TID 5204 Wall Motion Analysis

TID 5204 Wall Motion Analysis (Current)
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The Wall Motion Analysis Template is used to document wall motion scoring for any imaging modality.

Table TID 5204. Parameters

Parameter Name	Parameter Usage
$Procedure	The imaging procedure used for wall motion analysis.

Type:: Extensible
Order:: Significant
Root:: No

Table TID 5204. Wall Motion Analysis

	NL	Rel with Parent	VT	Concept Name	VM	Req Type	Condition	Value Set Constraint
1			CONTAINER	EV (59776-5, LN, "Findings")	1	M
2	>	HAS CONCEPT MOD	CODE	EV (121058, DCM, "Procedure reported")	1	M		$Procedure
3	>	HAS ACQ CONTEXT	CODE	EV (18139-6, LN, "Stage")	1	U		BCID 3207 “Stress Test Procedure Phase”
4	>	CONTAINS	IMAGE	EV (125201, DCM, "Illustration of Finding")	1	U
5	>	CONTAINS	TEXT	EV (18118-0, LN, "LV Wall Motion Segmental Findings")	1	U
6	>	CONTAINS	NUM	DT (125202, DCM, "LV Wall Motion Score Index")	1	U
7	>>	HAS CONCEPT MOD	CODE	EV (273249006, SCT, "Assessment Scale")	1	M		BCID 12238 “Wall Motion Scoring Scheme”
8	>	CONTAINS	CONTAINER	EV (59776-5, LN, "Findings")	1	U
9	>>	HAS CONCEPT MOD	CODE	EV (363698007, SCT, "Finding Site")	1	M		DT (272657006, SCT, "Myocardial Wall")
10	>>	CONTAINS	CODE	EV (18179-2, LN, "Wall Segment")	1-n	M		BCID 3717 “Left Ventricle Myocardial Wall 17 Segment Model”
11	>>>	HAS PROPERTIES	CODE	EV (60797005, SCT, "Cardiac Wall Motion")	1	MC	IF Row 12 is absent	DCID 3703 “Wall Motion”
12	>>>	HAS PROPERTIES	CODE	EV (116676008, SCT, "Associated Morphology")	1	MC	IF Row 11 is absent	DCID 3704 “Myocardium Wall Morphology Finding”
13	>>>	HAS PROPERTIES	NUM	DT (246262008, SCT, "Score")	1	U
14	>>>	HAS PROPERTIES	NUM	EV (122624, DCM, "Wall Thickness Ratio end-systolic to end-diastolic")	1	U		UNITS = DT (%, UCUM, "%")

Content Item Descriptions

Row 3	The stage of the protocol at which these findings were scored. This row may be absent if this is a generic, non-staged scoring.
Row 4	Image that graphically depicts the segments and their scores.
Row 5	Text narration accompanying this stage.
Row 6	The composite score computed from the average of the scored segments
Row 7	The type of scoring scheme used to score this study.
Row 8	A container of all of the individual segment findings for this stage. The container shall be present if the observer makes an assessment, including the assessment of Not Visualized. It shall not be present if no evaluation was made.
Rows 11, 12	Scar/thinning (in Row 12) may accompany akinesis and dyskinesis (in Row 11).
Row 13	A numeric designation for the score. Score ranges vary, typically 0-4 or 0-5. Numeric scores may depend on wall motion findings as well as morphology findings. See Table 5204-1 for conventional numeric assignment schemes. The UCUM annotation code enables specifying the numeric range, ({L:N}, UCUM, "scale L:N"), where L and N are the lower and upper ends of the range.

A description of the scoring schemes described in Table 5204-1 is available in Recommendations for Quantitation of the Left Ventricle by Two-Dimensional Echocardiography, Journal of the American Society of Echocardiography, Vol 2, No 5 358-367, Oct 1989.

Table 5204-1. Numeric Score Assignment for Segmental Findings

Conventional Numeric Assignment	Wall Motion Finding or Morphology Finding
Conventional Numeric Assignment	4 Point	5 Point	5 Point with Graded Hypokinesis
-1	(60797005, SCT, "Cardiac Wall Motion") = (373123005, SCT, "Hyperkinesis")	(60797005, SCT, "Cardiac Wall Motion") = (373123005, SCT, "Hyperkinesis")	(60797005, SCT, "Cardiac Wall Motion") = (373123005, SCT, "Hyperkinesis")
0	(60797005, SCT, "Cardiac Wall Motion") = (122288, DCM, "Not Visualized")	(60797005, SCT, "Cardiac Wall Motion") = (122288, DCM, "Not Visualized")	(60797005, SCT, "Cardiac Wall Motion") = (122288, DCM, "Not Visualized")
1	(60797005, SCT, "Cardiac Wall Motion") = (373122000, SCT, "Normal Wall Motion")	(60797005, SCT, "Cardiac Wall Motion") = (373122000, SCT, "Normal Wall Motion")	(60797005, SCT, "Cardiac Wall Motion") = (373122000, SCT, "Normal Wall Motion")
1.5			(60797005, SCT, "Cardiac Wall Motion") = (371868005, SCT, "Mild Hypokinesis")
2	(60797005, SCT, "Cardiac Wall Motion") = (37706002, SCT, "Hypokinesis")	(60797005, SCT, "Cardiac Wall Motion") = (37706002, SCT, "Hypokinesis")	(60797005, SCT, "Cardiac Wall Motion") = (371869002, SCT, "Moderate Hypokinesis")
2.5			(60797005, SCT, "Cardiac Wall Motion") = (371870001, SCT, "Severe Hypokinesis")
3	(60797005, SCT, "Cardiac Wall Motion") = (195675009, SCT, "Akinesis")	(60797005, SCT, "Cardiac Wall Motion") = (195675009, SCT, "Akinesis")	(60797005, SCT, "Cardiac Wall Motion") = (195675009, SCT, "Akinesis")
4	(60797005, SCT, "Cardiac Wall Motion") = (25437005, SCT, "Dyskinesis")	(60797005, SCT, "Cardiac Wall Motion") = (25437005, SCT, "Dyskinesis")	(60797005, SCT, "Cardiac Wall Motion") = (25437005, SCT, "Dyskinesis")
5		(116676008, SCT, "Associated Morphology") = (90539001, SCT, "Ventricular Aneurysm")	(116676008, SCT, "Associated Morphology") = (90539001, SCT, "Ventricular Aneurysm")

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