 >> CONTAINS CODE EV (R-404F0, SRT, “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 (G-C03E, SRT, “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 (F-32050, SRT, “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 (F-32050, SRT, “Cardiac Wall Motion”) $ModValue = DCID (3703) Wall Motion $Unit = DT ({sd}, UCUM, “Standard Deviations”)
15 > CONTAINS IMAGE No purpose of reference 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

TID 3210 Radial Based Wall Motion Template

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

TID 3210RADIAL BASED WALL MOTIONType: 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 (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 (121070, DCM, “Findings”) 1-n M
5 >> HAS CONCEPT MOD CODE EV (G-C0E3, SRT, “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 No purpose of reference 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

TID 3211 Landmark Based Wall Motion Template

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

TID 3211LANDMARK BASED WALL MOTIONType: 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 (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 (121070, DCM, “Findings”) 5 M
6 >> HAS CONCEPT MOD CODE EV (G-C0E3, SRT, “Finding Sites”) 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 No purpose of reference 1 U

Content Item Descriptions

Row 8 Secondary Capture image with Landmark Based Analysis result