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9 Annexes

9.1.4 Coerced/Modified Fields

Data Dictionary of Private Attributes

No private attributes are defined.

Coded Terminology and Templates

9.3.1

Context Groups

Table 54 Context Groups

Context Group Default Value Set Configurable Use Anatomic

Modifier

CID 2 No Specified for use in the Anatomic Region Modifier Sequence as part of the US Image module.

Units of Measurement

CID 82 No Specified for use in the Measurement Units Code Sequence for Value Type NUM as part of the SR Document Content module.

Observation

CID 3000 No Specified for use in the Channel Source Sequence as part of the Cine module.

Sex CID 7455 No Specified for use as Subject Sex in TID 1007 – Subject Context, Patient.

Vascular Summary

CID 12101 No Specified for use as Vascular Summary item for the Vascular Ultrasound Report. The actual reports use Private Code Definitions (Context Group: Exam Details; Measurement Details), thus extending the Context Group CID 12101 (ref. Table 66).

Intracranial Cerebral Vessels

CID 12105 No Specified for use as Concept Name of the vascular anatomy ($Anatomy) for the Vascular Ultrasound Report. The actual reports use Private Code Definitions (Context Group:

Vessels), thus extending the Context Group CID 12105 (ref. Table 66).

Intracranial Cerebral Vessels (Unilateral)

CID 12106 No Specified for use as Concept Name of the vascular anatomy ($Anatomy) for the Vascular Ultrasound Report. The actual reports use Private Code Definitions (Context Group:

Vessels), thus extending the Context Group CID 12105 (ref. Table 66).

Context Group Default Value Set Configurable Use Vascular

Ultrasound Property

CID 12119 No Specified for use as Concept Name of the vascular anatomy ($Measurement) for the Vascular Ultrasound Report (Vascular Ultrasound Measurement Group).

The actual reports use Private Code Definitions (Context Group: Measurement Details), thus extending the Context Group CID 12119 (ref.

Table 66).

9.3.2

Template Specifications

The contents of the Comprehensive SR image will follow template TID 5100 Vascular

Ultrasound Report, the template for the root of the content tree for the vascular ultrasound procedure report.

Figure 7. Vascular Ultrasound Report

Table 55 TID 5100 – Vascular Ultrasound Report

Table 66 1 ALWAYS 99_NovaSignal

1004 TCD Bubble Study Exam 1006 TCD Emboli Monitoring 1008 TCD Study Exam Report 2 > HAS OBS

CONTEXT

INCLUDE DTID 1001

“Observation SCT, "Blood Vessel of Head") SCT, "Blood Vessel of Head") SCT, "Blood Vessel of Head")

Table 56 TID 300 – Measurement

Table 57 TID 1001 – Observation Context NL Relation

with Parent

VT Concept Name VM Presence Condition Value Set Constraint

1 HAS OBS

CONTEXT INCLUDE DTID 1002

“Observer Context”

Ref. Table 58

1-n ALWAYS Required if all aspects of observer context are not inherited.

Defaults to the attributes of the Author Observer Sequence

(0040,A078), or the Verifying Observer Sequence (0040,A073) if the Author Observer Sequence is not present

2 HAS OBS

CONTEXT INCLUDE DTID 1005

“Procedure context are not inherited.

3 HAS OBS

CONTEXT INCLUDE DTID 1006 “Subject Context”

Table 58 TID 1002 – Observer Context NL Relation type is device

(121006, DCM,

"Person")

2 HAS OBS

CONTEXT INCLUDE DTID 1003 “Person Observer

Table 59 TID 1003 – Person Observer Identifying Attributes NL Relation (0008,0080) of the General Equipment

NL Relation

Table 60 TID 1005 – Procedure Context NL Relation

Instance UID (0020, 000D) of General Study Module

Table 61 TID 1006 – Subject Context NL Relation human or animal patients

Table 62 TID 1007 – Subject Context, Patient NL Relation

with Parent

VT Concept Name VM Presence Condition Value Set Constraint

1 PNAME EV (121029, DCM,

"Subject Name") 1 ANAP Required if not

inherited. Defaults to value of Patient's Name (0010,0010) in Patient Module

2 CODE EV (121030, DCM,

"Subject ID") 1 ANAP Required if not

inherited. Defaults to value of Patient ID

Patient's Birth Date (0010,0030) in

Table 63 TID 5102 – Vascular Procedure Summary Section

"Summary") 1 ALWAYS

2 > CONTAINS TEXT EV (1009,

“Rest ICC Shunt Grade”)

“Rest ICC Bubble Count”)

“Valsalva ICC Shunt Grade”)

“Rest RMCA Bubble Count”)

1 ANAP Spencer Shunt Grade Algorithm

NL Relation

“Rest LMCA Bubble Count”)

TID 5102 – Vascular Procedure Summary Section has been extended, including container for Emboli Count and Vasomotor Reactivity.

Table 64 TID 5103 – Vascular Ultrasound Section NL Relation

"Finding Site") 1 ALWAYS $SectionScope

3 > HAS CONCEPT MOD

CODE EV (272741003, SCT,

"Laterality") 1 ALWAYS $SectionLaterality 4 > CONTAINS INCLUDE DTID 5104 “Vascular

Table 65 TID 5104 – Vascular Ultrasound Measurement Group NL Relation

CONTEXT DATETIME EV (10014, 99_NovaSignal,

NL Relation

TID 5104 – Vascular Ultrasound Measurement Group has been extended, including acquisition context Capture Time and Event, and containing image references and Measurement Notes.

9.3.3

Private Code Definitions

The NovaGuide Application Entity makes use of private code definitions using Coding Scheme Designator 99_NovaSignal.

Table 66 Private Code Definitions per Coding Scheme Designator 99_NovaSignal Context Group Code

Value

Code Meaning Extending CID

Image Types 101 Spectrogram Image

102 Mmode Image

103 Screenshot Image 104 Combined Image

Exam Details 1001 Indications CID 12101

1002 Exam Notes CID 12101

1003 Technique Description CID 12101

1004 TCD Bubble Study Exam Report 1005 TCD Vasoreactivity Study Exam Report 1006 TCD Emboli Monitoring Exam Report 1007 TCD Monitoring Study Exam Report 1008 TCD Study Exam Report

1009 Exam End Time

Measurement Details 10001 Power (%) CID 12119

Context Group Code Value

Code Meaning Extending CID

10004 Depth (mm) CID 12119

10005 Sample Volume CID 12119

10006 Pos. Mean Flow Velocity (cm/s) Positive Mean Flow Velocity

CID 12119 10007 Neg. Mean Flow Velocity (cm/s)

Negative Mean Flow Velocity

CID 12119 10008 Pos. Pulsatility Index

Positive Pulsatility Index

CID 12119 10009 Neg. Pulsatility Index

Negative Pulsatility Index

CID 12119 10010 Pos. Peak Systolic Velocity (cm/s)

Positive Peak Systolic Velocity

CID 12119 10011 Neg. Peak Systolic Velocity (cm/s)

Negative Peak Systolic Velocity

CID 12119 10012 Pos. End Diastolic Velocity (cm/s)

Positive End Diastolic Velocity

CID 12119 10013 Neg. End Diastolic Velocity (cm/s)

Negative End Diastolic Velocity

CID 12119 10014 Capture Time

10015 Total Emboli Count

10016 Pulse Repetition Frequency 10017 Measurement Notes 10018 Event

10019 Right Emboli 10020 Left Emboli

10021 Vasomotor Reactivity 10022 Right VMR

10023 Left VMR

10024 Blood Pressure CID 12101

10025 Emboli Count

10026 Valsalva LMCA Bubble Count 10027 Valsalva RMCA Bubble Count 10028 Rest LMCA Bubble Count 10029 Rest RMCA Bubble Count 10030 Rest ICC Shunt Grade 10031 Valsalva ICC Shunt Grade 10032 Rest ICC Bubble Count 10033 Valsalva ICC Bubble Count 10034 Valsalva Spencer Shunt Grade 10035 Rest Spencer Shunt Grade 10036 ICC Shunt Grade

10037 ICC Bubble Count 10038 Spencer Shunt Grade 10039 Spencer Bubble Count 10040 Left Lindegaard Ratio 10041 Right Lindegaard Ratio

Vessels 20001 Middle Cerebral Artery CID 12105

20002 Anterior Cerebral Artery CID 12105

20003 Posterior Cerebral Artery CID 12105

Context Group Code Value

Code Meaning Extending CID

20004 Internal Carotid Artery CID 12105

20005 Vertebral Artery CID 12105

20006 Terminal Internal Carotid Artery CID 12105

20007 Ophthalmic Artery CID 12105

20008 Carotid Siphon CID 12105

20009 Anterior-Middle Cerebral Artery Bifurcation CID 12105 20010 Posterior Cerebral Artery P1 Segment CID 12105 20011 Posterior Cerebral Artery P2 Segment CID 12105

20012 Basilar Artery CID 12105

20013 Unknown Artery CID 12105

20014 Middle Cerebral Artery M1 Segment (MCA 1) CID 12105 20015 Middle Cerebral Artery M2 Segment (MCA 2) CID 12105 20016 Anterior Cerebral Artery A1 Segment (ACA1) CID 12105 20017 Anterior Cerebral Artery A2 Segment (ACA2) CID 12105 20018 External Carotid Artery (ECA) CID 12105 20019 Extracranial Vertebral Artery (EXT VERT) CID 12105 20020 Middle Cerebral Artery Proximal CID 12105

20021 Middle Cerebral Artery Mid CID 12105

20022 Middle Cerebral Artery Distal CID 12105 20023 Anterior Cerebral Artery Proximal CID 12105 20024 Anterior Cerebral Artery Mid CID 12105 20025 Anterior Cerebral Artery Distal CID 12105

20026 Vertebral Artery Proximal CID 12105

20027 Vertebral Artery Mid CID 12105

20028 Vertebral Artery Distal CID 12105

20029 Basilar Artery Proximal CID 12105

20030 Basilar Artery Mid CID 12105

20031 Basilar Artery Distal CID 12105

Grayscale Image Consistency

Not applicable.

Standard Extended/Specialized/Private SOP Classes

No Extended, Specialized or Private SOP Classes are supported.

Private Transfer Syntaxes

Not applicable.

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