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Subject: User-Defined DICOM SR available on:

• EPIQ Evolution 2.0 (software version 1.5)


• Affiniti AOS 1.5 (software version 1.5)

Philips has added the ability for users to create their own measurements and
calculations that contain the required SR parameters so they can be read and mapped
by most 3rd party PACS and reporting systems.

Below is the EPIQ configuration screen used to create a user-defined measurement.


User created a fictitious measurement called “MR Jet Diam” and assigned it the following DICOM
attributes. (Could have added more or fewer attributes, it’s up to the user)
• Concept = “99PMSBLUS, T-ABC123, MR Jet Diam”
• Mode = “2D Mode”
• View = “Parasternal short axis at the Mitral Valve level”
• Direction = “Regurgitant Flow”
• Phase = “Peak Systolic”
Once encoded and saved, the example shows the user then starts a new exam and performs 2 of these
MR Jet DIAM measurements and the system averages the values.

Below is SR Export Dump which reflects the exact measurement attributes entered above and is
exported in the DICOM standard Adult Echo Template. The actual SR file can be downloaded from the
EPIQ page of the Philips Ultrasound Data Portal. See EPIQ 7C_v1.5_AdultEcho_UserDefined_SR.zip

Adult Echocardiography Procedure Report (125200, DCM) Standard Adult Echo Template ID
Patient Characteristics (121118, DCM)
Body Surface Area (8277-6, LN):
2.13 m2 (UCUM [1.4], "m2")
Subject Name (121029, DCM):
AdultEcho User defined SR^Fname4^^^
Subject ID (121030, DCM):23423526
Subject Sex (121032, DCM):M
Subject Birth Date (121031, DCM):1955-12-12
Comment (121106, DCM):Test comments
Patient Height (8302-2, LN):1.8288 m (UCUM [1.4], "m")
Patient Weight (29463-7, LN):90.72 kg (UCUM [1.4], "kg")
Accession Number (121022, DCM):5723876
Sonographer (121093, DCM):A^^^^
Study Description (T9910-07, 99PMSBLUS):Test description
Referring Physician (T9910-08, 99PMSBLUS):B^^^^
Exam date (T9910-09, 99PMSBLUS):2015-09-02
Study date (T9910-105, 99PMSBLUS):2015-09-02

Findings (121070, DCM)


Concept Modifier: Finding Site (G-C0E3, SRT) = Mitral Valve (T-35300, SRT)
Measurement Group (125007, DCM)

MR Jet Diam (T-ABC123, 99PMSBLUS):


28.4 mm (UCUM [1.4], "mm") Measurement 1
Concept Modifier: Flow Direction (G-C048, SRT) = Regurgitant Flow (G-0367, SRT)
Concept Modifier: Cardiac Cycle Point (R-4089A, SRT) = Peak Systolic (F-32021, SRT)
Concept Modifier: Image Mode (G-0373, SRT) = 2D mode (G-03A2, SRT)
Concept Modifier: Image View (111031, DCM) = Parasternal short axis at the Mitral Valve level (G-039A, SRT)

MR Jet Diam (T-ABC123, 99PMSBLUS):


27.2 mm (UCUM [1.4], "mm") Measurement 2
Concept Modifier: Flow Direction (G-C048, SRT) = Regurgitant Flow (G-0367, SRT)
Concept Modifier: Cardiac Cycle Point (R-4089A, SRT) = Peak Systolic (F-32021, SRT)
Concept Modifier: Image Mode (G-0373, SRT) = 2D mode (G-03A2, SRT)
Concept Modifier: Image View (111031, DCM) = Parasternal short axis at the Mitral Valve level (G-039A, SRT)

MR Jet Diam (T-ABC123, 99PMSBLUS):


27.8 mm (UCUM [1.4], "mm") Average Value
Concept Modifier: Derivation (121401, DCM) = Mean (R-00317, SRT)
Properties: Selection Status (121404, DCM) = Mean value chosen (121412, DCM)
Concept Modifier: Flow Direction (G-C048, SRT) = Regurgitant Flow (G-0367, SRT)
Concept Modifier: Cardiac Cycle Point (R-4089A, SRT) = Peak Systolic (F-32021, SRT)
Concept Modifier: Image Mode (G-0373, SRT) = 2D mode (G-03A2, SRT)
Concept Modifier: Image View (111031, DCM) = Parasternal short axis at the Mitral Valve level (G-039A, SRT)

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