A.35 Structured REPORT Document Information Object Definitions

A.35.1 Basic Text SR Information Object Definition

A.35.1.1 Basic Text SR Information Object Description

The Basic Text Structured Report (SR) IOD is intended for the representation of reports with minimal usage of coded entries (typically used in Document Title and headings) and a hierarchical tree of headings under which may appear text and subheadings. Reference to SOP Instances (e.g. images or waveforms or other SR Documents) is restricted to appear at the level of the leaves of this primarily textual tree. This structure simplifies the encoding of conventional textual reports as SR Documents, as well as their rendering.

A.35.1.2 Basic Text SR IOD Entity-Relationship Model

The E-R Model in Section A.1.2 of this Part applies to the Basic Text SR IOD. The Frame of Reference IE, and the IEs at the level of the Image IE in Section A.1.2 are not components of the Basic Text SR IOD. Table A.35.1-1 specifies the Modules of the Basic Text SR IOD.

A.35.1.3 Basic Text SR IOD Module Table

Table A.35.1-1 specifies the Modules of the Basic Text SR IOD.

Table A.35.1-1BASIC TEXT SR IOD MODULES

IE Module Reference Usage
Patient Patient C.7.1.1 M
Clinical Trial Subject C.7.1.3 U
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U
Clinical Trial Study C.7.2.3 U
Series SR Document Series C.17.1 M
Clinical Trial Series C.7.3.2 U
Equipment General Equipment C.7.5.1 M
Document SR Document General C.17.2 M
SR Document Content C.17.3 M
SOP Common C.12.1 M

Note: The Specimen Identification Module was previously included in this IOD but has been retired. See PS 3.3-2008.

A.35.1.3.1 Basic Text SR IOD Content Constraints

A.35.1.3.1.1 Value Type

Value Type (0040,A040) in the Content Sequence (0040,A730) of the SR Document Content Module is constrained to the following Enumerated Values (see Table C.17.3-7 for Value Type definitions):

TEXT

CODE

DATETIME

DATE

TIME

UIDREF

PNAME COMPOSITE IMAGE WAVEFORM CONTAINER

A.35.1.3.1.2 Relationship Constraints

Relationships between Content Items in the content of this IOD shall be conveyed in the by-value mode. See Table C.17.3-8 for Relationship Type definitions.

Note: Relationships by-reference are forbidden. Therefore, Referenced Content Item Identifier (0040,DB73) is not present in any of the Content Items within the SR Document Content Module.

Table A.35.1-2 specifies the relationship constraints of this IOD.

Table A.35.1-2RELATIONSHIP CONTENT CONSTRAINTS FOR BASIC TEXT SR IOD

Source Value Type Relationship Type (Enumerated Values) Target Value Type
CONTAINER CONTAINS TEXT, CODE, DATETIME, DATE, TIME, UIDREF, PNAME, COMPOSITE1, IMAGE1, WAVEFORM1, CONTAINER
CONTAINER HAS OBS CONTEXT TEXT, CODE, DATETIME, DATE, TIME, UIDREF, PNAME, COMPOSITE1
CONTAINER, IMAGE1, WAVEFORM1, COMPOSITE1 HAS ACQ CONTEXT TEXT, CODE, DATETIME, DATE, TIME, UIDREF, PNAME
any type HAS CONCEPT MOD TEXT, CODE2
TEXT HAS PROPERTIES TEXT, CODE, DATETIME, DATE, TIME, UIDREF, PNAME, IMAGE1, WAVEFORM1, COMPOSITE1
PNAME HAS PROPERTIES TEXT, CODE, DATETIME, DATE, TIME, UIDREF, PNAME
TEXT INFERRED FROM TEXT, CODE, DATETIME, DATE, TIME, UIDREF, PNAME, IMAGE1, WAVEFORM1, COMPOSITE1

Note: 1. Which SOP Classes the IMAGE, WAVEFORM or COMPOSITE Value Type may refer to, is documented in the Conformance Statement for an application (see PS 3.2 and PS 3.4).

2. The HAS CONCEPT MOD relationship is used to modify the meaning of the Concept Name of a Source Content Item, for example to provide a more descriptive explanation, a different language translation, or to define a post-coordinated concept.

A.35.2 Enhanced SR Information Object Definition

A.35.2.1 Enhanced SR Information Object Description

The Enhanced Structured Report (SR) IOD is a superset of the Basic Text SR IOD. It is also intended for the representation of reports with minimal usage of coded entries (typically Document Title and headings) and a hierarchical tree of headings under which may appear text and subheadings. In addition, it supports the use of numeric measurements with coded measurement names and units. Reference to SOP Instances (e.g. images or waveforms or SR Documents) is restricted to appear at the level of the leaves of this primarily textual tree. It enhances references to SOP Instances with spatial regions of interest (points, lines, circle, ellipse, etc.) and temporal regions of interest.

A.35.2.2 Enhanced SR IOD Entity-Relationship Model

The E-R Model in Section A.1.2 of this Part applies to the Enhanced SR IOD. The Frame of Reference IE, and the IEs at the level of the Image IE in Section A.1.2 are not components of the Enhanced SR IOD. Table A.35.2-1 specifies the Modules of the Enhanced SR IOD.

A.35.2.3 Enhanced SR IOD Module Table

Table A.35.2-1ENHANCED SR IOD MODULES

IE Module Reference Usage
Patient Patient C.7.1.1 M
Clinical Trial Subject C.7.1.3 U
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U
Clinical Trial Study C.7.2.3 U
Series SR Document Series C.17.1 M
Clinical Trial Series C.7.3.2 U
Equipment General Equipment C.7.5.1 M
Document SR Document General C.17.2 M
SR Document Content C.17.3 M
SOP Common C.12.1 M

Note: The Specimen Identification Module was previously included in this IOD but has been retired. See PS 3.3-2008.

A.35.2.3.1 Enhanced SR IOD Content Constraints

A.35.2.3.1.1 Value Type

Value Type (0040,A040) in the Content Sequence (0040,A730) of the SR Document Content Module is constrained to the following Enumerated Values (see Table C.17.3-7 for Value Type definitions):

TEXT

CODE

NUM

DATETIME

DATE

TIME

UIDREF

PNAME SCOORD

TCOORD

COMPOSITEIMAGEWAVEFORMCONTAINER

A.35.2.3.1.2 Relationship Constraints

Relationships between Content Items in the content of this IOD shall be conveyed in the by-value mode. See Table C.17.3-8 for Relationship Type definitions.

Note: Relationships by-reference are forbidden. Therefore, Referenced Content Item Identifier (0040,DB73) is not present in any of the Content Items within the SR Document Content Module.

Table A.35.2-2 specifies the relationship constraints of this IOD.

Table A.35.2-2RELATIONSHIP CONTENT CONSTRAINTS FOR ENHANCED SR IOD

Source Value Type Relationship Type (Enumerated Values) Target Value Type
CONTAINER CONTAINS TEXT, CODE, NUM, DATETIME, DATE, TIME, UIDREF, PNAME, SCOORD, TCOORD, COMPOSITE1, IMAGE1, WAVEFORM1, CONTAINER
CONTAINER HAS OBS CONTEXT TEXT, CODE, NUM, DATETIME, DATE, TIME, UIDREF, PNAME, COMPOSITE1
CONTAINER, IMAGE1, WAVEFORM1, COMPOSITE1, NUM HAS ACQ CONTEXT TEXT, CODE, NUM, DATETIME, DATE, TIME, UIDREF, PNAME
any type HAS CONCEPT MOD TEXT, CODE2
TEXT, CODE, NUM HAS PROPERTIES TEXT, CODE, NUM, DATETIME, DATE, TIME, UIDREF, PNAME, IMAGE1, WAVEFORM1, COMPOSITE1, SCOORD, TCOORD
PNAME HAS PROPERTIES TEXT, CODE, DATETIME, DATE, TIME, UIDREF, PNAME
TEXT, CODE, NUM INFERRED FROM TEXT, CODE, NUM, DATETIME, DATE, TIME, UIDREF, PNAME, IMAGE1, WAVEFORM1, COMPOSITE1, SCOORD, TCOORD
SCOORD SELECTED FROM IMAGE1
TCOORD SELECTED FROM SCOORD, IMAGE1, WAVEFORM1

Note: 1. Which SOP Classes the IMAGE, WAVEFORM or COMPOSITE Value Type may refer to, is documented in the Conformance Statement for an application (see PS 3.2 and PS 3.4).

2. The HAS CONCEPT MOD relationship is used to modify the meaning of the Concept Name of a Source Content Item, for example to provide a more descriptive explanation, a different language translation, or to define a post-coordinated concept.

A.35.3 Comprehensive SR Information Object Definition

A.35.3.1 Comprehensive SR Information Object Description

The Comprehensive SR IOD is a superset of the Basic Text SR IOD and the Enhanced SR IOD, which specifies a class of documents, the content of which may include textual and a variety of coded information, numeric measurement values, references to the SOP Instances and spatial or temporal regions of interest within such SOP Instances. Relationships by-reference are enabled between Content Items.

A.35.3.2 Comprehensive SR IOD Entity-Relationship Model

The E-R Model in Section A.1.2 of this Part applies to the Comprehensive SR IOD. The IEs at the level of the Image IE in Section A.1.2 are not components of the Comprehensive SR IOD. Table A.35.3-1 specifies the Modules of the Comprehensive SR IOD.

A.35.3.3 Comprehensive SR IOD Module Table

Table A.35.3-1COMPREHENSIVE SR IOD MODULES

IE Module Reference Usage
Patient Patient C.7.1.1 M
Clinical Trial Subject C.7.1.3 U
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U
Clinical Trial Study C.7.2.3 U
Series SR Document Series C.17.1 M
Clinical Trial Series C.7.3.2 U
Frame of Reference Frame of Reference C.7.4.1 U
Synchronization C.7.4.2 U
Equipment General Equipment C.7.5.1 M
Document SR Document General C.17.2 M
SR Document Content C.17.3 M
SOP Common C.12.1 M

Note: The Specimen Identification Module was previously included in this IOD but has been retired. See PS 3.3-2008.

A.35.3.3.1 Comprehensive SR IOD Content Constraints

A.35.3.3.1.1 Value Type

Value Type (0040,A040) in the Content Sequence (0040,A730) of the SR Document Content Module is constrained to the following Enumerated Values (see Table C.17.3-7 for Value Type definitions):

TEXT

CODE

NUM

DATETIME

DATE

TIME

UIDREF

PNAME SCOORD

TCOORD

COMPOSITEIMAGEWAVEFORMCONTAINER

A.35.3.3.1.2 Relationship Constraints

Relationships between content items in the content of this IOD may be conveyed either by-value or by-reference. Table A.35.3-2 specifies the relationship constraints of this IOD. See Table C.17.3-8 for Relationship Type definitions.

Table A.35.3-2RELATIONSHIP CONTENT CONSTRAINTS FOR COMPREHENSIVE SR IOD

Source Value Type Relationship Type (Enumerated Values) Target Value Type
CONTAINER CONTAINS TEXT, CODE, NUM, DATETIME, DATE, TIME, UIDREF, PNAME, SCOORD, TCOORD, COMPOSITE1, IMAGE1, WAVEFORM1, CONTAINER (See below).
TEXT, CODE, NUM, CONTAINER HAS OBS CONTEXT TEXT, CODE, NUM, DATETIME, DATE, TIME, UIDREF, PNAME, COMPOSITE1
CONTAINER, IMAGE1, WAVEFORM1, COMPOSITE1, NUM HAS ACQ CONTEXT TEXT, CODE, NUM, DATETIME, DATE, TIME, UIDREF, PNAME, CONTAINER.
any type HAS CONCEPT MOD TEXT, CODE2
TEXT, CODE, NUM HAS PROPERTIES TEXT, CODE, NUM, DATETIME, DATE, TIME, UIDREF, PNAME, IMAGE1, WAVEFORM1, COMPOSITE1, SCOORD, TCOORD, CONTAINER.
PNAME HAS PROPERTIES TEXT, CODE, DATETIME, DATE, TIME, UIDREF, PNAME
TEXT, CODE, NUM INFERRED FROM TEXT, CODE, NUM, DATETIME, DATE, TIME, UIDREF, PNAME, IMAGE1, WAVEFORM1, COMPOSITE1, SCOORD, TCOORD, CONTAINER.
SCOORD SELECTED FROM IMAGE1
TCOORD SELECTED FROM SCOORD, IMAGE1, WAVEFORM1

Note: 1. Which SOP Classes the IMAGE, WAVEFORM or COMPOSITE Value Type may refer to, is documented in the Conformance Statement for an application (see PS 3.2 and PS 3.4).

2. The HAS CONCEPT MOD relationship is used to modify the meaning of the Concept Name of a Source Content Item, for example to provide a more descriptive explanation, a different language translation, or to define a post-coordinated concept.

The HAS CONCEPT MOD and CONTAINS relationships shall not be conveyed by-reference.

Relationships by-reference to ancestor Content Items are forbidden in this IOD to prevent loops.

A.35.4 Key Object Selection Document Information Object Definition

A.35.4.1 Key Object Selection Document Information Object Description

The Key Object Selection Document IOD is intended for flagging one or more significant images, waveforms, or other composite SOP Instances.

A.35.4.2 Key Object Selection Document IOD Entity-Relationship Model

The E-R Model in Section A.1.2 of this Part applies to the Key Object Selection Document IOD. Table A.35.1-1 specifies the Modules of the Key Object Selection Document IOD.

A.35.4.3 Key Object Selection Document IOD Module Table

Table A.35.4-1 specifies the Modules of the Key Object Selection Document IOD.

Table A.35.4-1KEY OBJECT SELECTION DOCUMENT IOD MODULES

IE Module Reference Usage
Patient Patient C.7.1.1 M
Clinical Trial Subject C.7.1.3 U
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U
Clinical Trial Study C.7.2.3 U
Series Key Object Document Series C.17.6.1 M
Clinical Trial Series C.7.3.2 U
Equipment General Equipment C.7.5.1 M
Document Key Object Document C.17.6.2 M
SR Document Content C.17.3 M
SOP Common C.12.1 M

Note: The Specimen Identification Module was previously included in this IOD but has been retired. See PS 3.3-2008.

A.35.4.3.1 Key Object Selection Document IOD Content Constraints

A.35.4.3.1.1 Value Type

Value Type (0040,A040) in the Content Sequence (0040,A730) of the SR Document Content Module is constrained to the following Enumerated Values (see Table C.17.3-7 for Value Type definitions):

TEXT

CODE

UIDREF

PNAME

IMAGE

WAVEFORM

COMPOSITE

CONTAINER

A.35.4.3.1.2 Relationship Constraints

Relationships between Content Items in the content of this IOD shall be conveyed in the by-value mode. See Table C.17.3-8 for Relationship Type definitions.

Note: Relationships by-reference are forbidden. Therefore, Referenced Content Item Identifier (0040,DB73) is not present in any of the Content Items within the SR Document Content Module.

Table A.35.4-2 specifies the relationship constraints of this IOD.

Table A.35.4-2RELATIONSHIP CONTENT CONSTRAINTS FOR KEY OBJECT SELECTION DOCUMENT IOD

Source Value Type Relationship Type (Enumerated Values) Target Value Type
CONTAINER CONTAINS TEXT, IMAGE, WAVEFORM, COMPOSITE
CONTAINER HAS OBS CONTEXT TEXT, CODE, UIDREF, PNAME
CONTAINER HAS CONCEPT MOD CODE

A.35.4.3.1.3 Template Constraints

The document shall be constructed from TID 2010 Key Object Selection invoked at the root node.

A.35.5 Mammography CAD SR Information Object Definition

A.35.5.1 Mammography CAD SR Information Object Description

The Mammography CAD SR IOD is used to convey the detection and analysis results of a mammography CAD device. The content may include textual and a variety of coded information, numeric measurement values, references to the SOP Instances, and spatial regions of interest within such SOP Instances. Relationships by-reference are enabled between Content Items.

A.35.5.2 Mammography CAD SR IOD Entity-Relationship Model

The E-R Model in Section A.1.2 of this Part applies to the Mammography CAD SR IOD. The Frame of Reference IE, and the IEs at the level of the Image IE in Section A.1.2 are not components of the Mammography CAD SR IOD. Table A.35.5-1 specifies the Modules of the Mammography CAD SR IOD.

A.35.5.3 Mammography CAD SR IOD Module Table

Table A.35.5-1 specifies the Modules of the Mammography CAD SR IOD.

Table A.35.5-1MAMMOGRAPHY CAD SR IOD MODULES

IE Module Reference Usage
Patient Patient C.7.1.1 M
Clinical Trial Subject C.7.1.3 U
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U
Clinical Trial Study C.7.2.3 U
Series SR Document Series C.17.1 M
Clinical Trial Series C.7.3.2 U
Equipment General Equipment C.7.5.1 M
Document SR Document General C.17.2 M
SR Document Content C.17.3 M
SOP Common C.12.1 M

Note: The Specimen Identification Module was previously included in this IOD but has been retired. See PS 3.3-2008.

A.35.5.3.1 Mammography CAD SR IOD Content Constraints

A.35.5.3.1.1 Template Constraints

Note: All Template and Context Group definitions are located in PS 3.16, DICOM Content Mapping Resource, in the Annexes titled DCMR Templates and DCMR Context Groups, respectively.

A.35.5.3.1.2 Value Type

Value Type (0040,A040) in the Content Sequence (0040,A730) of the SR Document Content Module is constrained to the following Enumerated Values (see Table C.17.3-7 for Value Type definitions):

TEXT

CODE

NUM

DATE

TIME

PNAME

SCOORD

COMPOSITE

IMAGE

CONTAINER

A.35.5.3.1.3 Relationship Constraints

The Mammography CAD SR IOD makes extensive use of by-reference INFERRED FROM, by-reference HAS PROPERTIES and by-reference SELECTED FROM relationships. Other relationships by-reference are forbidden. Table A.35.5-2 specifies the relationship constraints of this IOD. See Table C.17.3-8 for Relationship Type definitions.

Table A.35.5-2RELATIONSHIP CONTENT CONSTRAINTS FOR MAMMOGRAPHY CAD SR IOD

Source Value Type Relationship Type (Enumerated Values) Target Value Type
CONTAINER CONTAINS CODE, NUM, SCOORD, IMAGE1, CONTAINER, TEXT, DATE.
TEXT, CODE, NUM, CONTAINER HAS OBS CONTEXT TEXT, CODE, NUM, DATE, TIME, PNAME, UIDREF, COMPOSITE1.
IMAGE HAS ACQ CONTEXT TEXT, CODE, DATE, TIME, NUM.
CONTAINER, CODE, NUM, COMPOSITE HAS CONCEPT MOD TEXT, CODE2.
TEXT, CODE, NUM HAS PROPERTIES CONTAINER, TEXT, CODE, NUM, DATE, IMAGE1, SCOORD, UIDREF.
CODE, NUM INFERRED FROM CODE, NUM, SCOORD, CONTAINER, TEXT, IMAGE.
SCOORD SELECTED FROM IMAGE1.

Note: 1. Which SOP Classes the IMAGE or COMPOSITE Value Type may refer to, is documented in the Conformance Statement for an application (see PS 3.2 and PS 3.4).

2. The HAS CONCEPT MOD relationship is used to modify the meaning of the Concept Name of a Source Content Item, for example to provide a more descriptive explanation, a different language translation, or to define a post-coordinated concept.

A.35.6 Chest CAD SR Information Object Definition

A.35.6.1 Chest CAD SR Information Object Description

The Chest CAD SR IOD is used to convey the detection and analysis results of a chest CAD device. The content may include textual and a variety of coded information, numeric measurement values, references to the SOP Instances, and spatial regions of interest within such SOP Instances. Relationships by-reference are enabled between Content Items.

A.35.6.2 Chest CAD SR IOD Entity-Relationship Model

The E-R Model in Section A.1.2 of this Part applies to the Chest CAD SR IOD. The Frame of Reference IE, and the IEs at the level of the Image IE in Section A.1.2 are not components of the Chest CAD SR IOD. Table A.35.6-1 specifies the Modules of the Chest CAD SR IOD.

A.35.6.3 Chest CAD SR IOD Module Table

Table A.35.6-1 specifies the Modules of the Chest CAD SR IOD.

Table A.35.6-1CHEST CAD SR IOD MODULES

IE Module Reference Usage
Patient Patient C.7.1.1 M
Clinical Trial Subject C.7.1.3 U
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U
Clinical Trial Study C.7.2.3 U
Series SR Document Series C.17.1 M
Clinical Trial Series C.7.3.2 U
Equipment General Equipment C.7.5.1 M
Document SR Document General C.17.2 M
SR Document Content C.17.3 M
SOP Common C.12.1 M

Note: The Specimen Identification Module was previously included in this IOD but has been retired. See PS 3.3-2008.

A.35.6.3.1 Chest CAD SR IOD Content Constraints

A.35.6.3.1.1 Template Constraints

Note: All Template and Context Group definitions are located in PS 3.16, DICOM Content Mapping Resource, in the Annexes titled DCMR Templates and DCMR Context Groups, respectively.

A.35.6.3.1.2 Value Type

Value Type (0040,A040) in the Content Sequence (0040,A730) of the SR Document Content Module is constrained to the following Enumerated Values (see Table C.17.3-7 for Value Type definitions):

TEXT

CODE

NUM

DATE

TIME

PNAME

SCOORD

TCOORD

COMPOSITE

IMAGE

CONTAINER

UIDREF

WAVEFORM

A.35.6.3.1.3 Relationship Constraints

The Chest CAD SR IOD makes use of by-reference INFERRED FROM, by-reference SELECTED FROM, and by-reference HAS PROPERTIES relationships. Other relationships by-reference are forbidden. Table A.35.6-2 specifies the relationship constraints of this IOD. See Table C.17.3-8 for Relationship Type definitions.

Table A.35.6-2RELATIONSHIP CONTENT CONSTRAINTS FOR CHEST CAD SR IOD

Source Value Type Relationship Type (Enumerated Values) Target Value Type
CONTAINER CONTAINS CODE, NUM, IMAGE1, CONTAINER.
TEXT, CODE, NUM, CONTAINER HAS OBS CONTEXT TEXT, CODE, NUM, DATE, TIME, PNAME, UIDREF, COMPOSITE1.
IMAGE, WAVEFORM HAS ACQ CONTEXT TEXT, CODE, DATE, TIME, NUM.
CONTAINER, CODE, COMPOSITE, NUM HAS CONCEPT MOD TEXT, CODE2.
TEXT, CODE, NUM HAS PROPERTIES CONTAINER, TEXT, CODE, NUM, DATE, IMAGE1, WAVEFORM1, SCOORD, TCOORD, UIDREF.
CODE, NUM INFERRED FROM CODE, NUM, IMAGE1, WAVEFORM1, SCOORD, TCOORD, CONTAINER, TEXT.
SCOORD SELECTED FROM IMAGE1.
TCOORD SELECTED FROM SCOORD, IMAGE1, WAVEFORM1.

Note: 1. Which SOP Classes the IMAGE or COMPOSITE Value Type may refer to, is documented in the Conformance Statement for an application (see PS 3.2 and PS 3.4).

2. The HAS CONCEPT MOD relationship is used to modify the meaning of the Concept Name of a Source Content Item, for example to provide a more descriptive explanation, a different language translation, or to define a post-coordinated concept.

A.35.7 Procedure Log Information Object Definition

A.35.7.1 Procedure Log Information Object Description

The Procedure Log IOD is intended for the representation of reports or logs of time-stamped events occurring during an extended diagnostic or interventional procedure, typical of the cardiac catheterization lab.

A.35.7.2 Procedure Log IOD Entity-Relationship Model

The E-R Model in Section A.1.2 of this Part applies to the Procedure Log IOD. Table A.35.7-1 specifies the Modules of the Procedure Log IOD.

Note: Unlike some other SR IODs, the Frame of Reference IE is critical to the synchronized time stamping of events in the Procedure Log IOD and to multi-modality coordination.

A.35.7.3 Procedure Log IOD Module Table

Table A.35.7-1PROCEDURE LOG IOD MODULES

IE Module Reference Usage
Patient Patient C.7.1.1 M
Clinical Trial Subject C.7.1.3 U
Study General Study C.7.2.1 M
Clinical Trial Study C.7.2.3 U
Series SR Document Series C.17.1 M
Clinical Trial Series C.7.3.2 U
Frame of Reference Synchronization C.7.4.2 M
Equipment General Equipment C.7.5.1 M
Document SR Document General C.17.2 M
SR Document Content C.17.3 M
SOP Common C.12.1 M

A.35.7.3.1 Procedure Log IOD Content Constraints

A.35.7.3.1.1 Template

The document may be constructed from Baseline TID 3001 "Procedure Log" (defined in PS3.16) invoked at the root node.

Note: This template defines a container (the root) with subsidiary content items, each of which represents a single procedure log entry. There is a defined recording observer (the person responsible for recording the log, generally a technician or nurse). The log entries follow a canonical model of a coded log entry type (the concept name of the content item), the value associated with the concept name as one of the SR Value Types, and optionally a subsidiary free text comment and/or an identifier of the author or device source of the log entry (which may be other than the recording observer).

A.35.7.3.1.2 Observation DateTime

Each Item in the Content Sequence (0040,A730) of the SR Document Content Module that is a target of a "CONTAINS" relationship from the root node, i.e., the first level Log Content Items, shall include the Observation DateTime (0040,A032) as a Type 1 attribute. This attribute shall represent the DateTime at which the event recorded in the Content Item occurred, not the time at which the Item was recorded.

The first level Procedure Log Content Items in the Content Sequence shall be strictly ordered by monotonically increasing Observation DateTime (0040,A032) values.

The Observation DateTime (0040,A032) shall be specified to a precision of one second or finer.

A.35.7.3.1.3 Value Type

Value Type (0040,A040) in the Content Sequence (0040,A730) of the SR Document Content Module is constrained to the following Enumerated Values (see Table C.17-7 for Value Type definitions):

CODE

CONTAINER

COMPOSITE

DATETIME

DATE

IMAGE

NUM

PNAME

TEXT

TIME

UIDREF

WAVEFORM

A.35.7.3.1.4 Relationship Constraints

Relationships between Content Items in the content of this IOD shall be conveyed in the by-value mode. See Table C.17-8 for Relationship Type definitions.

Notes: 1. Relationships by-reference are forbidden. Therefore, Referenced Content Item Identifier (0040,DB73) is not present in any of the Content Items within the SR Document Content Module.2. CONTAINERs are not permitted as a target of any relationship.

Table A.35.7-2 specifies the relationship constraints of this IOD.

Table A.35.7-2RELATIONSHIP CONTENT CONSTRAINTS FOR PROCEDURE LOG IOD

Source Value Type Relationship Type (Enumerated Values) Target Value Type
CONTAINER CONTAINS TEXT, CODE, NUM, PNAME, COMPOSITE, IMAGE, WAVEFORM
any type HAS OBS CONTEXT TEXT, CODE, NUM, DATETIME, UIDREF, PNAME
CONTAINER, IMAGE, WAVEFORM, COMPOSITE HAS ACQ CONTEXT TEXT, CODE, NUM, DATETIME, DATE, TIME, UIDREF, PNAME
any type HAS CONCEPT MOD TEXT, CODE
any type (except CONTAINER) HAS PROPERTIES TEXT, CODE, NUM, DATETIME, UIDREF, PNAME
TEXT, CODE, NUM INFERRED FROM IMAGE, WAVEFORM, COMPOSITE

A.35.8 X-Ray Radiation Dose SR Information Object Definition

A.35.8.1 X-Ray Radiation Dose SR Information Object Description

The X-Ray Radiation Dose SR IOD is used to convey the exposure characteristics and dose from X-Rays generated by imaging devices.

Note: Therapeutic dose is reported in the RT Dose IOD.

A.35.8.2 X-Ray Radiation Dose SR IOD Entity-Relationship Model

The E-R Model in Section A.1.2 of this Part applies to the X-Ray Radiation Dose SR IOD. Table A.35.8-1 specifies the Modules of the X-Ray Radiation Dose SR IOD.

A.35.8.3 X-Ray Radiation Dose SR IOD Module Table

Table A.35.8-1X-RAY RADIATION DOSE SR IOD MODULES

IE Module Reference Usage
Patient Patient C.7.1.1 M
Clinical Trial Subject C.7.1.3 U
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U
Clinical Trial Study C.7.2.3 U
Series SR Document Series C.17.1 M
Clinical Trial Series C.7.3.2 U
Frame of Reference Synchronization C.7.4.2 C - shall be present if system time is synchronized to an external reference. May be present otherwise.
Equipment General Equipment C.7.5.1 M
Enhanced General Equipment C.7.5.2 M
Document SR Document General C.17.2 M
SR Document Content C.17.3 M
SOP Common C.12.1 M

A.35.8.3.1 X-Ray Radiation Dose SR IOD Content Constraints

A.35.8.3.1.1 Template

The document may be constructed from Baseline TID 10001 "Projection X-Ray Radiation Dose Report" or Baseline TID 10011 "CT Radiation Dose" (defined in PS3.16) invoked at the root node.

Note: This IOD maybe used with other Templates defined for Dose Reporting. Such other Templates maybe specialized for specific modalities or future dose measurement techniques.

A.35.8.3.1.2 Value Type

Value Type (0040,A040) in the Content Sequence (0040,A730) of the SR Document Content Module is constrained to the following Enumerated Values (see Table C.17-7 for Value Type definitions):

TEXTCODENUMDATETIMEUIDREFPNAMECOMPOSITEIMAGECONTAINER

A.35.8.3.1.3 Relationship Constraints

Relationships between content items in the content of this IOD shall be conveyed by-value. Table A.35.8-2 specifies the relationship constraints of this IOD. See Table C.17.3-2 for Relationship Type definitions.

Table A.35.8-2RELATIONSHIP CONTENT CONSTRAINTS FOR X-RAY RADIATION DOSE SR IOD

Source Value Type Relationship Type (Enumerated Values) Target Value Type
CONTAINER CONTAINS TEXT, CODE, NUM, DATETIME, UIDREF, PNAME, IMAGE, COMPOSITE, CONTAINER
CONTAINER HAS OBS CONTEXT DATETIME, CODE, TEXT, UIDREF, PNAME
TEXT, CODE, NUM HAS OBS CONTEXT TEXT, CODE, NUM, DATETIME, UIDREF, PNAME, COMPOSITE
CONTAINER, IMAGE, COMPOSITE HAS ACQ CONTEXT TEXT, CODE, NUM, DATETIME, UIDREF, PNAME, CONTAINER.
any type HAS CONCEPT MOD TEXT, CODE
TEXT, CODE, NUM HAS PROPERTIES TEXT, CODE, NUM, DATETIME, UIDREF, PNAME, IMAGE, COMPOSITE, CONTAINER.
PNAME HAS PROPERTIES TEXT, CODE, DATETIME, DATE, TIME, UIDREF, PNAME
TEXT, CODE, NUM INFERRED FROM TEXT, CODE, NUM, DATETIME, UIDREF, IMAGE, COMPOSITE, CONTAINER.

Note: The SOP Classes to which an IMAGE or COMPOSITE Value Type may refer, is documented in the Conformance Statement for an application (see PS 3.2 and PS 3.4).

A.35.9 Spectacle Prescription Report Information Object Definition

A.35.9.1 Spectacle Prescription Report Information Object Description

The Spectacle Prescription Report IOD is used to represent the spectacle prescription for a patient.

A.35.9.2 Spectacle Prescription Report IOD Entity-Relationship Model

The E-R Model in Section A.1.2 of this Part applies to the Spectacle Prescription Report IOD.

A.35.9.3 Spectacle Prescription Report IOD Module Table

Table A.35.9-1 specifies the Modules of the Spectacle Prescription Report IOD.

Table A.35.9-1 SPECTACLE PRESCIPTION REPORT IOD MODULES

IE Module Reference Usage
Patient Patient C.7.1.1 M
Clinical Trial Subject C.7.1.3 U
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U
Clinical Trial Study C.7.2.3 U
Series SR Document Series C.17.1 M
Clinical Trial Series C.7.3.2 U
Equipment General Equipment C.7.5.1 M
Enhanced General Equipment C.7.5.2 M
Document SR Document General C.17.2 M
SR Document Content C.17.3 M
SOP Common C.12.1 M

A.35.9.3.1 Spectacle Prescription Report IOD Content Constraints

A.35.9.3.1.1 Value Type

Value Type (0040,A040) in the Content Sequence (0040,A730) of the SR Document Content Module is constrained to the following Enumerated Values (see Table C.17.3-7 for Value Type definitions):

TEXT

CODE

NUM

CONTAINER

A.35.9.3.1.2 Relationship Constraints

Relationships between Content Items in the content of this IOD shall be conveyed in the by-value mode. See Table C.17.3-8 for Relationship Type definitions.

Note: Relationships by-reference are forbidden. Therefore, Referenced Content Item Identifier (0040,DB73) is not present in any of the Content Items within the SR Document Content Module.

Table A.35.9-2 specifies the relationship constraints of this IOD.

Table A.35.9-2RELATIONSHIP CONTENT CONSTRAINTS FOR SPECTACLE PRESCRIPTION REPORT IOD

Source Value Type Relationship Type (Enumerated Values) Target Value Type
CONTAINER CONTAINS CONTAINER, CODE, NUM, TEXT

A.35.9.3.1.3 Template Constraints

The document shall be constructed from TID 2020 Spectacle Prescription Report invoked at the root node.

A.35.10 Colon CAD SR Information Object Definition

A.35.10.1 Colon CAD SR Information Object Description

The Colon CAD SR IOD is used to convey the detection and analysis results of a colon CAD device. The content may include textual and a variety of coded information, numeric measurement values, references to the SOP Instances, and spatial regions of interest within such SOP Instances. Relationships by-reference are enabled between Content Items.

A.35.10.2 Colon CAD SR IOD Entity-Relationship Model

The E-R Model in Section A.1.2 of this Part applies to the Colon CAD SR IOD. The Frame of Reference IE, and the IEs at the level of the Image IE in Section A.1.2 are not components of the Colon CAD SR IOD. Table A.35.10-1 specifies the Modules of the Colon CAD SR IOD.

A.35.10.3 Colon CAD SR IOD Module Table

Table A.35.10-1 specifies the Modules of the Colon CAD SR IOD.

Table A.35.10-1COLON CAD SR IOD MODULES

IE Module Reference Usage
Patient Patient C.7.1.1 M
Clinical Trial Subject C.7.1.3 U
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U
Clinical Trial Study C.7.2.3 U
Series SR Document Series C.17.1 M
Clinical Trial Series C.7.3.2 U
Equipment General Equipment C.7.5.1 M
Enhanced General Equipment C.7.5.2 M
Document SR Document General C.17.2 M
SR Document Content C.17.3 M
SOP Common C.12.1 M

A.35.10.3.1 Colon CAD SR IOD Content Constraints

A.35.10.3.1.1 Template Constraints

The document shall be constructed from TID 4120 Colon CAD Document Root invoked at the root node.

Note: All Template and Context Group definitions are located in PS 3.16, Content Mapping Resource, in the Annexes titled Structured Reporting Templates and DCMR Context Groups, respectively.

A.35.10.3.1.2 Value Type

Value Type (0040,A040) in the Content Sequence (0040,A730) of the SR Document Content Module is constrained to the following Enumerated Values (see Table C.17.3-7 for Value Type definitions):

TEXT

CODE

NUM

DATE

TIME

PNAME

SCOORD

COMPOSITE

IMAGE

CONTAINER

UIDREF

SCOORD3D

A.35.10.3.1.3 Relationship Constraints

The Colon CAD SR IOD makes use of by-reference INFERRED FROM and by-reference HAS ACQ CONTEXT relationships. Other relationships by-reference are forbidden. Table A.35.10-2 specifies the relationship constraints of this IOD. See Table C.17.3-8 for Relationship Type definitions.

Table A.35.10-2RELATIONSHIP CONTENT CONSTRAINTS FOR COLON CAD SR IOD

Source Value Type Relationship Type (Enumerated Values) Target Value Type
CONTAINER CONTAINS CODE, NUM, IMAGE1, CONTAINER, UIDREF, DATE, TIME.
TEXT, CODE, NUM, CONTAINER HAS OBS CONTEXT TEXT, CODE, NUM, DATE, TIME, PNAME, UIDREF, COMPOSITE1.
IMAGE HAS ACQ CONTEXT TEXT, CODE, DATE, TIME, NUM, CONTAINER.
CONTAINER, CODE, COMPOSITE, NUM HAS CONCEPT MOD TEXT, CODE2.
TEXT, CODE, NUM HAS PROPERTIES CONTAINER, TEXT, CODE, NUM, DATE, IMAGE1, SCOORD, SCOORD3D, UIDREF.
CODE, NUM INFERRED FROM CODE, NUM, IMAGE1, SCOORD, SCOORD3D, CONTAINER, TEXT.
SCOORD SELECTED FROM IMAGE1.

Notes: 1. Which SOP Classes the IMAGE or COMPOSITE Value Type may refer to, is documented in the Conformance Statement for an application (see PS 3.2 and PS 3.4).

2. The HAS CONCEPT MOD relationship is used to modify the meaning of the Concept Name of a Source Content Item, for example to provide a more descriptive explanation, a different language translation, or to define a post-coordinated concept.

A.35.11 Macular Grid Thickness and Volume Report Information Object Definition

A.35.11.1 Macular Grid Thickness and Volume Report Information Object Description

The Macular Grid Thickness and Volume Report IOD is used to represent the macular grid thickness and volume values derived from ophthalmic images.

A.35.11.2 Macular Grid Thickness and Volume Report IOD Entity-Relationship Model

The E-R Model in Section A.1.2 of this Part applies to the Macular Grid Thickness and Volume Report IOD. Table A.35.11.3-1 specifies the Modules of the Thickness and Macular Volume Report IOD.

A.35.11.3 Macular Grid Thickness and Volume Report IOD Module Table

Table A.35.11.3-1 specifies the Modules of the Macular Grid Thickness and Volume Report IOD.

Table A.35.11-1MACULAR GRID THIICKNESS AND VOLUME REPORT IOD MODULES

IE Module Reference Usage
Patient Patient C.7.1.1 M
Clinical Trial Subject C.7.1.3 U
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U
Clinical Trial Study C.7.2.3 U
Series SR Document Series C.17.1 M
Clinical Trial Series C.7.3.2 U
Equipment General Equipment C.7.5.1 M
Enhanced General Equipment C.7.5.2 M
Document SR Document General C.17.2 M
SR Document Content C.17.3 M
SOP Common C.12.1 M

A.35.11.3.1 Macular Grid Thickness and Volume Report IOD Content Constraints

A.35.11.3.1.1 Value Type

Value Type (0040,A040) in the Content Sequence (0040,A730) of the SR Document Content Module is constrained to the following Enumerated Values (see Table C.17.3-1 for Value Type definitions):

TEXTIMAGENUMCONTAINERCODEPNAMEUIDREFDATE

A.35.11.3.1.2 Relationship Constraints

Relationships between Content Items in the content of this IOD shall be conveyed in the by-value mode. See Table C.17.3-2 for Relationship Type definitions.

Note: Relationships by-reference are forbidden. Therefore, Referenced Content Item Identifier (0040,DB73) is not present in any of the Content Items within the SR Document Content Module.

Table A.35.11.3.1.2-1 specifies the relationship constraints of this IOD.

Table A.35.11-2RELATIONSHIP CONTENT CONSTRAINTS FOR MACULAR GRID THICKNESS AND VOLUME REPORT IOD

Source Value Type Relationship Type (Enumerated Values) Target Value Type
CONTAINER HAS OBS CONTEXT CODE, PNAME, TEXT, UIDREF, DATE, NUM
CONTAINER CONTAINS CONTAINER, NUM, TEXT, CODE
any type HAS CONCEPT MOD CODE
NUM HAS OBS CONTEXT TEXT
NUM INFERRED FROM IMAGE

A.35.11.3.1.3 Template Constraints

The document shall be constructed from TID 2100 Macular Grid Thickness and Volume Report invoked at the root node.

A.35.12 Implantation Plan SR Document information object definition

A.35.12.1 Implantation Plan SR Document IOD Description

The Implantation Plan SR Document IOD contains the results of a planning process for an individual patient, wherein specific implant templates are selected and positioned using images of the patient. The Implantation Plan SR Document references the implant templates, the images, and the registration SOP instances that are used in the planning.

A.35.12.2 Implantation Plan SR Document IOD Entity-Relationship Model

The E-R Model in Section A.1.2 of this Part applies to the Implantation Plan SR Document. The Frame of Reference IE, and the IEs at the level of the Image IE in Section A.1.2 are not components of the Implantation Plan SR Document IOD. Table A.35.12-1 specifies the Modules of the Implantation Plan SR Document IOD.

A.35.12.3 Implantation Plan SR Document IOD Module Table

Table A.35.12-1 IMPLANTATION PLAN SR DOCUMENT IOD MODULES

IE Module Reference Usage
Patient Patient C.7.1.1 M
Clinical Trial Subject C.7.1.3 U
Study General Study C.7.2.1 M
Patient Study C.7.2.2 U
Clinical Trial Study C.7.2.3 U
Series SR Document Series C.17.1 M
Clinical Trial Series C.7.3.2 U
Equipment General Equipment C.7.5.1 M
Enhanced General Equipment C.7.5.2 M
Document SR Document General C.17.2 M
SR Document Content C.17.3 M
SOP Common C.12.1 M

A.35.12.3.1 IMPLANTATION PLAN SR DOCUMENT IOD Content Constraints

A.35.12.3.1.1 Template Constraints

The document shall be constructed from TID 7000 Implantation Plan SR Document Root invoked at the root node.

Note: All Template and Context Group definitions are located in PS 3.16, DICOM Content Mapping Resource, in the Annexes titled DCMR Templates and DCMR Context Groups, respectively.

A.35.12.3.1.2 Value Type

Value Type (0040,A040) in the Content Sequence (0040,A730) of the SR Document Content Module is constrained to the following Enumerated Values (see Table C.17.3-7 for Value Type definitions):

TEXT

CODE

NUM

UIDREF

COMPOSITE

IMAGE

CONTAINER

DATE

PNAME

A.35.12.3.1.3 Relationship Constraints

Relationships between content items in the content of this IOD may be conveyed by-value. Table A.35.12-2 specifies the relationship constraints of this IOD. See Table C.17.3-8 for Relationship Type definitions.

Table A.35.12-2 RELATIONSHIP CONTENT CONSTRAINTS FOR IMPLANTATION PLAN SR DOCUMENT IOD

Source Value Type Relationship Type (Enumerated Values) Target Value Type
CONTAINER CONTAINS TEXT, CODE, NUM, UIDREF, COMPOSITE1, IMAGE1, CONTAINER
CONTAINER HAS OBS CONTEXT TEXT, CODE, NUM, DATE, UIDREF, PNAME, COMPOSITE1
any type HAS CONCEPT MOD TEXT, CODE2
TEXT, CODE, NUM, IMAGE, UIDREF, COMPOSITE HAS PROPERTIES TEXT, CODE, NUM, UIDREF, IMAGE1, COMPOSITE1

Notes: 1. Which SOP Classes the IMAGE or COMPOSITE Value Type may refer to is documented in the Conformance Statement for an application (see PS 3.2 and PS 3.4).

2. The HAS CONCEPT MOD relationship is used to modify the meaning of the Concept Name of a Source Content Item, for example, to provide a more descriptive explanation, a different language translation, or to define a post-coordinated concept.