FF.3 Report Example

The following is a simple, non-comprehensive illustration of a report for a morphological examination with stenosis findings.

Cardiovascular Analysis Report – Vascular MRI

Observer: John Doe

Procedure Description

Abdominal aorta-iliac angiography procedure

Vascular Morphological Analysis

Anatomic Region = Abdominal Artery, Left

Left Gastric Artery

Findings:

Vessel Lumen Diameter: 2 mm

Vessel Lumen Cross Sectional Area: 3.4 mm 2

Lesion Finding #1

Best illustration of finding < hyperlink to Image with ROI highlighted >

Associated Morphology: Stenosis

Stenosis type: Vasculitis

Shape: Eccentric

Minimum Vessel Lumen Diameter: 1 mm

Maximum Vessel Lumen Diameter: 1.5 mm

Mean Vessel Lumen Diameter: 1.2 mm

Minimuml Vessel Lumen Cross-sectional Area: 1 mm2

Maximum Vessel Lumen Cross-sectional Area: 3 mm2

Stenotic Lesion Length: 5 mm

Minimum Lumen Area Stenosis: 45 %

Maximum Lumen Area Stenosis: 75 %

Mean Lumen Area Stenosis: 60%

Figure FF.3-1 Presentation of Report Example #1

Table FF.3-1 Example #1 Report Encoding

Nest Code Meaning of Concept Name Code Meaning or Example Value TID
1 CT/MR Cardiovascular Analysis Report 3900
1.1 Procedure Reported Vascular MRI 3900
1.2 Observer Name John Doe 1001
1.3 Language of Content Items and Descendents English 1204
1.4 Procedure Summary 3901
1.4.1 Current Procedure Description Abdominal aorta-iliac angiography procedure 3901
1.5 Findings 3902
1.5.1 Analysis Performed Vascular Morphological Analysis 3902
1.5.2 Artery of Abdomen 3906
1.5.2.1 Laterality Left 3906
1.5.2.2 Findings 3906
1.5.2.3.1 Finding Site Gastric Artery 3906
1.5.2.3.2 Vessel Lumen Diameter 2 mm 3907
1.5.2.3.3 Vessel Lumen Cross Sectional Area 3.4 mm2 3907
1.5.2.3.4 Lesion Finding 3908
1.5.2.3.4.1 Identifier 1 3908
1.5.2.3.4.2 Best Illustration of Findings (SCOORD) <ROI specification> 3909
1.5.2.3.4.2.1 <Image reference> 3909
1.5.2.3.4.3 Associated Morphology Stenosis 3908
1.5.2.3.4.4 Type Vasculitis 3912
1.5.2.3.4.5 Shape Eccentric 3912
1.5.2.3.4.6 Vessel Lumen Diameter 1 mm 3912
1.5.2.3.4.6.1 Qualifier Value Minimum 3912
1.5.2.3.4.7 Vessel Lumen Diameter 1.5 mm 3912
1.5.2.3.4.7.1 Qualifier Value Maximum 3912
1.5.2.3.4.8 Vessel Lumen Diameter 1.2 mm 3912
1.5.2.3.4.8.1 Qualifier Value Mean 3912
1.5.2.3.4.9 Vessel Lumen Cross-sectional Area 1 mm2 3912
1.5.2.3.4.9.1 Qualifier Value Minimum 3912
1.5.2.3.4.10 Vessel Lumen Cross-sectional Area 3 mm2 3912
1.5.2.3.4.10.1 Qualifier Value Maximum 3912
1.5.2.3.3.11 Stenotic Lesion Length 5 mm 3912
1.5.2.3.4.12 Lumen Area Stenosis 45 % 3912
1.5.2.3.4.12.1 Qualifier Value Minimum 3912
1.5.2.3.4.13 Lumen Area Stenosis 75 % 3912
1.5.2.3.4.13.1 Qualifier Value Maximum 3912
1.5.2.3.4.14 Lumen Area Stenosis 60 % 3912
1.5.2.3.4.14.1 Qualifier Mean 3912