Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.
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Transcript of Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.
![Page 1: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/1.jpg)
Structured Reporting- More Complex Examples
David A. Clunie
NEMA SR Workshop
29th-30th March 2000
![Page 2: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/2.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
Outline Features of Sup 23 example Features not in example Textual equivalents of the example Fully annotated illustration of the example
Encoding of components of the example
Inheritance of Observation Context Post-coordination of Concept Name Reference collection attributes up front
![Page 3: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/3.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
Features of Example No plain text at all, everything coded Post-coordinated document title Inferences that lead to a conclusion are
documented encoded by reference rather than by value
References to image and coordinates Numeric measurement Observation context
![Page 4: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/4.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
SR Features not in Example Post-Coordination of other content items Containers without Concept Name
i.e. containers that aren’t “headings”
Observation context extended in children “Inferred from” relationship by-value Temporal Coordinates
![Page 5: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/5.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
Document Root Node CONTAINER"Chest X-ray" (Document Title)
Has obs context
Content Node PNAME"Recording Observer =
Smith^John̂ ^Dr̂ "* Relationship Modes = By-value = By-reference
contains
contains contains
inferred from
Content Node CODE"finding = mass"
Heading NodeCONTAINER"Conclusions"
Heading NodeCONTAINER "Specific
Image Findings"
Content Node CODE"conclusion = probable
malignancy"
Content node SCOORD"best illustration of
findings"
Leaf Node IMAGE "Baseline"
contains contains contains
Leaf Node NUM"diameter = 1.3 cm"
Leaf Node CODE"margination = infiltrative"
has properties has properties
inferred from
Leaf Node IMAGE
selected from
Has obs context
Content Node UIDREF"Study Instance UID of
Evidence Directly Examinedby RO = 1.2.3.4.5.6.7.100"
Has obs context
Content Node PNAME"Patient-Data-Acquisition
Subject = Homer̂ Jane^^^"
has concept modLeaf Node CODE
"Views = PA and Lateral"
![Page 6: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/6.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
Report of Chest X-Ray (PA and LateralViews)
Patient Jane HomerStudy # 123456Recorded by Dr. John Smith
The finding is a mass measuring 1.3 cm in diameter with an infiltrative margination.
The baseline image is shown at
ConclusionsThe conclusion is a probable malignancy, inferred from the infiltrative margination of the mass and the appearance shown by the best illustration of findings.
Specific Image FindingsThe best illustration of findings is
QuickTime™ and aTIFF (LZW) decompressor
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QuickTime™ and aTIFF (LZW) decompressor
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(Click to view)
(Click to view)
![Page 7: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/7.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
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=Mass
has properties diameter=1.3 cmhas properties margination=infiltrative (1.4.2)
Baseline ImageConclusions
conclusion=probable malignancyinferred from 1.4.2inferred from 1.7.1
Specific Image Findingsbest illustration of findings(1.7.1)
.
QuickTime™ and aTIFF (LZW) decompressor
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QuickTime™ and aTIFF (LZW) decompressor
are needed to see this picture.
![Page 8: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/8.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
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=Mass
has properties diameter=1.3 cmhas properties margination=infiltrative (1.4.2)
Baseline ImageConclusions
conclusion=probable malignancyinferred from 1.4.2inferred from 1.7.1
Specific Image Findingsbest illustration of findings(1.7.1)
.
QuickTime™ and aTIFF (LZW) decompressor
are needed to see this picture.
QuickTime™ and aTIFF (LZW) decompressor
are needed to see this picture.
“contains” relationship not shown
![Page 9: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/9.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
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=Mass
has properties diameter=1.3 cmhas properties margination=infiltrative (1.4.2)
Baseline ImageConclusions
conclusion=probable malignancyinferred from 1.4.2inferred from 1.7.1
Specific Image Findingsbest illustration of findings(1.7.1)
.
QuickTime™ and aTIFF (LZW) decompressor
are needed to see this picture.
QuickTime™ and aTIFF (LZW) decompressor
are needed to see this picture.
Concept Name /Value pairs used
![Page 10: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/10.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
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=Mass
has properties diameter=1.3 cmhas properties margination=infiltrative (1.4.2)
Baseline ImageConclusions
conclusion=probable malignancyinferred from 1.4.2inferred from 1.7.1
Specific Image Findingsbest illustration of findings(1.7.1)
.
QuickTime™ and aTIFF (LZW) decompressor
are needed to see this picture.
QuickTime™ and aTIFF (LZW) decompressor
are needed to see this picture.
Concept Name without a value used as a heading (container)
![Page 11: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/11.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
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=Mass
has properties diameter=1.3 cmhas properties margination=infiltrative (1.4.2)
Baseline ImageConclusions
conclusion=probable malignancyinferred from 1.4.2inferred from 1.7.1
Specific Image Findingsbest illustration of findings(1.7.1)
.
QuickTime™ and aTIFF (LZW) decompressor
are needed to see this picture.
QuickTime™ and aTIFF (LZW) decompressor
are needed to see this picture.
Concept Name without a value used as Purpose of Reference for IMAGE, SCOORD
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Copyright 2000 David A. Clunie. All rights reserved.
Concept Name Conditions
DOCUMENT CONTENT MACRO ATTRIBUTES
Concept Name CodeSequence
(0040,A043) 1C Code describing the concept represented by thisContent Item. Also conveys the value of Document Titleand section headings in documents. Only a single Itemshall be permitted in this sequence.
Required if Value Type (0040,A040) is TEXT or NUM orCODE or DATETIME or DATE or TIME or UIDREF orPNAME.
Required if Value Type (0040,A040) is CONTAINERand a heading is present, or this is the Root ContentItem.
Note: That is, containers without headings do notrequire Concept Name Code Sequence
Required if Value Type (0040,A040) is COMPOSITE,IMAGE, WAVEFORM, SCOORD or TCOORD, and thePurpose of Reference is conveyed in the ConceptName.
See C.17.3.1 for further explanation.
![Page 13: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/13.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
CODE
SCOORD
CODE
“Chest X-Ray”
“Recording Observer”=“Smith^John^^Dr^”
“Study Instance UID ...”=“1.2.3.4.5.6.7.100”
Context
“… Acquisition Subject”=“Homer^Jane^^^”
“Finding”=“Mass”Contains
“Baseline”=ContainsQuickTime™ and a
TIFF (LZW) decompressorare needed to see this picture.
“Conclusions”Contains
“Specific Image Findings”Contains
“Views”=“PA and Lateral”Modifier
Context
Context
“diameter”=“1.3” “cm”Properties
“margination”=“infiltrative”Properties
“conclusion”=“probable malignancy”Contains
“best illustration of findings”=Contains
Seld FromQuickTime™ and a
TIFF (LZW) decompressorare needed to see this picture.
Infd From
Infd From
CONTAINER
CONTAINER
CONTAINER
PNAME
UIDREF
PNAME
CODE
NUM
IMAGE
IMAGE
CODE
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
1.4.1
1.4.2
1.6.1
1.7.1
1.7.1.1
1.6.1.1
1.6.1.2
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Copyright 2000 David A. Clunie. All rights reserved.
“Chest X-Ray” CONTAINER
1 Value Type (0040,a040) CS 000a CONTAINER
1 Concept Name Code Sequence (0040,a043) SQ ffffffff
1 %item
1 > Code Value (0008,0100) SH 0006 333300
1 > Coding Scheme Designator (0008,0102) SH 0006 LNdemo
1 > Code Meaning (0008,0104) LO 000c Chest X-Ray
1 %enditem
%endseq
1 Continuity Of Content (0040,a050) CS 0008 SEPARATE
1 Content Sequence (0040,a730) SQ ffffffff
…
1 %endseq
![Page 15: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/15.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
“Chest X-Ray” CONTAINER
1 Value Type (0040,a040) CS 000a CONTAINER
1 Concept Name Code Sequence (0040,a043) SQ ffffffff
1 %item
1 > Code Value (0008,0100) SH 0006 333300
1 > Coding Scheme Designator (0008,0102) SH 0006 LNdemo
1 > Code Meaning (0008,0104) LO 000c Chest X-Ray
1 %enditem
%endseq
1 Continuity Of Content (0040,a050) CS 0008 SEPARATE
1 Content Sequence (0040,a730) SQ ffffffff
…
1 %endseq
![Page 16: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/16.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
“Chest X-Ray” CONTAINER
1 Value Type (0040,a040) CS 000a CONTAINER
1 Concept Name Code Sequence (0040,a043) SQ ffffffff
1 %item
1 > Code Value (0008,0100) SH 0006 333300
1 > Coding Scheme Designator (0008,0102) SH 0006 LNdemo
1 > Code Meaning (0008,0104) LO 000c Chest X-Ray
1 %enditem
%endseq
1 Continuity Of Content (0040,a050) CS 0008 SEPARATE
1 Content Sequence (0040,a730) SQ ffffffff
…
1 %endseq
![Page 17: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/17.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
“Chest X-Ray” CONTAINER
1 Value Type (0040,a040) CS 000a CONTAINER
1 Concept Name Code Sequence (0040,a043) SQ ffffffff
1 %item
1 > Code Value (0008,0100) SH 0006 333300
1 > Coding Scheme Designator (0008,0102) SH 0006 LNdemo
1 > Code Meaning (0008,0104) LO 000c Chest X-Ray
1 %enditem
%endseq
1 Continuity Of Content (0040,a050) CS 0008 SEPARATE
1 Content Sequence (0040,a730) SQ ffffffff
…
1 %endseq
The choice of code is defined by the combination of Value and Scheme Designator !
-Code Meaning is for convenience only !
![Page 18: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/18.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
“Chest X-Ray” CONTAINER
1 Value Type (0040,a040) CS 000a CONTAINER
1 Concept Name Code Sequence (0040,a043) SQ ffffffff
1 %item
1 > Code Value (0008,0100) SH 0006 333300
1 > Coding Scheme Designator (0008,0102) SH 0006 LNdemo
1 > Code Meaning (0008,0104) LO 000c Chest X-Ray
1 %enditem
%endseq
1 Continuity Of Content (0040,a050) CS 0008 SEPARATE
1 Content Sequence (0040,a730) SQ ffffffff
…
1 %endseq
![Page 19: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/19.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
“Chest X-Ray” CONTAINER
1 Value Type (0040,a040) CS 000a CONTAINER
1 Concept Name Code Sequence (0040,a043) SQ ffffffff
1 %item
1 > Code Value (0008,0100) SH 0006 333300
1 > Coding Scheme Designator (0008,0102) SH 0006 LNdemo
1 > Code Meaning (0008,0104) LO 000c Chest X-Ray
1 %enditem
%endseq
1 Continuity Of Content (0040,a050) CS 0008 SEPARATE
1 Content Sequence (0040,a730) SQ ffffffff
…
1 %endseq
![Page 20: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/20.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
“Chest X-Ray”
“Views”=“PA and Lateral”Modifier
CONTAINER
CODE1.8
![Page 21: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/21.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
“Chest X-Ray”
“Views”=“PA and Lateral”Modifier
CONTAINER
CODE1.8
1 Value Type (0040,a040) CS 000a CONTAINER
1 Concept Name Code Sequence (0040,a043) SQ ffffffff
1 %item
1 > Code Value (0008,0100) SH 0006 333300
1 > Coding Scheme Designator (0008,0102) SH 0006 LNdemo
1 > Code Meaning (0008,0104) LO 000c Chest X-Ray
1 %enditem
%endseq
1 Continuity Of Content (0040,a050) CS 0008 SEPARATE
1 Content Sequence (0040,a730) SQ ffffffff
…
1.8 %item
1.8 > Relationship Type (0040,a010) CS 0010 HAS CONCEPTMOD
1.8 > Value Type (0040,a040) CS 0004 CODE
1.8 > Concept Name Code Sequence (0040,a043) SQ ffffffff
1.8 %item
1.8 >> Code Value (0008,0100) SH 0006 123456
1.8 >> Coding Scheme Designator (0008,0102) SH 0006 LNdemo
1.8 >> Code Meaning (0008,0104) LO 0006 Views
1.8 %enditem
1.8 %endseq
1.8 > Concept Code Sequence (0040,a168) SQ ffffffff
1.8 %item
1.8 >> Code Value (0008,0100) SH 0006 123457
1.8 >> Coding Scheme Designator (0008,0102) SH 0006 LNdemo
1.8 >> Code Meaning (0008,0104) LO 000e PA and Lateral
1.8 %enditem
1.8 %endseq
1.8 %enditem
1 %endseq
![Page 22: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/22.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
“Chest X-Ray”
“Views”=“PA and Lateral”Modifier
CONTAINER
CODE1.8
1 Value Type (0040,a040) CS 000a CONTAINER
1 Concept Name Code Sequence (0040,a043) SQ ffffffff
1 %item
1 > Code Value (0008,0100) SH 0006 333300
1 > Coding Scheme Designator (0008,0102) SH 0006 LNdemo
1 > Code Meaning (0008,0104) LO 000c Chest X-Ray
1 %enditem
%endseq
1 Continuity Of Content (0040,a050) CS 0008 SEPARATE
1 Content Sequence (0040,a730) SQ ffffffff
…
1.8 %item
1.8 > Relationship Type (0040,a010) CS 0010 HAS CONCEPTMOD
1.8 > Value Type (0040,a040) CS 0004 CODE
1.8 > Concept Name Code Sequence (0040,a043) SQ ffffffff
1.8 %item
1.8 >> Code Value (0008,0100) SH 0006 123456
1.8 >> Coding Scheme Designator (0008,0102) SH 0006 LNdemo
1.8 >> Code Meaning (0008,0104) LO 0006 Views
1.8 %enditem
1.8 %endseq
1.8 > Concept Code Sequence (0040,a168) SQ ffffffff
1.8 %item
1.8 >> Code Value (0008,0100) SH 0006 123457
1.8 >> Coding Scheme Designator (0008,0102) SH 0006 LNdemo
1.8 >> Code Meaning (0008,0104) LO 000e PA and Lateral
1.8 %enditem
1.8 %endseq
1.8 %enditem
1 %endseq
![Page 23: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/23.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
“Chest X-Ray”
“Views”=“PA and Lateral”Modifier
CONTAINER
CODE1.8
The Relationship is always encoded inside the child Content Item !
![Page 24: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/24.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
“Chest X-Ray”
“Views”=“PA and Lateral”Modifier
CONTAINER
CODE1.8
1 Value Type (0040,a040) CS 000a CONTAINER
1 Concept Name Code Sequence (0040,a043) SQ ffffffff
1 %item
1 > Code Value (0008,0100) SH 0006 333300
1 > Coding Scheme Designator (0008,0102) SH 0006 LNdemo
1 > Code Meaning (0008,0104) LO 000c Chest X-Ray
1 %enditem
%endseq
1 Continuity Of Content (0040,a050) CS 0008 SEPARATE
1 Content Sequence (0040,a730) SQ ffffffff
…
1.8 %item
1.8 > Relationship Type (0040,a010) CS 0010 HAS CONCEPTMOD
1.8 > Value Type (0040,a040) CS 0004 CODE
1.8 > Concept Name Code Sequence (0040,a043) SQ ffffffff
1.8 %item
1.8 >> Code Value (0008,0100) SH 0006 123456
1.8 >> Coding Scheme Designator (0008,0102) SH 0006 LNdemo
1.8 >> Code Meaning (0008,0104) LO 0006 Views
1.8 %enditem
1.8 %endseq
1.8 > Concept Code Sequence (0040,a168) SQ ffffffff
1.8 %item
1.8 >> Code Value (0008,0100) SH 0006 123457
1.8 >> Coding Scheme Designator (0008,0102) SH 0006 LNdemo
1.8 >> Code Meaning (0008,0104) LO 000e PA and Lateral
1.8 %enditem
1.8 %endseq
1.8 %enditem
1 %endseq
![Page 25: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/25.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
“Chest X-Ray”
“Views”=“PA and Lateral”Modifier
CONTAINER
CODE1.8
1 Value Type (0040,a040) CS 000a CONTAINER
1 Concept Name Code Sequence (0040,a043) SQ ffffffff
1 %item
1 > Code Value (0008,0100) SH 0006 333300
1 > Coding Scheme Designator (0008,0102) SH 0006 LNdemo
1 > Code Meaning (0008,0104) LO 000c Chest X-Ray
1 %enditem
%endseq
1 Continuity Of Content (0040,a050) CS 0008 SEPARATE
1 Content Sequence (0040,a730) SQ ffffffff
…
1.8 %item
1.8 > Relationship Type (0040,a010) CS 0010 HAS CONCEPTMOD
1.8 > Value Type (0040,a040) CS 0004 CODE
1.8 > Concept Name Code Sequence (0040,a043) SQ ffffffff
1.8 %item
1.8 >> Code Value (0008,0100) SH 0006 123456
1.8 >> Coding Scheme Designator (0008,0102) SH 0006 LNdemo
1.8 >> Code Meaning (0008,0104) LO 0006 Views
1.8 %enditem
1.8 %endseq
1.8 > Concept Code Sequence (0040,a168) SQ ffffffff
1.8 %item
1.8 >> Code Value (0008,0100) SH 0006 123457
1.8 >> Coding Scheme Designator (0008,0102) SH 0006 LNdemo
1.8 >> Code Meaning (0008,0104) LO 000e PA and Lateral
1.8 %enditem
1.8 %endseq
1.8 %enditem
1 %endseq
![Page 26: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/26.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
“Chest X-Ray”
“Views”=“PA and Lateral”Modifier
CONTAINER
CODE1.8
1 Value Type (0040,a040) CS 000a CONTAINER
1 Concept Name Code Sequence (0040,a043) SQ ffffffff
1 %item
1 > Code Value (0008,0100) SH 0006 333300
1 > Coding Scheme Designator (0008,0102) SH 0006 LNdemo
1 > Code Meaning (0008,0104) LO 000c Chest X-Ray
1 %enditem
%endseq
1 Continuity Of Content (0040,a050) CS 0008 SEPARATE
1 Content Sequence (0040,a730) SQ ffffffff
…
1.8 %item
1.8 > Relationship Type (0040,a010) CS 0010 HAS CONCEPTMOD
1.8 > Value Type (0040,a040) CS 0004 CODE
1.8 > Concept Name Code Sequence (0040,a043) SQ ffffffff
1.8 %item
1.8 >> Code Value (0008,0100) SH 0006 123456
1.8 >> Coding Scheme Designator (0008,0102) SH 0006 LNdemo
1.8 >> Code Meaning (0008,0104) LO 0006 Views
1.8 %enditem
1.8 %endseq
1.8 > Concept Code Sequence (0040,a168) SQ ffffffff
1.8 %item
1.8 >> Code Value (0008,0100) SH 0006 123457
1.8 >> Coding Scheme Designator (0008,0102) SH 0006 LNdemo
1.8 >> Code Meaning (0008,0104) LO 000e PA and Lateral
1.8 %enditem
1.8 %endseq
1.8 %enditem
1 %endseq
![Page 27: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/27.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
“Chest X-Ray”
“Views”=“PA and Lateral”Modifier
CONTAINER
CODE1.8
1 Value Type (0040,a040) CS 000a CONTAINER
1 Concept Name Code Sequence (0040,a043) SQ ffffffff
1 %item
1 > Code Value (0008,0100) SH 0006 333300
1 > Coding Scheme Designator (0008,0102) SH 0006 LNdemo
1 > Code Meaning (0008,0104) LO 000c Chest X-Ray
1 %enditem
%endseq
1 Continuity Of Content (0040,a050) CS 0008 SEPARATE
1 Content Sequence (0040,a730) SQ ffffffff
…
1.8 %item
1.8 > Relationship Type (0040,a010) CS 0010 HAS CONCEPTMOD
1.8 > Value Type (0040,a040) CS 0004 CODE
1.8 > Concept Name Code Sequence (0040,a043) SQ ffffffff
1.8 %item
1.8 >> Code Value (0008,0100) SH 0006 123456
1.8 >> Coding Scheme Designator (0008,0102) SH 0006 LNdemo
1.8 >> Code Meaning (0008,0104) LO 0006 Views
1.8 %enditem
1.8 %endseq
1.8 > Concept Code Sequence (0040,a168) SQ ffffffff
1.8 %item
1.8 >> Code Value (0008,0100) SH 0006 123457
1.8 >> Coding Scheme Designator (0008,0102) SH 0006 LNdemo
1.8 >> Code Meaning (0008,0104) LO 000e PA and Lateral
1.8 %enditem
1.8 %endseq
1.8 %enditem
1 %endseq
![Page 28: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/28.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
“Chest X-Ray”
“Finding”=“Mass”Contains
“diameter”=“1.3” “cm”Properties
CONTAINER
CODE
NUM
1.4
1.4.1
![Page 29: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/29.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
1.4.1 >> Value Type (0040,a040) CS 0004 NUM
1.4.1 >> Concept Name Code Sequence (0040,a043) SQ ffffffff
1.4.1 %item
1.4.1 >>> Code Value (0008,0100) SH 0006 000222
1.4.1 >>> Coding Scheme Designator (0008,0102) SH 0006 LNdemo
1.4.1 >>> Code Meaning (0008,0104) LO 0008 Diameter
1.4.1 %enditem
1.4.1 %endseq
1.4.1 >> Measured Value Sequence (0040,a300) SQ ffffffff
1.4.1 %item
1.4.1 >>> Measurement Units Code Sequence (0040,08ea) SQ ffffffff
1.4.1 %item
1.4.1 >>>> Code Value (0008,0100) SH 0006 000111
1.4.1 >>>> Coding Scheme Designator (0008,0102) SH 0008 SNMdemo
1.4.1 >>>> Code Meaning (0008,0104) LO 0002 cm
1.4.1 %enditem
1.4.1 %endseq
1.4.1 >>> Numeric Value (0040,a30a) DS 0004 1.3
1.4.1 %enditem
1.4.1 %endseq
“diameter”=“1.3” “cm” NUM
![Page 30: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/30.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
“Chest X-Ray”
“Baseline”=ContainsQuickTime™ and a
TIFF (LZW) decompressorare needed to see this picture.
CONTAINER
IMAGE1.5
![Page 31: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/31.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
“Baseline”=ContainsQuickTime™ and a
TIFF (LZW) decompressorare needed to see this picture.
IMAGE
1.5 %item
1.5 > Referenced SOP Sequence (0008,1199) SQ ffffffff
1.5 %item
1.5 >> Referenced SOP Class UID (0008,1150) UI 0008 1.2.3.4
1.5 >> Referenced SOP Instance UID (0008,1155) UI 000a 1.2.3.4.5
1.5 %enditem
1.5 %endseq
1.5 > Relationship Type (0040,a010) CS 0008 CONTAINS
1.5 > Value Type (0040,a040) CS 0006 IMAGE
1.5 > Concept Name Code Sequence (0040,a043) SQ ffffffff
1.5 %item
1.5 >> Code Value (0008,0100) SH 0006 333000
1.5 >> Coding Scheme Designator (0008,0102) SH 0008 SNMdemo
1.5 >> Code Meaning (0008,0104) LO 0008 Baseline
1.5 %enditem
1.5 %endseq
1.5 %enditem
Concept Name denotes the Purpose of Reference
![Page 32: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/32.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
SCOORD
“Chest X-Ray”
“Specific Image Findings”Contains
“best illustration of findings”=Contains
Seld FromQuickTime™ and a
TIFF (LZW) decompressorare needed to see this picture.
CONTAINER
CONTAINER
IMAGE
1.7
1.7.1
1.7.1.1
![Page 33: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/33.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
SCOORD“best illustration of findings”=Contains
Seld FromQuickTime™ and a
TIFF (LZW) decompressorare needed to see this picture.
IMAGE
1.7.1
1.7.1.1
1.7.1 >> Value Type (0040,a040) CS 0006 SCOORD
1.7.1 >> Concept Name Code Sequence (0040,a043) SQ ffffffff
1.7.1 %item
1.7.1 >>> Code Value (0008,0100) SH 0006 333001
1.7.1 >>> Coding Scheme Designator (0008,0102) SH 0008 SNMdemo
1.7.1 >>> Code Meaning (0008,0104) LO 001e Best illustration offindings
1.7.1 %enditem
1.7.1 %endseq
1.7.1 >> Content Sequence (0040,a730) SQ ffffffff
1.7.1.1 %item
1.7.1.1 … …
1.7.1.1 >>> Relationship Type (0040,a010) CS 000e SELECTED FROM
1.7.1.1 >>> Value Type (0040,a040) CS 0006 IMAGE
1.7.1.1 %enditem
1.7.1 %endseq
1.7.1 >> Graphic Data (0070,0022) FL 0020 0,0,0,0,0,0,0,0
1.7.1 >> Graphic Type (0070,0023) CS 0008 POLYLINE
Purpose of Reference specified for SCOORD
![Page 34: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/34.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
CODE
SCOORD
CODE
“Chest X-Ray”
“Finding”=“Mass”Contains
“Conclusions”Contains
“Specific Image Findings”Contains
“margination”=“infiltrative”Properties
“conclusion”=“probable malignancy”Contains
“best illustration of findings”=Contains
Infd From
Infd From
CONTAINER
CONTAINER
CONTAINER
CODE1.4
1.6
1.7
1.4.1
1.4.2
1.6.1
1.7.1
1.6.1.1
1.6.1.2
![Page 35: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/35.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
CODE
SCOORD
CODE
“Chest X-Ray”
“Conclusions”Contains
“margination”=“infiltrative”
“conclusion”=“probable malignancy”Contains
“best illustration of findings”=
Infd From
Infd From
CONTAINER
CONTAINER1.6
1.4.2
1.6.1
1.7.1
1.6.1.1
1.6.1.2
![Page 36: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/36.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
1.6.1 >> Value Type (0040,a040) CS 0004 CODE
1.6.1 >> Concept Name Code Sequence (0040,a043) SQ ffffffff
1.6.1 … …
1.6.1 >>> Code Meaning (0008,0104) LO 000a Conclusion
1.6.1 %endseq
1.6.1 >> Concept Code Sequence (0040,a168) SQ ffffffff
1.6.1 … …
1.6.1 >>> Code Meaning (0008,0104) LO 0014 Probable malignancy
1.6.1 %endseq
1.6.1 >> Content Sequence (0040,a730) SQ ffffffff
1.6.1.1 %item
1.6.1.1 >>> Relationship Type (0040,a010) CS 000e INFERRED FROM
1.6.1.1 >>> Referenced Content Item Identifier (0040,db73) UL 000c 0001,0004,0002
1.6.1.1 %enditem
1.6.1.2 %item
1.6.1.2 >>> Relationship Type (0040,a010) CS 000e INFERRED FROM
1.6.1.2 >>> Referenced Content Item Identifier (0040,db73) UL 000c 0001,0007,0001
1.6.1.2 %enditem
1.6.1 %endseq
CODE“conclusion”=“probable malignancy”
Infd From1.4.2
1.7.1Infd From
1.6.1.1
1.6.1.2
![Page 37: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/37.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
“Chest X-Ray”
“Recording Observer”=“Smith^John^^Dr^”
“Study Instance UID ...”=“1.2.3.4.5.6.7.100”
“… Acquisition Subject”=“Homer^Jane^^^”
“Finding”=“Mass”
“Baseline”= QuickTime™ and aTIFF (LZW) decompressor
are needed to see this picture.
“Conclusions”
“Specific Image Findings”
“Views”=“PA and Lateral”
“diameter”=“1.3” “cm”
“margination”=“infiltrative”
“conclusion”=“probable malignancy”
“best illustration of findings”=
QuickTime™ and aTIFF (LZW) decompressor
are needed to see this picture.
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
1.4.1
1.4.2
1.6.1
1.7.1
1.7.1.1
1 The numbering of items is implicit !
![Page 38: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/38.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
Inheritance of Context Observation Context
includes top-level attributes of Composite IOD may be attached to root node CONTAINER is inherited along by-value relationships is not inherited along by-reference relationships may be extended (but not replaced) in children may be attached to any content item, not just
CONTAINER
![Page 39: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/39.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
“Chest X-Ray”
“Recording Observer”=“Smith^John^^Dr^”
“Study Instance UID ...”=“1.2.3.4.5.6.7.100”
Context
“… Acquisition Subject”=“Homer^Jane^^^”
“Finding”=“Mass”Contains
Context
Context
General Patient Module:“Patient Name”=“Homer^Jane^^^”“Patient ID”=“234567”“Patient Sex”=“F”“Patient DOB”=“19991109”
General Study Module:“Accession Number”=“123456”“Study ID”=“345678”
SR ComprehensiveSOP Instance
![Page 40: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/40.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
Inheritance of Context Observation Context
includes top-level attributes of Composite IOD may be attached to root node CONTAINER is inherited along by-value relationships is not inherited along by-reference relationships may be extended (but not replaced) in children may be attached to any content item, not just
CONTAINER
![Page 41: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/41.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
“Chest X-Ray”
“Recording Observer”=“Smith^John^^Dr^”
“Study Instance UID ...”=“1.2.3.4.5.6.7.100”
Context
“… Acquisition Subject”=“Homer^Jane^^^”
“Finding”=“Mass”Contains
“Baseline”=ContainsQuickTime™ and a
TIFF (LZW) decompressorare needed to see this picture.
“Conclusions”Contains
“Specific Image Findings”Contains
“Views”=“PA and Lateral”Modifier
Context
Context
“diameter”=“1.3” “cm”Properties
“margination”=“infiltrative”Properties
“conclusion”=“probable malignancy”Contains
“best illustration of findings”=Contains
Seld FromQuickTime™ and a
TIFF (LZW) decompressorare needed to see this picture.
Infd From
Infd From
![Page 42: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/42.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
Inheritance of Context Observation Context
includes top-level attributes of Composite IOD may be attached to root node CONTAINER is inherited along by-value relationships is not inherited along by-reference relationships may be extended (but not replaced) in children may be attached to any content item, not just
CONTAINER
![Page 43: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/43.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
“Obstetric Ultrasound”
“Mother of Fetus”=“Homer^Jane^^^”
“Fetus Identifier”=“Fetus A”
“BPD”=“27” “mm”
“Findings for Fetus”
Obsn Context
Contains
Obsn Context
“Gestational Age”=“16” “weeks”Properties
Infd From
“Fetus Identifier”=“Fetus B”
“BPD”=“28” “mm”
“Findings for Fetus”Contains
Obsn Context
“Gestational Age”=“16” “weeks”Properties
Infd From
![Page 44: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/44.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
Inferred From Relationships
![Page 45: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/45.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
“Obstetric Ultrasound”
“Mother of Fetus”=“Homer^Jane^^^”
“Fetus Identifier”=“Fetus A”
“BPD”=“27” “mm”
“Findings for Fetus”
Obsn Context
Contains
Obsn Context
“Gestational Age”=“16” “weeks”Properties
Infd From
“Inferred from” relationships may be by-value as well as by-reference, and are often more
appropriate then “has properties” or “contains.”
![Page 46: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/46.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
Post-Coordination:HAS CONCEPT MOD Elaborates on meaning of Concept Name in
CONTAINER (headings) CODE, TEXT, NUM …
May: qualify meaning further describe meaning provide translations
![Page 47: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/47.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
“Chest X-Ray”
“Views”=“PA and Lateral”Modifier
CONTAINER
CODE
“Full Description”=“This is a reporton a two-view (PA and lateral) ChestX-Ray examination.”
Modifier TEXT
“Equivalent Meaning in Italian”=“Radiografia del ...”Modifier TEXT
![Page 48: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/48.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
“Finding”=“Mass”
“diameter”=“1.3” “cm”Properties
CODE
NUM
“method”=“Smith”Modifier CODE
Modifier“threshold”=“75” “HU” NUM
“Finding”=“Mass”
“diameter by Smith method @ 75HU threshold” = “1.3” “cm”
Properties
CODE
NUM
Post-coordinated ...
Pre-coordinated ...
![Page 49: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/49.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
References to Images, etc. At reference:
SOP Class and Instance UIDs (+/- Frame) Optionally, Presentation State reference
What Study ? Series ? Complete list up front:
• Current Requested Procedure Evidence Sequence
• Pertinent Other Evidence Sequence UIDs, AETs, Media IDs
![Page 50: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/50.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
Current Requested Procedure Evidence Sequence Everything (ALL images etc.) for the
procedure the report is about Even if they are not explicitly referenced ! Even if the report creator didn’t look at
them !
![Page 51: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/51.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
Pertinent Other Evidence Sequence Stuff from other studies Priors that may (or may not) have been
considered while generating this document Other synchronous studies satisfying other
requests E.g. another modality E.g. another department (lab, path)
![Page 52: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/52.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
Collected References ...Current Requested Procedure EvidenceSequence
(0040,a375) SQ ffffffff
%item
> Referenced Series Sequence (0008,1115) SQ ffffffff
%item
>> Referenced SOP Sequence (0008,1199) SQ ffffffff
%item
>>> Referenced SOP Class UID (0008,1150) UI 0008 1.2.3.4
>>> Referenced SOP Instance UID (0008,1155) UI 000a 1.2.3.4.5
%enditem
%endseq
>> Series Instance UID (0020,000E) UI 0012 1.2.3.4.5.6.7.200
%enditem
%endseq
> Study Instance UID (0020,000D) UI 0012 1.2.3.4.5.6.7.100
%enditem
%endseq
![Page 53: Structured Reporting - More Complex Examples David A. Clunie NEMA SR Workshop 29th-30th March 2000.](https://reader036.fdocuments.net/reader036/viewer/2022062421/56649dc65503460f94ab9c37/html5/thumbnails/53.jpg)
Copyright 2000 David A. Clunie. All rights reserved.
Summary Features of Sup 23 example Features not in example Textual equivalents of the example Fully annotated illustration of the example
Encoding of components of the example
Inheritance of Observation Context Post-coordination of Concept Name Reference collection attributes up front