DICOM PS3.20 2019e - Imaging Reports using HL7 Clinical Document Architecture

10.5 Quantity Measurement

Template ID

2.16.840.1.113883.​10.20.6.2.14

Name

Quantity Measurement

Effective Date

2015/03/24

Version Label

DICOM-20150324

Status

Active

Description

A Quantity Measurement records quantitative measurements such as linear, area, volume, and numeric measurements. If based on image data, a reference to the image may be present.

Classification

CDA Entry Level

Relationships

Context

parent node

Open/Closed

open

Revision History

DICOM-20150324: Initial publication, derived from template originally published in DIR r1-2009, revised in Consolidated CDA r1-2011 as 2.16.840.1.113883.10.20.6.2.14. This derivation includes Units of Measure specified with DICOM value set for UCUM (CID 82 “Units of Measurement”), equivalent to C-CDA specified value set (UCUM Units of Measure (case sensitive) 2.16.840.1.113883.11.12839); addition of optional interpretationCode and actionable priority

Business Name

Nest Level

Element/​Attribute

Card

Elem/Attr Conf

Data Type

Value Conf

Value

Subsidiary Template

Quantity​Measurement[*]

observation

1..1

SHALL

@

@classCode

1..1

SHALL

CS

SHALL

OBS

@

@moodCode

1..1

SHALL

CS

SHALL

EVN

>

template​Id

1..1

SHALL

II

>@

@root

1..1

SHALL

UID

SHALL

2.16.840.1.113883.​10.20.6.2.14

>

id

1..1

SHALL

II

Measurement​Name

>

code

1..1

SHALL

CD

Concept​Domain ObservationType

>

text

0..1

SHOULD

Ref

>>

reference

1..1

SHALL

URL (XML IDREF)

# content​Ref

>

status​Code

1..1

SHALL

CS

SHALL

COMPLETED

Time

>

effective​Time

0..1

SHOULD

TS

>

value

1..1

SHALL

>@

@xsi:type

1..1

SHALL

ST

SHALL

PQ

Measurement​Value

>@

@value

1..1

SHALL

REAL

Measurement​Units

>@

@unit

1..1

SHALL

CS

SHALL

CNE

ValueSet CID 82 “Units of Measurement”

Interpretation​Code

>

interpretation​Code

0..1

MAY

CE

SHALL CNE

ValueSet ObservationInterpretation Value Set 2.16.840.1.113883.11.78

Actionable​Priority

>>

translation

1..1

MAY

CD

MAY CWE

ValueSet CID 7035 “Actionable Finding Classification”

[See 10.1.3 interpretationCode and translation For Actionable Findings]

Target​Site

>

target​Site​Code

1..1

COND

CD

Concept​Domain ObservationSite

>>

qualifier

0..1

COND

>>>

name

1..1

SHALL

CD

SHALL

(272741003, SNOMED CT, "laterality")

Laterality

>>>

value

1..1

SHALL

CD

SHALL CNE

ValueSet CID 244 “Laterality”

>>

qualifier

0..1

COND

>>>

name

1..1

SHALL

CD

SHALL

(106233006, SNOMED CT, "Topographical modifier")

Topo​Modifier

>>>

value

1..1

SHALL

CD

SHALL CNE

ValueSet CID 2 “Anatomic Modifier”

Method

>

method​Code

0..1

MAY

CD

Concept​Domain ObservationMethod

>

entry​Relationship

0..*

MAY

>@

@typeCode

1..1

SHALL

CS

SHALL

SPRT

SOPInstance[*]

>>

observation

1..1

SHALL

10.8 SOP Instance Observation 1.2.840.10008.9.18

>

entry​Relationship

0..*

MAY

>@

@typeCode

1..1

SHALL

CS

SHALL

SPRT

Quantity​Measurement[*]

>

observation

1..1

SHALL

10.5 Quantity Measurement 2.16.840.1.113883.​10.20.6.2.14

10.5.1 text/reference and Related Narrative Block Markup

The Observation entry SHOULD include a text/reference element, whose value attribute (not to be confused with the value element of the Observation class) SHALL begin with a '#' and SHALL point to its corresponding narrative in the parent section (using the approach defined in CDA Release 2, section 4.3.5.1). See Section 9.1.1.1.

Example 10.5-1. Quantity measurement observation example 1

<text> ...
    <content ID="Q21" styleCode="Bold">Calcium score (Agatston) : 817 [HIGH - ACR Cat3]</content>
    ...
</text>
<entry>
    <observation classCode="OBS" moodCode="EVN">
        <templateId root="2.16.840.1.113883.10.20.6.2.14"/>
        <id root="1.2.840.10213.2.62.7044234.11652014"/>
        <code code="112058" codeSystem="1.2.840.10008.2.16.4"
            codeSystemName="DCM" displayName="Calcium score" />
        <text><reference value="#Q21"/></text>
        <statusCode code="COMPLETED"/>
        <effectiveTime value="20140913223912"/>
        <value xsi:type="PQ" unit="[arb'U]" value="817" />
        <interpretationCode code="HH" codeSystem="2.16.840.1.113883.5.83"
                codeSystemName="ObservationInterpretation" displayName="High alert">
            <translation code="RID49482" codeSystem="2.16.840.1.113883.6.256"
                codeSystemName="RADLEX" displayName="ACR Category 3 Actionable Finding" />
        </interpretationCode>
        <methodCode code="112055" codeSystem="1.2.840.10008.2.16.4"
            codeSystemName="DCM" displayName="Agatston" />
        <!-- entryRelationships to SOP Instance Observations may go here -->
    </observation>
</entry>

Example 10.5-2. Quantity measurement observation example 2

<section>
    <title>Left femoral artery</title>
    <text>
        ...
        <content ID="M10">Distal lumen stenosis: 75%</content>
        ...
    </text>
    <entry>
        <observation classCode="OBS" moodCode="EVN">
            <templateId root="2.16.840.1.113883.10.20.6.2.14"/>
            <id root="1.2.840.10213.2.62.7044234.988810005"/>
            <code code="408714007" codeSystem="2.16.840.1.113883.6.96"
                codeSystemName=" SNOMED CT"
                displayName="Vessel lumen diameter reduction" />
            <text><reference value="#M10"/></text>
            <statusCode code="COMPLETED"/>
            <effectiveTime value="20140913223912"/>
            <value xsi:type="PQ" unit="%" value="75" />
            <targetSiteCode code="113270003"
                    codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"
                    displayName="Left femoral artery">
                <qualifier>
                    <name code="106233006" codeSystem="2.16.840.1.113883.6.96"
                        codeSystemName="SNOMED CT" displayName="Topographical modifier" />
                    <value code="46053002" codeSystem="2.16.840.1.113883.6.96"
                        codeSystemName="SNOMED CT" displayName="Distal" />
                </qualifier>
            </targetSiteCode>
        </observation>
    </entry>
</section>

DICOM PS3.20 2019e - Imaging Reports using HL7 Clinical Document Architecture