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DICOM• – • – SR,SR,SR• – – CAD, , …–


SR• • • • •


SRSR• • •


Do cume nt R oot Node CONTA IN ER"Ch es t X-ray" (Do cumen t T itle)has concept modLeaf Nod e COD E"View s = PA a nd L ateral "containscontains contains containsCo nten t No de COD E"finding = mass"Leaf Nod e IM AG E"Baseline"He ading No deCONTAINER"Co nclusions"He ading No deCONTAINER "SpecificIma ge Findings"has propertieshas propertiescontainscontainsLeaf Nod e NUM"diam eter = 1.3 cm"Leaf Nod e COD E"margi nation = infiltrative"Co nten t No de COD E"conclusion = probablemalignancy"Co nten t node SCO ORD"bes t illustra tion o ffindings"inferred f rominferred f romselected f romHas obs contextHas obs contextHa s obs co ntextLeaf Nod e IM AG ECo nten t No de PN AME"Re co rding Observer =Smith^John^^Dr^"Co nten t No de U IDRE F"Study Instance UID ofEvide nce Dir ectly Exa min edby RO = 1.2.3.4.5.6.7.100"Co nten t No de PN AME"Patient-Da ta- Ac quisitionSubject = Homer^Jane^^^"* Relationship Modes= By-value= By-reference


QuickTime and aTIFF (LZW) decompressorare needed to see this picture.and aTIFF (LZW) decompressorare needed to see this picture.X () Jane Homer 123456 Dr. John Smith1.3 cm .()QuickTime()


X Views=PA and Lateral=Smith^John^^Dr^UID …=1.2.3.4.5.6.7.100=Homer^Jane^^^(Finding)= =1.3 cm = (1.4.2)=1.4.21.7.1(1.7.1).


“contains” Xhas concept modifier Views=PA and LateralRecording Observer=Smith^John^^Dr^Study Instance UID …=1.2.3.4.5.6.7.100Patient-Data-Acquisition-Subject=Homer^Jane^^^Finding=Masshas properties diameter=1.3 cmhas properties margination=infiltrative (1.4.2)Baseline ImageConclusionsconclusion=probable malignancyinferred from 1.4.2inferred from 1.7.1Specific Image Findingsbest illustration of findings(1.7.1)


-Chest X-Rayhas concept modifier Views=PA and LateralRecording Observer=Smith^John^^Dr^Study Instance UID …=1.2.3.4.5.6.7.100Patient-Data-Acquisition-Subject=Homer^Jane^^^Finding=Masshas properties diameter=1.3 cmhas properties margination=infiltrative (1.4.2)Baseline ImageConclusionsconclusion=probable malignancyinferred from 1.4.2inferred from 1.7.1Specific Image Findingsbest illustration of findings(1.7.1)


()Chest X-Rayhas concept modifier Views=PA and LateralRecording Observer=Smith^John^^Dr^Study Instance UID …=1.2.3.4.5.6.7.100Patient-Data-Acquisition-Subject=Homer^Jane^^^Finding=Masshas properties diameter=1.3 cmhas properties margination=infiltrative (1.4.2)Baseline ImageConclusionsconclusion=probable malignancyinferred from 1.4.2inferred from 1.7.1Specific Image Findingsbest illustration of findings(1.7.1)


Chest X-Rayhas concept modifier Views=PA and LateralRecording Observer=Smith^John^^Dr^Study Instance UID …=1.2.3.4.5.6.7.100Patient-Data-Acquisition-Subject=Homer^Jane^^^Finding=Masshas properties diameter=1.3 cmhas properties margination=infiltrative (1.4.2)Baseline ImageConclusionsconclusion=probable malignancyinferred from 1.4.2inferred from 1.7.1Specific Image Findingsbest illustration of findings(1.7.1)


• (Observation)(Observation)– IODIOD– CONTAINERCONTAINER– – – ()– CONTAINER


:“”=“Homer^Jane^^^”“ID”=“234567”“”=“F”“”=“19991109”SRSOP:“”=“123456”“ID”=“345678”“X”ContextContextContextContains“”=“Smith^John^^Dr^”“UID ...”=“1.2.3.4.5.6.7.100”“… ”=“Homer^Jane^^^”“”=“Mass”


QuickTime and aTIFF (LZW) decompressorare needed to see this picture.“X”ContextContextContextContainsContainsContainsContainsModifier“”=“Smith^John^^Dr^”“UID ...”=“1.2.3.4.5.6.7.100”“… ”=“Homer^Jane^^^”“”=“”PropertiesProperties“”=“”Contains“”=“1.3” “cm”“”=“”“”=“”“”Contains“”=SelectedFrom“”=“PA and Lateral”InferredFromInferredFrom


“”Obs n Context“”=“Homer^Jane^^^”Contains“”Obs n ContextProperties“”=“A”“”=“16” “”Inf d From“BPD”=“27” “mm”Contains“”Obs n ContextProperties“”=“B”“”=“16” “”*Biparietal Diameter()Inf d From“BPD”=“28” “mm”


3SR• SRSR:– SR– SR– SR•


SR• DICOM• :– SOPSOP(SR,SR,SR)– SOPSOP(CAD,CADCAD•


= CONTAINER, NUM,CODE, IMAGE … = = CODE• • • (,)


CONTAINERDocument TitleOB-GYN, Adult Echo, IVUSUltrasound Vascular, Cath/Hemo ……TID 1002(Observation)CONTAINER……CONTAINERPatientCharacteristics…CONTAINERSummary…CONTAINERCONTAINERFindings FindingHeadingHeading…


CONTAINERDocument TitleCONTAINERHeading: “Exercise Challenge ()”: “Findings()”…CODE“” = “”“” =“Cerebral Vessels()”


CONTAINERGroupcontainsNUMMeasurementCODEModifier Concepthas concept modifier…: BPD, FL …has concept modifierCODEModifier Concept…


DX • DICOM SR• :- - - • • XML• EPR(HL7)


0-nReport TextDocument Title1-n CONTAINSSection HeadingCONTAINS0-nImage Reference10-1ObservationContextObservationContext0-nCoded EntryINFERRED0-nImage ReferenceINFERRED0-nImage Reference• : • • (whowho, what, , when)


0-nReport TextDocument TitleHAS OBS11-n CONTAINSection HeadingHAS OBS0-1CONTAIN0-n0-nImage Reference MeasurementObservationContextObservationContext0-nCoded EntryINFERRED0-n0-nImage Reference Measurement0-nImage ReferenceINFERRED0-nMeasurement


• – DICOM SR• • •


• CAD• CAD• • • Vascular Intervention Results•


SR• SR SOP• • “”


CONTAINERVascular ReportcontainsCONTAINERFindingshas concept modifierCODELateralitycontainsCONTAINERAnatomyhas concept modifierCODETopographical ModifiercontainsNUMMeasurement


(KOSD)• • “(manifest) (manifest)” – ()• •


FibroosteoclasiaHere you can see therenal osteopathy.


Note1Here you can see therenal rupture.Note3Hematoma everywhereNote2This is the hematoma.Note1for refering physicianHere you can see therenal rupture.Note2for refering physicianThis is the hematoma.Note3for refering physicianHematoma everywhereNote3for refering physicianHematoma everywhereNote3for refering physicianHematoma everywhereNote3for refering physicianHematoma everywhere


KOSD


• KOSD«post-it»»:– – – • KOSD


SR:::…..BPD...…..:::…..BPD...…..::GestationalAge...:DX


• (SCP)• HISHIS• DICOMDICOM


• :– – ID– • (HIS)


• – –

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