DICOM PS3.16 2024e - Content Mapping Resource |
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This Template provides for the post-coordination of a measurement with a variety of concept modifiers and acquisition context observations. When invoked from TID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section”, the measurement concept is implicitly post-coordinated with the concept modifiers of the Measurement Group (TID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” Rows 5 and 6), and with the Finding Site of the report section (TID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” Row 2). The finding site may be further specified within this Template by the Target Site and Target Site Modifiers (CID 12280 “Cardiac Ultrasound Target Site” and CID 12281 “Cardiac Ultrasound Target Site Modifier”).
The implicit finding site inherited from TID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” can be made explicit by using the same finding site concept in the Target Site (the measurement concept modifier), rather than a term from CID 12280 “Cardiac Ultrasound Target Site”. This explicit post-coordination allows the use of one of the modifiers of CID 12281 “Cardiac Ultrasound Target Site Modifier” to that finding site, as the Target Site Modifier requires an explicit Target Site in the measurement structure (TID 300 “Measurement” Rows 5 and 7). In fact, any child concept of the finding site in the SNOMED hierarchy may be used as the measurement Target Site.
The finding or target site may be identified by a concept from the SNOMED "clinical finding" or "morphological anomaly" hierarchies (e.g., D4-31220 "Atrial Septal Defect", or M-36700 "Effusion"), rather than the "anatomical structure" hierarchy. In this case, the meaning is inferred as "the anatomic location of the clinical finding or morphological anomaly, within the constraints of other implicit or explicit post-coordinated finding site concepts."
Thus when TID 5221 “Cardiac Ultrasound Pediatric Echo Measurement Section” Row 14 invokes TID 5222 “Pediatric, Fetal and Congenital Cardiac Ultrasound Section” with the section finding site concept (76848001, SCT, "Pericardium"), and TID 5223 “Pediatric, Fetal and Congenital Cardiac Ultrasound Measurement” Row 1 applies the target site (41699000, SCT, "Effusion"), the effective finding site is "pericardial effusion".
Table TID 5223. Pediatric, Fetal and Congenital Cardiac Ultrasound Measurement
$TargetSite = BCID 12280 “Cardiac Ultrasound Target Site” $TargetSiteMod = BCID 12281 “Cardiac Ultrasound Target Site Modifier” $Derivation = DCID 3838 “Diameter Derivation” |
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DICOM PS3.16 2024e - Content Mapping Resource |
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