TID 4002 Mammography CAD Impression/Recommendation Body Template

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

TID 4002MAMMOGRAPHY CAD IMPRESSION/RECOMMENDATION BODYType: Non-Extensible Order: Significant

NL Rel with Parent VT Concept Name VM Req Type Condition Value Set Constraint
1 CODE EV (111005, DCM, “Assessment Category”) 1-n MC At least one of rows 1, 3, 5, 6, 8, 9 shall be present. DCID (6026) Mammography Assessment
2 > HAS CONCEPT MOD CODE EV (G-C171, SRT, ”Laterality”) 1 U DCID (6022) Side
3 CODE EV (111023, DCM, “Differential Diagnosis/ Impression”) 1-n MC At least one of rows 1, 3, 5, 6, 8, 9 shall be present. DCID (6002) Change Since Last Mammogram or Prior Surgery
4 > HAS CONCEPT MOD CODE EV (G-C171, SRT, ”Laterality”) 1 U DCID (6022) Side
5 TEXT EV (111033, DCM, “Impression Description”) 1 MC At least one of rows 1, 3, 5, 6, 8, 9 shall be present.
6 CODE EV (111053, DCM, “Recommended Follow-up”) 1-n MC At least one of rows 1, 3, 5 5, 6, 8, 9 shall be present. DCID (6028) Mammography Recommended Follow-up
7 > HAS CONCEPT MOD CODE EV (G-C171, SRT, ”Laterality”) 1 U DCID (6022) Side
8 NUM EV (111055, DCM, “Recommended Follow-up Interval”) 1 MC At least one of rows 1, 3, 5, 6, 8, 9 shall be present. May be present only if (111054, DCM, “Recommended Follow-up Date”) is not present. UNITS = DCID (6046) Units of Follow-up Interval; Values = Integer ( 0, where 0 = immediate follow-up
9 DATE EV (111054, DCM, “Recommended Follow-up Date”) 1 MC At least one of rows 1, 3, 5, 6, 8, 9 shall be present. May be present only if (111055, DCM, “Recommended Follow-up Interval”) is not present. Shall be later than date of exam
10 NUM EV (111013, DCM, “Certainty of impression”) 1 UC May be present only if (111005, DCM, “Assessment Category”), (111023, DCM, “Differential Diagnosis/Impression”) or (111033, DCM, “Impression Description”) is present. UNITS = EV (%, UCUM, “Percent”) Values = 0 – 100
11 INCLUDE DTID (4019) CAD Algorithm Identification 1-n M
12 NUM DCID (6142) Calculated Value 1-n U
13 > HAS CONCEPT MOD CODE EV (G-C171, SRT, ”Laterality”) 1 U DCID (6022) Side
14 > HAS CONCEPT MOD CODE EV (121401, DCM, “Derivation”) 1 M DCID (6140) Calculation Methods
15 > INFERRED FROM TEXT EV (112034, DCM, “Calculation Description”) 1 U

Content Item Descriptions

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