The Basic Voice Audio IOD is the specification of a digitized sound that has been acquired or created by an audio modality or by an audio acquisition function within an imaging modality. A typical use is report dictation.
The E-R Model in Section A.34.1 applies to the Basic Voice Audio IOD.
Table A.34.2-1. Basic Voice Audio IOD Modules
|
IE |
Module |
Reference |
Usage |
|---|---|---|---|
|
Patient |
Patient |
M |
|
|
Clinical Trial Subject |
U |
||
|
Study |
General Study |
M |
|
|
Patient Study |
U |
||
|
Clinical Trial Study |
U |
||
|
Series |
General Series |
M |
|
|
Clinical Trial Series |
U |
||
|
Frame of Reference |
Synchronization |
U |
|
|
Equipment |
General Equipment |
M |
|
|
Waveform |
Waveform Identification |
M |
|
|
Waveform |
M |
||
|
Acquisition Context |
M |
||
|
Waveform Annotation |
U |
||
|
SOP Common |
M |
The value of Number of Waveform Channels (003A,0005) in the Waveform Sequence Item shall be 1 or 2.
The value of Sampling Frequency (003A,001A) in the Waveform Sequence Item shall be 8000.
The 12-Lead Electrocardiogram (12-Lead ECG) IOD is the specification of digitized electrical signals from the patient cardiac conduction system collected on the body surface, which has been acquired by an ECG modality or by an ECG acquisition function within an imaging modality.
The E-R Model in Section A.34.1 applies to the 12-Lead ECG IOD.
Table A.34.3-1. 12-Lead ECG IOD Modules
|
IE |
Module |
Reference |
Usage |
|---|---|---|---|
|
Patient |
Patient |
M |
|
|
Clinical Trial Subject |
U |
||
|
Study |
General Study |
M |
|
|
Patient Study |
U |
||
|
Clinical Trial Study |
U |
||
|
Series |
General Series |
M |
|
|
Clinical Trial Series |
U |
||
|
Frame of Reference |
Synchronization |
U |
|
|
Equipment |
General Equipment |
M |
|
|
Waveform |
Waveform Identification |
M |
|
|
Waveform |
M |
||
|
Acquisition Context |
M |
||
|
Waveform Annotation |
C - Required if annotation is present |
||
|
SOP Common |
M |
For SOP Instances of ECG acquired in the cardiac catheterization lab, the Defined TID for Acquisition Context Sequence (0040,0555) is TID 3403 “Catheterization Acquisition Context”. For routine resting or stress ECG, the Defined TID for Acquisition Context Sequence (0040,0555) is TID 3401 “ECG Acquisition Context”.
The number of Waveform Sequence (5400,0100) Items shall be between 1 and 5, inclusive.
The value of Number of Waveform Channels (003A,0005) in each Waveform Sequence Item shall be between 1 and 13, inclusive. The total number of channels encoded across all Items shall not exceed 13.
Note
This specialization provides for up to five Waveform Sequence Items (multiplex groups), with a total of 13 channels. This allows, for instance, encoding of four sets of three simultaneously recorded channels, the sets being acquired sequentially, plus one continuous channel for the duration of the other sets. This can be used to emulate the behavior of classical 12-lead ECG strip chart recorders with 4x3 presentation, plus a continuous lead II recording (see Figure A.34.3-1).
The value of Number of Waveform Samples (003A,0010) in each Waveform Sequence Item shall be less than or equal to 16384.
Note
This allows over 16 seconds per channel at the maximum sampling frequency; if longer recordings are required, the General ECG IOD may be used.
The value of Sampling Frequency (003A,001A) in each Waveform Sequence Item shall be between 200 and 1000, inclusive.
The Baseline CID for the Channel Source Sequence (003A,0208) in each Channel Definition Sequence Item shall be CID 3001 “ECG Leads”.
The value of Waveform Sample Interpretation (5400,1006) in each Waveform Sequence Item shall be SS.
The Defined CID for the Concept Name Code Sequence (0040,A043) in the Waveform Annotation Sequence (0040,B020) shall be CID 3335 “ECG Annotations”. This Context Group supports the annotation of suppressed pacemaker spikes in the ECG waveform.
The General Electrocardiogram (ECG) IOD is the specification of digitized electrical signals from the patient cardiac conduction system collected on the body surface, which has been acquired by an ECG modality or by an ECG acquisition function within an imaging modality.
The E-R Model in Section A.34.1 applies to the General ECG IOD.
Table A.34.4-1. General ECG IOD Modules
|
IE |
Module |
Reference |
Usage |
|---|---|---|---|
|
Patient |
Patient |
M |
|
|
Clinical Trial Subject |
U |
||
|
Study |
General Study |
M |
|
|
Patient Study |
U |
||
|
Clinical Trial Study |
U |
||
|
Series |
General Series |
M |
|
|
Clinical Trial Series |
U |
||
|
Frame of Reference |
Synchronization |
U |
|
|
Equipment |
General Equipment |
M |
|
|
Waveform |
Waveform Identification |
M |
|
|
Waveform |
M |
||
|
Acquisition Context |
M |
||
|
Waveform Annotation |
C - Required if annotation is present |
||
|
SOP Common |
M |
The number of Waveform Sequence (5400,0100) Items shall be between 1 and 4, inclusive.
The value of Number of Waveform Channels (003A,0005) in each Waveform Sequence Item shall be between 1 and 24, inclusive.
The value of Sampling Frequency (003A,001A) in each Waveform Sequence Item shall be between 200 and 1000, inclusive.
The Defined CID for the Channel Source Sequence (003A,0208) in each Channel Definition Sequence Item shall be CID 3001 “ECG Leads”.
Note
Terms from other Context Groups may also be used for extended specification of the Channel Source, as declared in the Conformance Statement for an application (see PS3.2).
The value of Waveform Sample Interpretation (5400,1006) in each Waveform Sequence Item shall be SS.
The Defined CID for the Concept Name Code Sequence (0040,A043) in the Waveform Annotation Sequence (0040,B020) shall be CID 3335 “ECG Annotations”. This Context Group supports the annotation of suppressed pacemaker spikes in the ECG waveform.
The Ambulatory Electrocardiogram (ECG) IOD is the specification of digitized electrical signals from the patient cardiac conduction system collected on the body surface, which has been acquired by an ambulatory electrocardiography (Holter) device.
Note
The duration of acquisition represented in one SOP Instance is not specifically constrained, and is limited only by the maximum size of the Waveform Data attribute.
The E-R Model in Section A.34.1 applies to the Ambulatory ECG IOD.
Table A.34.5-1. Ambulatory ECG IOD Modules
|
IE |
Module |
Reference |
Usage |
|---|---|---|---|
|
Patient |
Patient |
M |
|
|
Clinical Trial Subject |
U |
||
|
Study |
General Study |
M |
|
|
Patient Study |
U |
||
|
Clinical Trial Study |
U |
||
|
Series |
General Series |
M |
|
|
Clinical Trial Series |
U |
||
|
Frame of Reference |
Synchronization |
U |
|
|
Equipment |
General Equipment |
M |
|
|
Waveform |
Waveform Identification |
M |
|
|
Waveform |
M |
||
|
Acquisition Context |
U |
||
|
Waveform Annotation |
C - Required if annotation is present |
||
|
SOP Common |
M |
The value of Number of Waveform Channels (003A,0005) in the Waveform Sequence Item shall be between 1 and 12, inclusive.
The value of Sampling Frequency (003A,001A) in each Waveform Sequence Item shall be between 50 and 1000, inclusive.
The Defined CID for the Channel Source Sequence (003A,0208) in each Channel Definition Sequence Item shall be CID 3001 “ECG Leads”.
The Hemodynamic IOD is the specification of digitized pressure, electrical, and other signals from the patient circulatory system, which has been acquired by a hemodynamic modality.
Note
The duration of acquisition represented in one SOP Instance is not specifically constrained, and is limited only by the maximum size of the Waveform Data attribute.
The E-R Model in Section A.34.1 applies to the Hemodynamic IOD.
Table A.34.6-1. Hemodynamic IOD Modules
|
IE |
Module |
Reference |
Usage |
|---|---|---|---|
|
Patient |
Patient |
M |
|
|
Clinical Trial Subject |
U |
||
|
Study |
General Study |
M |
|
|
Patient Study |
U |
||
|
Clinical Trial Study |
U |
||
|
Series |
General Series |
M |
|
|
Clinical Trial Series |
U |
||
|
Frame of Reference |
Synchronization |
C - Required if Waveform Originality (003A,0004) is ORIGINAL; may be present otherwise |
|
|
Equipment |
General Equipment |
M |
|
|
Waveform |
Waveform Identification |
M |
|
|
Waveform |
M |
||
|
Acquisition Context |
M |
||
|
Waveform Annotation |
C - Required if annotation is present |
||
|
SOP Common |
M |
The Defined TID for Acquisition Context Sequence (0040,0555) is TID 3403 “Catheterization Acquisition Context”.
The number of Waveform Sequence (5400,0100) Items shall be between 1 and 4, inclusive.
The value of Number of Waveform Channels (003A,0005) in each Waveform Sequence Item shall be between 1 and 8, inclusive.
The value of Sampling Frequency (003A,001A) in each Waveform Sequence Item shall be less than or equal to 400.
The Defined CID for the Channel Source Sequence (003A,0208) in each Channel Definition Sequence Item shall be CID 3003 “Hemodynamic Waveform Sources”, CID 3001 “ECG Leads” for surface ECG channels, or CID 3090 “Time Synchronization Channel Types” for time synchronization channels. The Channel Source Code Value shall encode at minimum the metric (measured physical quality) and function (measurement or stimulus); unless otherwise specifically encoded, the default function shall be "measurement".
The Channel Source Modifiers Sequence (003A,0209) in each Channel Definition Sequence Item shall be used to specify additional qualifiers of the semantics of the waveform source, including technique and anatomic location, if not encoded by the Channel Source Code Value. Technique, with terms from Defined CID 3241 “Hemodynamic Measurement Techniques”, shall be specified in Channel Source Modifiers Sequence Items prior to the cardiac anatomic location(s), with terms from Defined CID 3010 “Cardiovascular Anatomic Locations”, CID 3014 “Coronary Artery Segments”, and CID 3019 “Cardiovascular Anatomic Location Modifiers”. If technique is pullback, the sequence of anatomic locations shall be specified in ordered Channel Source Modifiers Sequence Items (e.g., initial, transitional, and final locations).
Note
Terms from other Context Groups may also be used for extended specification of the Channel Source, as declared in the Conformance Statement for an application (see PS3.2).
The value of Waveform Sample Interpretation (5400,1006) in each Waveform Sequence Item shall be SS.
The Defined CID for the Concept Name Code Sequence (0040,A043) in the Waveform Annotation Sequence (0040,B020) shall be CID 3337 “Hemodynamic Annotations”.
The Basic Cardiac Electrophysiology IOD is the specification of digitized electrical signals from the patient cardiac conduction system collected in the heart, which has been acquired by an EP modality.
Note
The duration of acquisition represented in one SOP Instance is not specifically constrained, and is limited only by the maximum size of the Waveform Data attribute.
The E-R Model in Section A.34.1 applies to the Cardiac EP IOD.
Table A.34.7-1. Basic Cardiac EP IOD Modules
|
IE |
Module |
Reference |
Usage |
|---|---|---|---|
|
Patient |
Patient |
M |
|
|
Clinical Trial Subject |
U |
||
|
Study |
General Study |
M |
|
|
Patient Study |
U |
||
|
Clinical Trial Study |
U |
||
|
Series |
General Series |
M |
|
|
Clinical Trial Series |
U |
||
|
Frame of Reference |
Synchronization |
C - Required if Waveform Originality (003A,0004) value is ORIGINAL; may be present otherwise |
|
|
Equipment |
General Equipment |
M |
|
|
Waveform |
Waveform Identification |
M |
|
|
Waveform |
M |
||
|
Acquisition Context |
M |
||
|
Waveform Annotation |
C - Required if annotation is present |
||
|
SOP Common |
M |
The Defined TID for Acquisition Context Sequence (0040,0555) is TID 3450 “Cardiac Electrophysiology Acquisition Context”.
The number of Waveform Sequence (5400,0100) Items shall be between 1 and 4, inclusive.
The value of Sampling Frequency (003A,001A) in each Waveform Sequence Item shall be less than or equal to 20000.
The Defined CID for the Channel Source Sequence (003A,0208) in each Channel Definition Sequence Item shall be CID 3011 “Electrophysiology Anatomic Locations”. The Channel Source Code Value shall encode at minimum the anatomic location of the channel source.
The Channel Source Modifiers Sequence (003A,0209) in each Channel Definition Sequence Item shall be used to specify additional qualifiers of the semantics of the waveform source, including metric (measured physical quality), function (measurement or stimulus), and technique from Defined CID 3240 “Electrophysiology Measurement Functions and Techniques”, and anatomic location qualifiers from Defined CID 3019 “Cardiovascular Anatomic Location Modifiers”, if not encoded by the Channel Source Code Value. If not explicitly encoded, the default metric and function shall be "voltage measurement". If a differential signal is used, that shall be indicated in a Modifier Item, and the positive pole and negative pole identified in the subsequent two modifiers.
Note
-
Terms from other Context Groups may also be used for extended specification of the Channel Source, as declared in the Conformance Statement for an application (see PS3.2).
-
A differential signal from the high right atrium, where electrode 1 on the catheter is the positive pole and electrode 3 the negative pole, could be specified by coded terms meaning:Channel Source: "High Right Atrium"Channel Source Modifiers: "Differential", "E1", "E3"(Implicit default modifier: "Voltage Measurement")
The value of Waveform Sample Interpretation (5400,1006) in each Waveform Sequence Item shall be SS.
The Defined CID for the Concept Name Code Sequence (0040,A043) in the Waveform Annotation Sequence (0040,B020) shall be CID 3339 “Electrophysiology Annotations”.
The Arterial Pulse Waveform IOD is the specification of digitized electrical signals from the patient arterial system collected through pulse oximetry or other means by a Pulse modality or by a Pulse acquisition function within an imaging modality.
The E-R Model in Section A.34.1 applies to the Arterial Pulse Waveform IOD.
Table A.34.8-1. Arterial Pulse Waveform IOD Modules
|
IE |
Module |
Reference |
Usage |
|---|---|---|---|
|
Patient |
Patient |
M |
|
|
Clinical Trial Subject |
U |
||
|
Study |
General Study |
M |
|
|
Patient Study |
U |
||
|
Clinical Trial Study |
U |
||
|
Series |
General Series |
M |
|
|
Clinical Trial Series |
U |
||
|
Frame of Reference |
Synchronization |
M |
|
|
Equipment |
General Equipment |
M |
|
|
Enhanced General Equipment |
M |
||
|
Waveform |
Waveform Identification |
M |
|
|
Waveform |
M |
||
|
Acquisition Context |
M |
||
|
Waveform Annotation |
C - Required if annotation is present |
||
|
SOP Common |
M |
The value of Number of Waveform Channels (003A,0005) in the Waveform Sequence Item shall be1.
The value of Sampling Frequency (003A,001A) in each Waveform Sequence Item shall be less than or equal to 600 Hz.
The Defined CID for the Channel Source Sequence (003A,0208) in each Channel Definition Sequence Item shall be CID 3004 “Arterial Pulse Waveform”.
The Respiratory Waveform IOD is the specification of digitized electrical signals from the patient respiratory system, which has been acquired by a Respiratory modality or by a Respiratory acquisition function within an imaging modality.
The E-R Model in Section A.34.1 applies to the Respiratory Waveform IOD.
Table A.34.9-1. Respiratory Waveform IOD Modules
|
IE |
Module |
Reference |
Usage |
|---|---|---|---|
|
Patient |
Patient |
M |
|
|
Clinical Trial Subject |
U |
||
|
Study |
General Study |
M |
|
|
Patient Study |
U |
||
|
Clinical Trial Study |
U |
||
|
Series |
General Series |
M |
|
|
Clinical Trial Series |
U |
||
|
Frame of Reference |
Synchronization |
M |
|
|
Equipment |
General Equipment |
M |
|
|
Enhanced General Equipment |
M |
||
|
Waveform |
Waveform Identification |
M |
|
|
Waveform |
M |
||
|
Acquisition Context |
M |
||
|
Waveform Annotation |
C - Required if annotation is present |
||
|
SOP Common |
M |
The value of Number of Waveform Channels (003A,0005) in the Waveform Sequence Item shall be1.
The value of Sampling Frequency (003A,001A) in each Waveform Sequence Item shall be less than or equal to100 Hz.
The Defined CID for the Channel Source Sequence (003A,0208) in each Channel Definition Sequence Item shall be CID 3005 “Respiration Waveform”.
The General Audio Waveform IOD is the specification of one or two channel digitized audio signals.
The E-R Model in Section A.34.1 applies to the General Audio Waveform IOD.
Table A.34.10-1. General Audio Waveform IOD Modules
|
IE |
Module |
Reference |
Usage |
|---|---|---|---|
|
Patient |
Patient |
M |
|
|
Clinical Trial Subject |
U |
||
|
Study |
General Study |
M |
|
|
Patient Study |
U |
||
|
Clinical Trial Study |
U |
||
|
Series |
General Series |
M |
|
|
Clinical Trial Series |
U |
||
|
Frame of Reference |
Synchronization |
M |
|
|
Equipment |
General Equipment |
M |
|
|
Enhanced General Equipment |
M |
||
|
Waveform |
Waveform Identification |
M |
|
|
Waveform |
M |
||
|
Acquisition Context |
M |
||
|
Waveform Annotation |
C - Required if annotation is present |
||
|
SOP Common |
M |
The value of Number of Waveform Channels (003A,0005) in the Waveform Sequence Item shall be1 or 2.
The value of Sampling Frequency (003A,001A) in each Waveform Sequence Item shall be less than or equal to 44,100 Hz.
The Defined CID for the Channel Source Sequence (003A,0208) in each Channel Definition Sequence Item shall be CID 3000 “Audio Channel Source”.