The templates for ultrasound reports are defined in PS 3.16, Annex A, DCMR Templates. The following figure is an outline of the common elements of ultrasound structured reports.
Figure I.1-1 Top Level Structure of Content Tree
The Patient Characteristics Section is for medical data of immediate relevance to administering the procedure and interpreting the results. This information may originate outside the procedure.
The Procedure Summary Section contains exam observations of immediate or primary significance. This is key information a physician typically expects to see first in the report.
Measurements typically reside in a measurement group container within a Section. Measurement groups share context such as anatomical location, protocol or type of analysis. The grouping may be specific to a product implementation or even to a user configuration. OB-GYN measurement groups have related measurements, averages and other derived results.
If present, the Image Library contains a list of images from which observations were derived. These are referenced from the observations with by-reference relationships.