The templates for the Breast Imaging Report are defined in PS3.16. Relationships defined in the Breast Imaging Report templates are by-value. This template structure may be conveyed using the Enhanced SR SOP Class or the Basic Text SR SOP Class.
As shown in Figure Q.1-1, the Breast Imaging Report Narrative and Breast Imaging Report Supplementary Data sub-trees together form the Content Tree of the Breast Imaging Report.
The Breast Imaging Procedure Reported sub-tree is a mandatory child of the Supplementary Data Content Item, to describe all of the procedures to which the report applies using coded terminology. It may also be used as a sub-tree of sections within the Supplementary Data sub-tree, for the instance in which a report covers more than one procedure, but different sections of the Supplementary Data record the evidence of a subset of the procedures.
An instance of the Breast Imaging Report Narrative sub-tree contains one or more text-based report sections, with a name chosen from CID 6052 “Breast Imaging Report Section Title”. Within a report section, one or more observers may be identified. This sub-tree is intended to contain the report text as it was created, presented to, and signed off by the verifying observer. It is not intended to convey the exact rendering of the report, such as formatting or visual organization. Report text may reference one or more image or other composite objects on which the interpretation was based.
An instance of the Breast Imaging Report Supplementary Data sub-tree contains one or more of: Breast Imaging Procedure Reported, Breast Composition Section, Breast Imaging Report Finding Section, Breast Imaging Report Intervention Section, Overall Assessment. This sub-tree is intended to contain the supporting evidence for the Breast Imaging Report Narrative sub-tree, using coded terminology and numeric data.
The Breast Imaging Assessment sub-tree may be instantiated as the content of an Overall Assessment section of a report (see Figure Q.1-4), or as part of a Findings section of a report (see TID 4206 “Breast Imaging Report Finding Section”). Reports may provide an individual assessment for each Finding, and then an overall assessment based on an aggregate of the individual assessments.