1. Converting Data from Cardiology Devices into DICOM SR Tim Kaschinske Cardiology Components Team Lead

2. DICOM SR in Cardiology Data other than images in Cardiology –Procedure Logs –Hemodynamic Data –Electrophysiology Data –QCA/QVA Data Electronic copy, rather than paper Associated with other study data –Cine-loops –Waveforms

3. Data Flow for SR Cath Server Cath Lab DICOM SR Conversion Engine Cath Procedure Data DICOM SR XML ACC NDBR IHE External Report

4. SR Templates Specified in DICOM part 16 (Supplement 53) Determine the layout of data within a specified Structured Report. New IOD’s defined. (i.e. – Procedure Log IOD) New Storage SOP classes defined. Defines codes to be used within template.

5. SR Templates (continued) TID # Template Name NLNL Rel with Parent VTConcept NameVMVM Req Typ e ConditionValue Set Constraint 1 2 3

6. SR Templates (continued) TID Tx0107 Device Used NLRelation with Parent Value TypeConcept NameVMVM Req Type ConditionValue Set Constraint 1 CODE"Device used"1M CID Cx0011 Intracoronary Devices 1.1>HAS PROPERTIE S CODE 1- n U 1.2>HAS PROPERTIE S NUMDT (SRT G-A22A "Length"), (SNM3 M-02550 "Diameter") 1- n U 1.8> INCLUDETID Tx0010 Log Entry Qualifiers 1U

7. SR Generation Cath Server Cath Lab Cath Procedure Data DICOM SR DICOM SR Conversion Engine DICOMSRTemplate(s) Template Parsing Engine Parsed Template Data InterfaceMappingEngine DICOM Structured Report

8. Template Parsing Engine DICOMSRTemplate(s) Template Parsing Engine Parsed Template Data

9. Interface Mapping Engine Cath Server Cath Lab Cath Procedure Data DICOM SR Parsed Template Data InterfaceMappingEngine DICOM Structured Report

10. Issues No standard among Cardiology vendors Incomplete data Mapping requires clinical knowledge of data Templates are not finalized DICOM SR not well known among vendors

11. Summary Template parsing engine extracts template information Mapping engine maps data to template Templates need to be finalized for all this to work Need Template Conformance Statement

12. Questions?