DICOM PS3.16 2019c - Content Mapping Resource

TID 3520 Hemodynamic Clinical Context

The Clinical Context Template allows the recording of information about the patient's clinical state that may affect interpretation of the hemodynamic measurements. This Template includes several coded conditions (e.g., complications, drugs, physiological challenges, etc.), each of which may have a Concept Modifier of "Relative Time". This Modifier indicates the temporal relationship of the hemodynamic measurements to the conditions recorded in this Template. E.g., the Content Item structure:

[CONTAINER] "Findings"

>HAS ACQ CONTEXT "Cath Procedure Phase" "Post-intervention phase"

>HAS ACQ CONTEXT [CONTAINER] "Clinical Context"

>>CONTAINS [CODE] "Complication" "Arrhythmia"

>>>HAS CONCEPT MOD [CODE] "Relative Time" "After"

>CONTAINS [CONTAINER] "Arterial Measurements"…

conveys the semantics that this group of measurements for the post-intervention phase of a cath procedure was made after an occurrence of arrhythmia in the patient.

In the absence of a Relative Time modifier, the acquisition context is during the identified event or state.

Type:

Extensible

Order:

Significant

Root:

No

Table TID 3520. Hemodynamic Clinical Context

NL

Rel with Parent

VT

Concept Name

VM

Req Type

Condition

Value Set Constraint

1

CONTAINER

EV (122127, DCM, "Clinical Context")

1

M

2

>

CONTAINS

CODE

EV (109054, DCM, "Patient State")

1-n

U

BCID 3602 “Hemodynamic Patient State”

3

>

CONTAINS

TEXT

EV (109054, DCM, "Patient State")

1

U

4

>

CONTAINS

INCLUDE

DTID 3521 “Relative Time”

1-n

U

$ConditionName = EV (116224001, SCT, "Complication of Procedure")

$ConditionValue = DCID 3413 “Adverse Outcomes”

5

>

CONTAINS

INCLUDE

DTID 3521 “Relative Time”

1-n

U

$ConditionName = EV (122086, DCM, "Contrast administered")

$ConditionValue = BCID 12 “Radiographic Contrast Agent”

6

>

CONTAINS

INCLUDE

DTID 3521 “Relative Time”

1-n

U

$ConditionName = EV (122083, DCM, "Drug administered")

$ConditionValue = BCID 10 “Interventional Drug”

7

>

CONTAINS

INCLUDE

DTID 3521 “Relative Time”

1-n

U

$ConditionName = EV (109059, DCM, "Physiological challenges")

$ConditionValue = BCID 3271 “Hemodynamic Physiological Challenges”

8

>

CONTAINS

INCLUDE

DTID 3521 “Relative Time”

1-n

U

$ConditionName = EV (122138, DCM, "Circulatory Support")

$ConditionValue = DCID 3553 “Circulatory Support”

9

>

CONTAINS

INCLUDE

DTID 3521 “Relative Time”

1-n

U

$ConditionName = EV (243147009, SCT, "Controlled ventilation")

$ConditionValue = DCID 3554 “Ventilation”

10

>

CONTAINS

INCLUDE

DTID 3521 “Relative Time”

1-n

U

$ConditionName = EV (18590009, SCT, "Cardiac Pacing")

$ConditionValue = BCID 3555 “Pacing”

11

>

CONTAINS

INCLUDE

DTID 3521 “Relative Time”

1-n

U

$ConditionName = EV (71388002, SCT, "Procedure")

$ConditionValue = BCID 3405 “Procedure Action Values”


DICOM PS3.16 2019c - Content Mapping Resource