DICOM PS3.2 2025a - Conformance

N.10 A.B Structured Report Content Encoding

[Note that the appendices defined in the following subsections are a mandatory part of the DICOM Conformance Statement and must be filled in by any product, that creates DICOM SR objects.]

[For each SR TID (including Private TIDs) that is created by the system (See Overview Section N.1.1.1) provide an Annex B.x.]

[If you are extending a TID by adding additional concepts indicate this extension by adding an asterisk to the TID number in the TID column (e.g.,4000*).]

[If your product creates SR Instances of a TID which includes long lists of measurements, they can also be documented in an external file. For details refer to the instructions right before Section N.10.2.]

This section provides the detailed content encoding for all TIDs supported by <product>.

Throughout the tables listed in Section N.10 the following codes are used for the "Source" and "Presence of Content Item" columns.

In the "Source" column, the following Values can be used:

In the "Presence of Content Item" the following Values can be used:

N.10.1 A.B.1 Mammography CAD SR (TID 4000)

Table N.10-1 shows the encoding of content of a DICOM Mammography CAD SR (TID 4000).

[The following table shows how to document TID content usage, with TID 4000 as an example. Modify to match your product implementation, e.g., select supported concepts and Values and add additional templates as needed. In the "Value" column you can either list the coded Values directly, reference a CID from DICOM PS3.16 if used unmodified or provide a table in Section N.10.1.1, if you are using more than two codes (otherwise codes can be added directly to the table). For more complex TIDs it is possible to split the table below into multiple tables following the Template Structure defined in DICOM PS 3.16.]

Table N.10-1. Mammography CAD SR (TID 4000)

NL

Rel with Parent

VT

Concept Name

Source

Presence of Content Item

Values

TID

Comments

CONTAINER

(111036, DCM, "Mammography CAD Report")

4000

>

HAS CONCEPT MOD

CODE

(121049, DCM, "Language of Content Item and Descendants")

CONFIGURATION

(en, RFC3066, "English")

1204

>>

HAS CONCEPT MOD

CODE

(121046, DCM, "Country of Language")

CONFIGURATION

(US, ISO3166_1, "United States of America (the) ")

1204

>

CONTAINS

CONTAINER

(111028, DCM, "Image Library")

4020

>>

CONTAINS

IMAGE

4020

>>>

HAS ACQ CONTEXT

CODE

(111027, DCM, "Image Laterality")

SRC_INSTANCE

See CID 6023 "Side"

4020

>>>

HAS ACQ CONTEXT

CODE

(111031, DCM, "Image View")

SRC_INSTANCE

See CID 4014 "View for Mammography"

4020

>>>>

HAS CONCEPT MOD

CODE

(111032, DCM, "Image View Modifier")

SRC_INSTANCE

See Table N.10-2

4020

>>>

HAS ACQ CONTEXT

TEXT

(111044, DCM, "Patient Orientation Row")

SRC_INSTANCE

4020

>>>

HAS ACQ CONTEXT

TEXT

(111043, DCM, "Patient Orientation Column")

SRC_INSTANCE

4020

>>>

HAS ACQ CONTEXT

DATE

(111060, DCM, "Study Date")

SRC_INSTANCE

4020

>>>

HAS ACQ CONTEXT

TIME

(111061, DCM, "Study Time")

SRC_INSTANCE

4020

>>>

HAS ACQ CONTEXT

DATE

(111018, DCM, "Content Date")

SRC_INSTANCE

4020

>>>

HAS ACQ CONTEXT

TIME

(111019, DCM, "Content Time")

SRC_INSTANCE

4020

>>>

HAS ACQ CONTEXT

NUM

(111026, DCM, "Horizontal Pixel Spacing")

SRC_INSTANCE

4020

>>>

HAS ACQ CONTEXT

NUM

(111066, DCM, "Vertical Pixel Spacing")

SRC_INSTANCE

4020

>

CONTAINS

CODE

(111017, DCM, "CAD Processing and Findings Summary")

GENERATED

See CID 6047 "CAD and Processing Findings Summary"

4001

>>

HAS PROPERTIES

TEXT

(111033, DCM, "Impression Description")

GENERATED

(Description, e.g., Breast density evaluation)

4002

>>

HAS PROPERTIES

TEXT

(111001, DCM, "Algorithm Name")

GENERATED

(Algorithm Name, e.g., Breast Density Assessment)

4019

>>

HAS PROPERTIES

TEXT

(111003, DCM, "Algorithm Version")

GENERATED

(Version, e.g., 1.1.1.1)

4019

>>

HAS PROPERTIES

NUM

See CID 6142 Calculated Value

GENERATED

4002

>>>

HAS CONCEPT MOD

CODE

(272741003, SCT, "Laterality")

GENERATED

See CID 6023 "Side"

4002

>>>

HAS CONCEPT MOD

CODE

(121401, DCM, "Derivation")

GENERATED

See CID 6140 "Calculation Mehtod"

4002

>>

INFERRED FROM

CONTAINER

(111034, DCM, "Individual Impression/ Recommendation")

GENERATED

4003

>>>

HAS CONCEPT MOD

CODE

(111056, DCM, "Rendering Intent")

GENERATED

See CID 6034 "Intended Use of CAD Output"

4003

>>>

CONTAINS

CODE

(111059, DCM, "Single Image Finding")

GENERATED

See Table N.10-3

4006

>>>>

HAS CONCEPT MOD

CODE

(111056, DCM, "Rendering Intent")

GENERATED

See CID 6034 "Intended Use of CAD Output"

4006

>>>>

HAS PROPERTIES

TEXT

(111001, DCM, "Algorithm Name")

GENERATED

4019

>>>>

HAS PROPERTIES

TEXT

(111003, DCM, "Algorithm Version")

GENERATED

4019

>>>>

HAS PROPERTIES

SCOORD

(111010, DCM, "Center")

GENERATED

4021

>>>>>

R-SELECTED FROM

IMAGE

GENERATED

4021

>>>>

HAS PROPERTIES

SCOORD

(111041, DCM, "Outline")

GENERATED

4021

>>>>>

R-SELECTED FROM

IMAGE

GENERATED

4021

>>>

CONTAINS

CODE

(111059, DCM, "Single Image Finding" )

GENERATED

(129715009, SCT, "Breast Composition")

4006

>>>>

HAS CONCEPT MOD

CODE

(111056, DCM, "Rendering Intent")

GENERATED

See CID 6034 "Intended Use of CAD Output"

4006

>>>>

HAS PROPERTIES

TEXT

(111001, DCM, "Algorithm Name")

GENERATED

4019

>>>>

HAS PROPERTIES

TEXT

(111003, DCM, "Algorithm Version")

GENERATED

4019

>>>

HAS PROPERTIES

CODE

(129715009, SCT, "Breast Composition")

GENERATED

See DCID 6000, "Overall Breast Composition"

4007

>

CONTAINS

CODE

(111064, DCM, "Summary of Detections")

GENERATED

See CID 6042 "Status of Results"

4000

>>

INFERRED FROM

CONTAINER

(111063, DCM, "Successful Detections")

GENERATED

4015

>>>

CONTAINS

CODE

(111022, DCM, "Detection Performed")

GENERATED

See Table N.10-3

4017

>>>>

HAS PROPERTIES

TEXT

(111001, DCM, "Algorithm Name")

GENERATED

4019

>>>>

HAS PROPERTIES

TEXT

(111003, DCM, "Algorithm Version")

GENERATED

4019

>>>>>

R-SELECTED FROM

IMAGE

GENERATED

4021

>

CONTAINS

CODE

(111065, DCM, "Summary of Analyses")

GENERATED

See DICID 6042, "Status of Results"

4000

>>

INFERRED FROM

CONTAINER

(111062, DCM, "Successful Analyses")

GENERATED

4016

>>>

CONTAINS

CODE

(111004, DCM, "Analysis Performed")

See CID 6043, "Types of Mammography CAD Analysis"

4018

>>>>

HAS PROPERTIES

TEXT

(111001, DCM, "Algorithm Name")

GENERATED

4019

>>>>

HAS PROPERTIES

TEXT

(111003, DCM, "Algorithm Version")

GENERATED

4019

>>>>>

R-HAS PROPERTIES

IMAGE

GENERATED

4021


N.10.1.1 A.B.1.1 Code Sets

The following tables list specific code sets referenced from the Mammography CAD SR (TID 4000).

Table N.10-2. Mammography CAD SR - Image View Modifier Codes

Coding Scheme Designator

Code Value

Code Meaning

SCT

399161006

Cleavage

SCT

399011000

Axillary Tail

SCT

399197002

Rolled Lateral

SCT

399226006

Rolled Medial

SCT

414493004

Rolled Inferior

SCT

415670009

Rolled Superior


Table N.10-3. Mammography CAD SR - Single Image Finding Codes

Coding Scheme Designator

Code Value

Code Meaning

SCT

129793001

Mammography breast density

SCT

129770007

Individual Calcification

SCT

129769006

Calcification Cluster


DICOM PS3.2 2025a - Conformance