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A.34.2 Basic Voice Audio Waveform IOD
A.34.2.1 Basic Voice Audio Waveform IOD Description
The Basic Voice Audio Waveform 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.
A.34.2.2 Basic Voice Audio Waveform IOD Entity-Relationship Model
This IOD uses the E-R Model in Section A.1.2, with only the Waveform IE below the Series IE.
A.34.2.3 Basic Voice Audio Waveform IOD Module Table
Table A.34.2-1 specifies the Modules of the Basic Voice Audio Waveform IOD.
Table A.34.2-1. Basic Voice Audio Waveform IOD Modules
IE |
Module |
Reference |
Usage |
Patient |
Patient |
C.7.1.1 |
M |
|
Clinical Trial Subject |
C.7.1.3 |
U |
Study |
General Study |
C.7.2.1 |
M |
|
Patient Study |
C.7.2.2 |
U |
|
Clinical Trial Study |
C.7.2.3 |
U |
Series |
General Series |
C.7.3.1 |
M |
|
Clinical Trial Series |
C.7.3.2 |
U |
Frame of ReferenceSynchronization |
C.7.4.2 |
U |
|
Equipment |
General Equipment |
C.7.5.1 |
M |
Waveform |
Waveform Identification |
C.10.8 |
M |
|
Waveform |
C.10.9 |
M |
|
Acquisition Context |
C.7.6.14 |
M |
|
Waveform Annotation |
C.10.10 |
U |
|
SOP Common |
C.12.1 |
M |
A.34.2.4 Basic Voice Audio IOD Content Constraints
A.34.2.4.1 Modality
The value of Modality (0008,0060) shall be AU.
A.34.2.4.2 Waveform Sequence
The number of Waveform Sequence (5400,0100) Items shall be one.
A.34.2.4.3 Number of Waveform Channels
The value of Number of Waveform Channels (003A,0005) in the Waveform Sequence (5400,0100) Item shall be 1 or 2.
A.34.2.4.4 Sampling Frequency
The value of Sampling Frequency (003A,001A) in the Waveform Sequence (5400,0100) Item shall be 8000.
A.34.2.4.5 Waveform Sample Interpretation
The value of Waveform Sample Interpretation (5400,1006) in the Waveform Sequence (5400,0100) Item shall be UB, MB, or AB.
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A.34.3 12-Lead ECG IOD
A.34.3.1 12-Lead ECG IOD Description
The 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.
A.34.3.2 12-Lead ECG IOD Entity-Relationship Model
This IOD uses the E-R Model in Section A.1.2, with only the Waveform IE below the Series IE.
A.34.3.3 12-Lead ECG IOD Module Table
Table A.34.3-1 specifies the Modules of the 12-Lead ECG IOD.
Table A.34.3-1. 12-Lead ECG IOD Modules
IE |
Module |
Reference |
Usage |
Patient |
Patient |
C.7.1.1 |
M |
|
Clinical Trial Subject |
C.7.1.3 |
U |
Study |
General Study |
C.7.2.1 |
M |
|
Patient Study |
C.7.2.2 |
U |
|
Clinical Trial Study |
C.7.2.3 |
U |
Series |
General Series |
C.7.3.1 |
M |
|
Clinical Trial Series |
C.7.3.2 |
U |
FrameofReferenceSynchronization |
C.7.4.2 |
U |
|
Equipment |
General Equipment |
C.7.5.1 |
M |
Waveform |
Waveform Identification |
C.10.8 |
M |
|
Waveform |
C.10.9 |
M |
|
Acquisition Context |
C.7.6.14 |
M |
|
Waveform Annotation |
C.10.10 |
C - Required if annotation |
|
|
|
is present. |
|
SOP Common |
C.12.1 |
M |
A.34.3.4 12-Lead ECG IOD Content Constraints
A.34.3.4.1 Modality
The value of Modality (0008,0060) shall be ECG.
A.34.3.4.2 Acquisition Context Module
For SOP Instances of ECG acquired in the cardiac catheterization lab, the Defined TID for Acquisition Context Sequence (0040,0555) isTID3403“CatheterizationAcquisitionContext”.ForroutinerestingorstressECG,theDefinedTIDforAcquisitionContextSequence (0040,0555) is TID 3401 “ECG Acquisition Context”.
A.34.3.4.3 Waveform Sequence
The number of Waveform Sequence (5400,0100) Items shall be between 1 and 5, inclusive.
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A.34.3.4.4 Number of Waveform Channels
The value of Number of Waveform Channels (003A,0005) in each Waveform Sequence (5400,0100) 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 (5400,0100) Items (multiplex groups), with a total of 13 channels.Thisallows,forinstance,encodingoffoursetsofthreesimultaneouslyrecordedchannels,thesetsbeingacquired 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).
Multiplex Group |
Leads |
time offset |
duration |
Group 1 |
I, II, III |
0.0 s |
2.5 s |
Group 2 |
aVR, aVL, aVF |
2.5 s |
2.5 s |
Group 3 |
V1, V2, V3 |
5.0 s |
2.5 s |
Group 4 |
V4, V5, V6 |
7.5 s |
2.5 s |
Group 5 |
II |
0.0 s |
9.84 s |
Figure A.34.3-1. 12-Lead ECG Example (Informative)
A.34.3.4.5 Number of Waveform Samples
The value of Number of Waveform Samples (003A,0010) in each Waveform Sequence (5400,0100) 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.
A.34.3.4.6 Sampling Frequency
The value of Sampling Frequency (003A,001A) in each Waveform Sequence (5400,0100) Item shall be between 200 and 1000, in- clusive.
A.34.3.4.7 Channel Source
The Baseline CID for the Channel Source Sequence (003A,0208) in each Channel Definition Sequence (003A,0200) Item shall be CID 3001 “ECG Leads”.
A.34.3.4.8 Waveform Sample Interpretation
The value of Waveform Sample Interpretation (5400,1006) in each Waveform Sequence (5400,0100) Item shall be SS.
A.34.3.4.9 Waveform Annotation Module
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.
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A.34.4 General ECG IOD
A.34.4.1 General ECG IOD Description
The General 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.
A.34.4.2 General ECG IOD Entity-Relationship Model
This IOD uses the E-R Model in Section A.1.2, with only the Waveform IE below the Series IE.
A.34.4.3 General ECG IOD Module Table
Table A.34.4-1 specifies the Modules of the General ECG IOD.
Table A.34.4-1. General ECG IOD Modules
IE |
Module |
Reference |
Usage |
Patient |
Patient |
C.7.1.1 |
M |
|
Clinical Trial Subject |
C.7.1.3 |
U |
Study |
General Study |
C.7.2.1 |
M |
|
Patient Study |
C.7.2.2 |
U |
|
Clinical Trial Study |
C.7.2.3 |
U |
Series |
General Series |
C.7.3.1 |
M |
|
Clinical Trial Series |
C.7.3.2 |
U |
FrameofReferenceSynchronization |
C.7.4.2 |
U |
|
Equipment |
General Equipment |
C.7.5.1 |
M |
Waveform |
Waveform Identification |
C.10.8 |
M |
|
Waveform |
C.10.9 |
M |
|
Acquisition Context |
C.7.6.14 |
M |
|
Waveform Annotation |
C.10.10 |
C - Required if annotation |
|
|
|
is present. |
|
SOP Common |
C.12.1 |
M |
A.34.4.4 General ECG IOD Content Constraints
A.34.4.4.1 Modality
The value of Modality (0008,0060) shall be ECG.
A.34.4.4.2 Waveform Sequence
The number of Waveform Sequence (5400,0100) Items shall be between 1 and 4, inclusive.
A.34.4.4.3 Number of Waveform Channels
The value of Number of Waveform Channels (003A,0005) in each Waveform Sequence (5400,0100) Item shall be between 1 and 24, inclusive.
A.34.4.4.4 Sampling Frequency
The value of Sampling Frequency (003A,001A) in each Waveform Sequence (5400,0100) Item shall be between 200 and 1000, in- clusive.
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A.34.4.4.5 Channel Source
The Defined CID for the Channel Source Sequence (003A,0208) in each Channel Definition Sequence (003A,0200) 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).
A.34.4.4.6 Waveform Sample Interpretation
The value of Waveform Sample Interpretation (5400,1006) in each Waveform Sequence (5400,0100) Item shall be SS.
A.34.4.4.7 Waveform Annotation Module
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.
A.34.5 Ambulatory ECG IOD
A.34.5.1 Ambulatory ECG IOD Description
The Ambulatory 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 max- imum size of the Waveform Data Attribute.
A.34.5.2 Ambulatory ECG IOD Entity-Relationship Model
This IOD uses the E-R Model in Section A.1.2, with only the Waveform IE below the Series IE.
A.34.5.3 Ambulatory ECG IOD Module Table
Table A.34.5-1 specifies the Modules of the Ambulatory ECG IOD.
Table A.34.5-1. Ambulatory ECG IOD Modules
IE |
Module |
Reference |
Usage |
Patient |
Patient |
C.7.1.1 |
M |
|
Clinical Trial Subject |
C.7.1.3 |
U |
Study |
General Study |
C.7.2.1 |
M |
|
Patient Study |
C.7.2.2 |
U |
|
Clinical Trial Study |
C.7.2.3 |
U |
Series |
General Series |
C.7.3.1 |
M |
|
Clinical Trial Series |
C.7.3.2 |
U |
FrameofReferenceSynchronization |
C.7.4.2 |
U |
|
Equipment |
General Equipment |
C.7.5.1 |
M |
Waveform |
Waveform Identification |
C.10.8 |
M |
|
Waveform |
C.10.9 |
M |
|
Acquisition Context |
C.7.6.14 |
U |
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