TID 2020 Template for Spectacle Prescription Report Root Template

The Spectacle Prescription Report is a structured report used to represent the prescription for a patient. Usually a prescription is for both eyes, but sometimes just one. The Spectacle Prescription Report defines a refractive correction relative to which visual acuity may be measured subjectively, and thus may be referenced by a Visual Acuity Measurements Storage SOP Instance.

TID 2020 Spectacle Prescription Report Type: Extensible Order: Significant

NL
$Laterality Which eye

TID 2101 Macular Grid Thickness and Volume Measurement 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 EV (T-AA000, SRT, “Eye”)
3 >> HAS CONCEPT MOD CODE EV (G-C171, SRT, “Laterality”) 1 M $Laterality
4 > CONTAINS NUM EV (57108-3, LN, “Macular Grid.Center Point Thickness”) 1 M UNITS=EV(um, UCUM, “micrometer”)
5 > CONTAINS NUM EV (57109-1, LN, “Macular Grid.Center Subfield Thickness”) 1 M UNITS=EV(um, UCUM, “micrometer”)
6 > CONTAINS NUM EV (57110-9, LN, “Macular Grid.Inner Superior Subfield Thickness”) 1 M UNITS=EV(um, UCUM, “micrometer”)
7 > CONTAINS NUM EV (57111-7, LN, “Macular Grid.Inner Nasal Subfield Thickness”) 1 M UNITS=EV(um, UCUM, “micrometer”)
8 > CONTAINS NUM EV (57112-5, LN, “Macular Grid.Inner Inferior Subfield Thickness”) 1 M UNITS=EV(um, UCUM, “micrometer”)
9 > CONTAINS NUM EV (57113-3, LN, “Macular Grid.Inner Temporal Subfield Thickness”) 1 M UNITS=EV(um, UCUM, “micrometer”)
10 > CONTAINS NUM EV (57114-1, LN, “Macular Grid.Outer Superior Subfield Thickness”) 1 M UNITS=EV(um, UCUM, “micrometer”)
11 > CONTAINS NUM EV (57115-8, LN, “Macular Grid.Outer Nasal Subfield Thickness”) 1 M UNITS=EV(um, UCUM, “micrometer”)
12 > CONTAINS NUM EV (57116-6, LN, “Macular Grid.Outer Inferior Subfield Thickness”) 1 M UNITS=EV(um, UCUM, “micrometer”)
13 > CONTAINS NUM EV (57117-4, LN, “Macular Grid.Outer Temporal Subfield Thickness”) 1 M UNITS=EV(um, UCUM, “micrometer”)
14 > CONTAINS NUM EV (57118-2, LN, “Macular Grid.Total Volume”) 1 M UNITS=EV(mm3, UCUM, “mm3”)
15 > CONTAINS NUM EV (111691, DCM, “Number of Images Used for Macular Measurements”) 1 M UNITS = EV ({images}, UCUM, “images”)
16 > CONTAINS NUM EV (111692, DCM, “Number of Samples Used per Image”) 1 M UNITS = EV ({samples},UCUM, “samples”)
17 > CONTAINS NUM EV (111693, DCM, “Analysis Quality Rating”) 1 M UNITS = EV({0:100}, UCUM, “range:0:100”) Value = 0 – 100
18 >> HAS OBS CONTEXT INCLUDE DTID (2102) Quality Rating Identification 1 M
19 > CONTAINS NUM EV (111694, DCM, “Image Set Quality Rating”) 1 M UNITS = EV({0:100}, UCUM, “range:0:100”) Value = 0 – 100
20 >> HAS OBS CONTEXT INCLUDE DTID (2102) Quality Rating Identification 1 M
21 > CONTAINS NUM EV (111029, DCM, “Image Quality Rating”) 1-n U UNITS = EV({0:100}, UCUM, “range:0:100”) Value = 0 – 100
22 >> INFERRED FROM IMAGE No purpose of reference 1 M
23 >> HAS OBS CONTEXT INCLUDE DTID (2102) Quality Rating Identification 1 M
24 > CONTAINS CODE EV (111696, DCM, “Visual Fixation Quality During Acquisition”) 1 U DCID (4220) Visual Fixation Quality During Acquisition
25 >> HAS CONCEPT MOD CODE EV (111697, DCM, “Visual Fixation Quality Problem”) 1-n U DCID (4221) Visual Fixation Quality Problem
26 > CONTAINS CODE EV (111698, DCM, “Ophthalmic Macular Grid Problem”) 1-n U DCID (4222) Ophthalmic Macular Grid Problem
27 > CONTAINS TEXT EV (121106, DCM, “Comments”) 1 U