Материал: part03

A.34.5.4 Ambulatory ECG IOD Content Constraints​

A.34.5.4.1 Modality​

The value of Modality (0008,0060) shall be ECG.​

A.34.5.4.2 Waveform Sequence​

The number of Waveform Sequence (5400,0100) Items shall be 1.​

A.34.5.4.3 Number of Waveform Channels​

The value of Number of Waveform Channels (003A,0005) in the Waveform Sequence (5400,0100) Item shall be between 1 and 12,​ inclusive.​

A.34.5.4.5 Sampling Frequency​

ThevalueofSamplingFrequency(003A,001A)ineachWaveformSequence(5400,0100)Itemshallbebetween50and1000,inclusive.​

A.34.5.4.6 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”.​

A.34.5.4.7 Waveform Sample Interpretation​

The value of Waveform Sample Interpretation (5400,1006) in each Waveform Sequence (5400,0100) Item shall be SB or SS.​

A.34.6 Hemodynamic Waveform IOD​

A.34.6.1 Hemodynamic Waveform IOD Description​

The Hemodynamic Waveform IOD is the specification of digitized pressure, electrical, and other signals from the patient circulatory​ system, which has been acquired by a hemodynamic modality.​

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.34.6.2 Hemodynamic 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.34.6.3 Hemodynamic Waveform IOD Module Table​

Table A.34.6-1 specifies the Modules of the Hemodynamic Waveform IOD.​

Table A.34.6-1. Hemodynamic Waveform IOD Modules​

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A.34.6.4 Hemodynamic IOD Content Constraints​

A.34.6.4.1 Modality​

The value of Modality (0008,0060) shall be HD.​

A.34.6.4.2 Acquisition Context Module​

The Defined TID for Acquisition Context Sequence (0040,0555) is TID 3403 “Catheterization Acquisition Context”.​

A.34.6.4.3 Waveform Sequence​

The number of Waveform Sequence (5400,0100) Items shall be between 1 and 4, inclusive.​

A.34.6.4.4 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 8,​ inclusive.​

A.34.6.4.5 Sampling Frequency​

The value of Sampling Frequency (003A,001A) in each Waveform Sequence (5400,0100) Item shall be less than or equal to 400.​

A.34.6.4.7 Channel Source​

The Defined CID for the Channel Source Sequence (003A,0208) in each Channel Definition Sequence (003A,0200) Item shall be​ CID3003“HemodynamicWaveformSources”,CID3001“ECGLeads”forsurfaceECGchannels,orCID3090“TimeSynchronization​ Channel Types” for time synchronization channels. The Channel Source Code Value shall encode at minimum the metric (measured​ physical quality) and function (measurement or stimulus); unless otherwise specifically encoded, the default function shall be​ "measurement".​

TheChannelSourceModifiersSequence(003A,0209)ineachChannelDefinitionSequence(003A,0200)Itemshallbeusedtospecify​ additional qualifiers of the semantics of the waveform source, including technique and anatomic location, if not encoded by the​ Channel Source Code Value. Technique, with terms from Defined CID 3241 “Hemodynamic Measurement Techniques”, shall be​ specified in Channel Source Modifiers Sequence (003A,0209) Items prior to the cardiac anatomic location(s), with terms from Defined​ CID 3010 “Cardiovascular Anatomic Locations”, CID 3014 “Coronary Artery Segments”, and CID 3019 “Cardiovascular Anatomic​ Location Modifiers”. If technique is pullback, the sequence of anatomic locations shall be specified in ordered Channel Source Modi-​ fiers Sequence (003A,0209) Items (e.g., initial, transitional, and final locations).​

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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.34.6.4.8 Waveform Sample Interpretation​

The value of Waveform Sample Interpretation (5400,1006) in each Waveform Sequence (5400,0100) Item shall be SS.​

A.34.6.4.9 Waveform Annotation Module​

The Defined CID for the Concept Name Code Sequence (0040,A043) in the Waveform Annotation Sequence (0040,B020) shall be​ CID 3337 “Hemodynamic Annotations”.​

A.34.7 Basic Cardiac Electrophysiology Waveform IOD​

A.34.7.1 Basic Cardiac EP IOD Description​

TheBasicCardiacElectrophysiologyWaveformIODisthespecificationofdigitizedelectricalsignalsfromthepatientcardiacconduction​ system collected in the heart, which has been acquired by an EP modality.​

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.34.7.2 Basic Cardiac Electrophysiology 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.34.7.3 Basic Cardiac Electrophysiology Waveform IOD Module Table​

Table A.34.7-1 specifies the Modules of the Basic Cardiac Electrophysiology Waveform IOD.​

Table A.34.7-1. Basic Cardiac Electrophysiology Waveform IOD Modules​

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A.34.7.4 Basic Cardiac EP IOD Content Constraints​

A.34.7.4.1 Modality​

The value of Modality (0008,0060) shall be EPS.​

A.34.7.4.2 Acquisition Context Module​

The Defined TID for Acquisition Context Sequence (0040,0555) is TID 3450 “Cardiac Electrophysiology Acquisition Context”.​

A.34.7.4.3 Waveform Sequence​

The number of Waveform Sequence (5400,0100) Items shall be between 1 and 4, inclusive.​

A.34.7.4.4 Sampling Frequency​

The value of Sampling Frequency (003A,001A) in each Waveform Sequence (5400,0100) Item shall be less than or equal to 20000.​

A.34.7.4.5 Channel Source​

The Defined CID for the Channel Source Sequence (003A,0208) in each Channel Definition Sequence (003a,0200) Item shall be​ CID 3011 “Electrophysiology Anatomic Locations”. The Channel Source Code Value shall encode at minimum the anatomic location​ of the channel source.​

TheChannelSourceModifiersSequence(003A,0209)ineachChannelDefinitionSequence(003a,0200)Itemshallbeusedtospecify​ additional qualifiers of the semantics of the waveform source, including metric (measured physical quality), function (measurement​ or stimulus), and technique from Defined CID 3240 “Electrophysiology Measurement Functions and Techniques”, and anatomic loc-​ ation qualifiers from Defined CID 3019 “Cardiovascular Anatomic Location Modifiers”, if not encoded by the Channel Source Code​ Value. If not explicitly encoded, the default metric and function shall be "voltage measurement". If a differential signal is used, that​ shall be indicated in a Modifier Item, and the positive pole and negative pole identified in the subsequent two modifiers.​

Note​

1.​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).​

2.​A differential signal from the high right atrium, where electrode 1 on the catheter is the positive pole and electrode 3 the​ negative pole, could be specified by coded terms meaning:Channel Source: "High Right Atrium"Channel Source Modi-​ fiers: "Differential", "E1", "E3"(Implicit default modifier: "Voltage Measurement")​

A.34.7.4.6 Waveform Sample Interpretation​

The value of Waveform Sample Interpretation (5400,1006) in each Waveform Sequence (5400,0100) Item shall be SS.​

A.34.7.4.7 Waveform Annotation Module​

The Defined CID for the Concept Name Code Sequence (0040,A043) in the Waveform Annotation Sequence (0040,B020) shall be​ CID 3339 “Electrophysiology Annotations”.​

A.34.8 Arterial Pulse Waveform IOD​

A.34.8.1 Arterial Pulse Waveform IOD Description​

The Arterial Pulse Waveform IOD is the specification of digitized electrical signals from the patient arterial system collected through​ pulse oximetry or other means by a Pulse modality or by a Pulse acquisition function within an imaging modality.​

A.34.8.2 Arterial Pulse 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.​

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A.34.8.3 Arterial Pulse Waveform IOD Module Table​

Table A.34.8-1 specifies the Modules of the Arterial Pulse Waveform IOD.​

Table A.34.8-1. Arterial Pulse Waveform IOD Modules​

A.34.8.4 Arterial Pulse Waveform IOD Content Constraints​

A.34.8.4.1 Modality​

The value of Modality (0008,0060) shall be HD (hemodynamic waveform).​

A.34.8.4.2 Waveform Sequence​

The number of Waveform Sequence (5400,0100) Items shall be 1.​

A.34.8.4.3 Number of Waveform Channels​

The value of Number of Waveform Channels (003A,0005) in the Waveform Sequence Item (5400,0100) shall be 1.​

A.34.8.4.4 Sampling Frequency​

The value of Sampling Frequency (003A,001A) in each Waveform Sequence (5400,0100) Item shall be less than or equal to 600 Hz.​

A.34.8.4.5 Channel Source​

The Defined CID for the Channel Source Sequence (003A,0208) in each Channel Definition Sequence (003A,0200) Item shall be​ CID 3004 “Arterial Pulse Waveform”.​

A.34.8.4.6 Waveform Sample Interpretation​

The value of Waveform Sample Interpretation (5400,1006) in each Waveform Sequence (5400,0100) Item shall be SB or SS.​

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