Материал: part03

Внимание! Если размещение файла нарушает Ваши авторские права, то обязательно сообщите нам

 

DICOM PS3.3 2020a - Information Object Definitions​

Page 451​

Attribute Name​

Tag​

Attribute Description​

 

Strain Code Sequence​

(0010,0219)​

A coded identification of the strain of the Patient. See​

 

 

 

Section C.7.1.1.1.4.​

 

 

 

OneormoreItemsarepermittedinthisSequence.Ifmorethanone​

 

 

Item is present, each Item represents the same information but​

 

 

encoded using a different coding scheme (rather than​

 

 

 

post-coordinated modifiers).​

 

>Include Table 8.8-1 “Code Sequence Macro Attributes”​

No Baseline CID.​

 

Strain Additional Information​

(0010,0218)​

Additional information about the strain of the Patient that is not​

 

 

encoded in the formal nomenclature used in Strain Description​

 

 

(0010,0212). See Section C.7.1.1.1.4.​

 

Strain Stock Sequence​

(0010,0216)​

Information identifying an animal within a strain stock.​

 

 

 

Only a single Item is permitted in this Sequence.​

 

>Strain Stock Number​

(0010,0214)​

The stock number of the strain of the Patient issued by the​

 

 

organization identified by Strain Source (0010,0217). See​

 

 

Section C.7.1.1.1.4.​

 

>Strain Source​

(0010,0217)​

Identification of the organization that is the source of the animal,​

 

 

issued by the registry identified by Strain Source Registry Code​

 

 

Sequence (0010,0215). See Section C.7.1.1.1.4.​

 

>Strain Source Registry Code​

(0010,0215)​

Identification of the organization that is the registry of sources of​

Sequence​

 

animals. See Section C.7.1.1.1.4.​

 

 

 

Only a single Item is permitted in this Sequence.​

 

>>Include Table 8.8-1 “Code Sequence Macro Attributes”​

DCID 7490 “Research Animal Source Registries”.​

 

Genetic Modifications Sequence​

(0010,0221)​

The genetic modifications of the Patient.​

 

 

 

One or more Items are permitted in this Sequence.​

 

 

 

See Section C.7.1.1.1.4.​

 

>Genetic Modifications Description​

(0010,0222)​

The genetic modifications of the Patient described using a specific​

 

 

nomenclature.​

 

>Genetic Modifications​

(0010,0223)​

The nomenclature used for Genetic Modifications Description​

Nomenclature​

 

(0010,0222).​

 

>Genetic Modifications Code​

(0010,0229)​

A coded identification of the genetic modifications of the Patient.​

Sequence​

 

OneormoreItemsarepermittedinthisSequence.Ifmorethanone​

 

 

 

 

Item is present, each Item represents the same information but​

 

 

encoded using a different coding scheme (rather than​

 

 

 

post-coordinated modifiers).​

 

>>Include Table 8.8-1 “Code Sequence Macro Attributes”​

No Baseline CID.​

 

Note​

The language codes specified in CID 5000 “Languages”, used in Patient's Primary Language Code Sequence (0010,0101),​ optionallyallowtheencodingofthecountryoflanguageinthecodevalueforthelanguage.Encodingofthecountryoflanguage​ in a subsidiary Patient's Primary Language Modifier Code Sequence (0010,0102) is allowed for backward compatibility with​ previous editions of the Standard.​

C.2.4 Patient Medical Module​

Table C.2-4 defines the Attributes relevant to a Patient's medical state or history.​

- Standard -​

Page 452​ DICOM PS3.3 2020a - Information Object Definitions​

Table C.2-4. Patient Medical Module Attributes​

Attribute Name​

Tag​

Attribute Description​

Medical Alerts​

(0010,2000)​

Conditions to which medical staff should be alerted (e.g., contagious​

 

 

condition, drug allergies, etc.)​

Allergies​

(0010,2110)​

Description of prior reaction to contrast agents, or other Patient​

 

 

allergies or adverse reactions.​

Smoking Status​

(0010,21A0)​

Indicates whether Patient smokes.​

 

 

Enumerated Values:​

 

 

YES​

 

 

NO​

 

 

UNKNOWN​

Additional Patient History​

(0010,21B0)​

Additional information about the Patient's medical history​

Pregnancy Status​

(0010,21C0)​

Describes pregnancy state of Patient.​

 

 

Enumerated Values:​

 

 

0001​not pregnant​

 

 

0002​possibly pregnant​

 

 

0003​definitely pregnant​

 

 

0004​unknown​

Last Menstrual Date​

(0010,21D0)​

Date of onset of last menstrual period​

Patient's Sex Neutered​

(0010,2203)​

Whether or not a procedure has been performed in an effort to render​

 

 

the Patient sterile.​

 

 

Enumerated Values:​

 

 

ALTERED​ Altered/Neutered​

 

 

UNALTERED​Unaltered/intact​

Patient's Body Mass Index​

(0010,1022)​

Body Mass Index of the Patient in kg/m2.​

Measured AP Dimension​

(0010,1023)​

The thickness in mm of the body part being scanned, in the​

 

 

antero-posterior dimension (per AAPM Report 204).​

 

 

Note​

 

 

These values are normally derived from a scanned image,​

 

 

but might also be obtained using physical calipers, e.g., for​

 

 

children.​

Measured Lateral Dimension​

(0010,1024)​

The side-to-side (left to right) dimension in mm of the body part being​

 

 

scanned (per AAPM Report 204).​

 

 

Note​

 

 

These values are normally derived from a scanned image,​

 

 

but might also be obtained using physical calipers, e.g., for​

 

 

children.​

Special Needs​

(0038,0050)​

Medical and social needs (e.g., wheelchair, oxygen, translator, etc.)​

Patient State​

(0038,0500)​

Description of Patient state (comatose, disoriented, vision impaired,​

 

 

etc.)​

Pertinent Documents Sequence​

(0038,0100)​

List of Documents (e.g., SR, or CDA) that contain information​

 

 

considered pertinent for the Patient medical condition.​

Zero or more Items shall be included in this Sequence.​

- Standard -​

 

DICOM PS3.3 2020a - Information Object Definitions​

Page 453​

Attribute Name​

Tag​

Attribute Description​

 

>Include Table 10-11 “SOP Instance Reference Macro​

 

 

Attributes”​

 

 

 

>Purpose of Reference Code​

(0040,A170)​

Describes the purpose for which the document reference is made.​

Sequence​

 

Zero or more Items shall be included in this Sequence.​

 

>>Include Table 8.8-1 “Code Sequence Macro Attributes”​

No Baseline CID is defined.​

 

>Document Title​

(0042,0010)​

Title of the referenced document.​

 

Pertinent Resources Sequence​

(0038,0101)​

List of resources that contain information considered pertinent for the​

 

 

Patient medical condition.​

 

 

 

Zero or more Items shall be included in this Sequence.​

 

>Retrieve URI​

(0040,E010)​

Retrieval access path to resource. Includes fully specified scheme,​

 

 

authority, path, and query in accordance with [RFC3986].​

 

 

 

Note​

 

 

 

The VR of this Data Element has changed from UT to UR.​

>Resource Description​

(0038,0102)​

Description or title of the resource.​

 

Patient Clinical Trial Participation​

(0038,0502)​

SequenceofidentifiersforclinicaltrialsorresearchinwhichthePatient​

Sequence​

 

participates.​

 

 

 

Zero or more Items shall be included in this Sequence.​

 

>Clinical Trial Sponsor Name​

(0012,0010)​

The name of the clinical trial or research sponsor, responsible for​

 

 

conducting the clinical trial and for defining the Clinical Trial Protocol.​

>Clinical Trial Protocol ID​

(0012,0020)​

Identifier for the noted protocol, used by the Clinical Trial Sponsor to​

 

 

uniquely identify the investigational protocol.​

 

>Clinical Trial Protocol Name​

(0012,0021)​

The name or title of the clinical trial or research protocol.​

 

>Clinical Trial Site ID​

(0012,0030)​

The identifier, issued by the Clinical Trial Sponsor, of the site​

 

 

responsible for submitting clinical trial or research data.​

 

>Clinical Trial Site Name​

(0012,0031)​

Name of the site responsible for submitting clinical trial or research​

 

 

data.​

 

>Clinical Trial Subject ID​

(0012,0040)​

The assigned identifier for the Patient as a clinical trial or research​

 

 

subject.​

 

>Clinical Trial Subject Reading ID​

(0012,0042)​

Identifies the Patient as a clinical trial or research subject for blinded​

 

 

evaluations.​

 

Note​

ThePatientClinicalTrialParticipationSequence(0038,0502)identifies potentiallymultipletrialsorresearchprojects in which​ the Patient is enrolled. Application behavior in the presence of multiple Items is outside the scope of the Standard.​

C.3 Visit Modules​

The following Sections specify Modules relevant to a Real World Patient visit.​

C.3.1 Visit Relationship Module​

Table C.3-1 defines the Attributes that reference SOP Instances related to this SOP Class.​

- Standard -​

Page 454​ DICOM PS3.3 2020a - Information Object Definitions​

Table C.3-1. Visit Relationship Module Attributes​

Attribute Name​

Tag​

Attribute Description​

Referenced Study Sequence​

(0008,1110)​

Uniquely identifies the Study SOP Instances associated​

 

 

with the Visit SOP Instance. One or more Items shall be​

 

 

included in this Sequence.​

 

 

See Section 10.6.1.​

>Include Table 10-11 “SOP Instance Reference Macro Attributes”​

 

Referenced Patient Sequence​

(0008,1120)​

Uniquely identifies the Patient SOP Instance that relates to​

 

 

theVisitSOPInstance.OnlyasingleItemshallbeincluded​

 

 

in this Sequence.​

>Include Table 10-11 “SOP Instance Reference Macro Attributes”​

C.3.2 Visit Identification Module​

Table C.3-2 defines the Attributes relevant to identifying a Visit.​

Table C.3-2. Visit Identification Module Attributes​

Attribute Name​

Tag​

Attribute Description​

Institution Name​

(0008,0080)​

Institution where the equipment is located​

Institution Address​

(0008,0081)​

Mailing Address of the institution where the equipment is located​

Institution Code Sequence​

(0008,0082)​

A Sequence that conveys the healthcare facility identification.​

 

 

Only a single Item shall be included in this Sequence.​

>Include Table 8.8-1 “Code Sequence Macro Attributes”​

No Baseline CID is defined.​

Institutional Department Name​

(0008,1040)​

The Department, Unit or Service within the healthcare facility.​

Institutional Department Type Code​

(0008,1041)​

A coded description of the type of Department or Service within​

Sequence​

 

the healthcare facility.​

 

 

Note​

 

 

This might be obtained from a corresponding HL7v2​

 

 

message containing PV1:10 Hospital Service.​

 

 

Only a single Item is permitted in this Sequence.​

>Include Table 8.8-1 “Code Sequence Macro Attributes”​

BCID 7030 “Institutional Departments, Units and Services”.​

Admission ID​

(0038,0010)​

Identification number of the Visit as assigned by the healthcare​

 

 

provider​

 

 

Note​

 

 

Visit and Admission are used interchangeably here. In​

 

 

the broader sense, an admission is a type of visit at an​

 

 

institution where there is an admission process for​

 

 

patients.​

Issuer of Admission ID Sequence​

(0038,0014)​

Identifier of the Assigning Authority that issued the Admission ID.​

 

 

Only a single Item shall be included in this Sequence.​

>Include Table 10-17 “HL7v2 Hierarchic Designator Macro​

 

Attributes”​

 

 

Reason for Visit​

(0032,1066)​

Reason(s) for this visit by the patient to the facility or provider.​

- Standard -​

 

DICOM PS3.3 2020a - Information Object Definitions​

Page 455​

Attribute Name​

Tag​

Attribute Description​

 

Reason for Visit Code Sequence​

(0032,1067)​

Coded reason(s) for this visit by the patient to the facility or​

 

 

provider.​

 

 

 

Note​

 

 

 

If an HL7 message is available with a PV2 segment​

 

 

correspondingtothisvisit,potentialcodesmaybefound​

 

 

in Admit Reason PV2-3.​

 

 

 

One or more Items are permitted in this Sequence.​

 

>Include Table 8.8-1 “Code Sequence Macro Attributes”​

No Baseline CID is defined.​

 

Service Episode ID​

(0038,0060)​

Identifier of the Service Episode as assigned by the healthcare​

 

 

provider​

 

Issuer of Service Episode ID​

(0038,0064)​

Identifier of the Assigning Authority that issued the Service​

Sequence​

 

Episode ID.​

 

 

 

Only a single Item shall be included in this Sequence.​

>Include Table 10-17 “HL7v2 Hierarchic Designator Macro​

 

 

Attributes”​

 

 

 

Service Episode Description​

(0038,0062)​

Description of the type of service episode.​

 

C.3.3 Visit Status Module​

 

 

Table C.3-3 defines the Attributes relevant to the Patient's stay with the healthcare provider.​

 

 

Table C.3-3. Visit Status Module Attributes​

 

Attribute Name​

Tag​

Attribute Description​

 

Visit Status ID​

(0038,0008)​

Identifies the state of the Visit.​

 

 

 

Defined Terms:​

 

 

 

CREATED​ Created but not yet scheduled​

 

 

 

SCHEDULED​Scheduled but not yet admitted​

 

 

 

ADMITTED​ Patient admitted to institution​

 

 

 

DISCHARGED​Patient Discharged​

 

Current Patient Location​

(0038,0300)​

Describes the current known location of the Patient​

 

Patient's Institution Residence​

(0038,0400)​

Primary location where Patient resides (ward, floor, room, etc. or​

 

 

outpatient)​

 

Visit Comments​

(0038,4000)​

User-defined comments about the Visit​

 

C.3.4 Visit Admission Module​

 

 

Table C.3-4 defines the Attributes relevant to admitting a Patient during a Visit.​

 

 

Table C.3-4. Visit Admission Module Attributes​

 

Attribute Name​

Tag​

Attribute Description​

 

Referring Physician's Name​

(0008,0090)​

Patient's primary referring physician for this Visit​

 

Referring Physician's Address​

(0008,0092)​

Referring physician's address​

 

Referring Physician's Telephone​

(0008,0094)​

Referring physician's telephone numbers​

 

Numbers​

 

 

 

- Standard -​