Comprehensive SR Document

Patient Characteristics

Subject Name:
VM3.0 7G OB GYN^^^^

Subject ID:
08550120180703

Exam date:
2018-07-03

Study date:
2018-07-03

Summary

EDD from average ultrasound age:
2018-10-28

EDD from LMP:
2018-10-01

LMP:
2017-12-25

Number of Fetuses:
1 1

Fetus Summary

Observation Context: Fetus ID = "1"

Estimated Weight:
997.7 g

Inferred from: Equation = EFW by AC, BPD, FL, HC, Hadlock 1985 (11732-5, LN)

Gestational Age:
187.92 d

Inferred from: Table of Values = EFW, Shinozuka 1996 (C12013-20, 99PMSBLUS)

EFW percentile rank:
28.474104 1

Inferred from: Table of Values = FWP by MA, Hadlock 1991 (C12016-08, 99PMSBLUS)

EFW growth percentile rank:
28 %

Inferred from: Equation = EFW by GA, Hadlock 1991 (33162-9, LN)

EFW growth Z-score:
-0.58 1

Inferred from: Equation = EFW by GA, Hadlock 1991 (33162-9, LN)

Fetal Heart Rate:
150 {H.B.}/min

Properties: Selection Status = Most recent value chosen (121411, DCM)

Composite Ultrasound Age:
163 d

Gestational Age by LMP:
190 d

Fetal Biometry

Observation Context: Fetus ID = "1"

Biometry Group

Abdominal Circumference:
220.9 mm

Inferred from: Spatial Coordinates [Annex 1]
Inferred from: Spatial Coordinates [Annex 2]
Inferred from: Spatial Coordinates [Annex 3]

Abdominal Circumference:
220.9 mm

Concept Modifier: Derivation = Mean (R-00317, SRT)
Properties: Selection Status = Mean value chosen (121412, DCM)

Gestational Age:
185.713186 d

Inferred from: Equation = AC, Hadlock 1984 (11892-7, LN)

Growth Percentile Rank:
24 %

Inferred from: Equation = AC by GA, Hadlock 1984 (33146-2, LN)

Growth Z-score:
-0.71 1

Inferred from: Equation = AC by GA, Hadlock 1984 (33146-2, LN)

Biometry Group

Biparietal Diameter:
66.9 mm

Inferred from: Spatial Coordinates [Annex 4]
Inferred from: Spatial Coordinates [Annex 5]
Inferred from: Spatial Coordinates [Annex 6]
Inferred from: Spatial Coordinates [Annex 7]
Inferred from: Spatial Coordinates [Annex 8]
Inferred from: Spatial Coordinates [Annex 9]

Biparietal Diameter:
66.9 mm

Concept Modifier: Derivation = Mean (R-00317, SRT)
Properties: Selection Status = Mean value chosen (121412, DCM)

Gestational Age:
188.689917 d

Inferred from: Equation = BPD, Hadlock 1984 (11902-4, LN)

Growth Percentile Rank:
32 %

Inferred from: Equation = BPD by GA, Hadlock 1984 (33198-3, LN)

Growth Z-score:
-0.46 1

Inferred from: Equation = BPD by GA, Hadlock 1984 (33198-3, LN)

Biometry Group

Trans Cerebellar Diameter:
8.7 mm

Inferred from: Spatial Coordinates [Annex 10]
Inferred from: Spatial Coordinates [Annex 11]

Trans Cerebellar Diameter:
8.7 mm

Concept Modifier: Derivation = Mean (R-00317, SRT)
Properties: Selection Status = Mean value chosen (121412, DCM)

Growth Z-score:
-14.41 1

Inferred from: Equation = Cerebellum by GA, Verburg 2008 (C12015-31, 99PMSBLUS)

Biometry Group

Femur Length:
50.7 mm

Inferred from: Spatial Coordinates [Annex 12]

Femur Length:
50.7 mm

Concept Modifier: Derivation = Mean (R-00317, SRT)
Properties: Selection Status = Mean value chosen (121412, DCM)

Gestational Age:
190.344231 d

Inferred from: Equation = FL, Hadlock 1984 (11920-6, LN)

Growth Percentile Rank:
36 %

Inferred from: Equation = FL by GA, Hadlock 1984 (33166-0, LN)

Growth Z-score:
-0.35 1

Inferred from: Equation = FL by GA, Hadlock 1984 (33166-0, LN)

Biometry Group

Head Circumference:
254.3 mm

Inferred from: Spatial Coordinates [Annex 13]
Inferred from: Spatial Coordinates [Annex 14]
Inferred from: Spatial Coordinates [Annex 15]
Inferred from: Spatial Coordinates [Annex 16]

Head Circumference:
254.3 mm

Concept Modifier: Derivation = Mean (R-00317, SRT)
Properties: Selection Status = Mean value chosen (121412, DCM)

Gestational Age:
193.380314 d

Inferred from: Equation = HC, Hadlock 1984 (11932-1, LN)

Growth Percentile Rank:
37 %

Inferred from: Equation = HC by GA, Hadlock 1984 (33173-6, LN)

Growth Z-score:
-0.33 1

Inferred from: Equation = HC by GA, Hadlock 1984 (33173-6, LN)

Biometry Group

Heart Circumference:
122.9 mm

Inferred from: Spatial Coordinates [Annex 17]
Inferred from: Spatial Coordinates [Annex 18]

Heart Circumference:
122.9 mm

Concept Modifier: Derivation = Mean (R-00317, SRT)
Properties: Selection Status = Mean value chosen (121412, DCM)

Biometry Group

Occipital-Frontal Diameter:
89.5 mm

Inferred from: Spatial Coordinates [Annex 19]
Inferred from: Spatial Coordinates [Annex 20]
Inferred from: Spatial Coordinates [Annex 21]
Inferred from: Spatial Coordinates [Annex 22]
Inferred from: Spatial Coordinates [Annex 23]

Occipital-Frontal Diameter:
86 mm

Inferred from: Spatial Coordinates [Annex 24]
Inferred from: Spatial Coordinates [Annex 25]

Occipital-Frontal Diameter:
87.7 mm

Concept Modifier: Derivation = Mean (R-00317, SRT)
Properties: Selection Status = Mean value chosen (121412, DCM)

Gestational Age:
188.475 d

Inferred from: Table of Values = OFD, Hansmann 1985 (33544-8, LN)

Growth Percentile Rank:
21 %

Inferred from: Equation = OFD by GA, Chitty 1994 (33179-3, LN)

Growth Z-score:
-0.81 1

Inferred from: Equation = OFD by GA, Chitty 1994 (33179-3, LN)

Biometry Group

BPD area corrected:
68.1 mm

Gestational Age:
191.84 d

Inferred from: Equation = BPDa, Hadlock 1984 (C12013-14, 99PMSBLUS)

Biometry Group

Ratio of LA Dimension to Aortic Root Diameter:
1 1

Early Gestation

Observation Context: Fetus ID = "1"

Biometry Group

Crown Rump Length:
11.14 mm

Inferred from: Spatial Coordinates [Annex 26]

Crown Rump Length:
11.14 mm

Concept Modifier: Derivation = Mean (R-00317, SRT)
Properties: Selection Status = Mean value chosen (121412, DCM)

Gestational Age:
50.741464 d

Inferred from: Equation = CRL, Hadlock 1992 (11910-7, LN)

Fetal Cranium

Observation Context: Fetus ID = "1"

Biometry Group

Inner Orbital Diameter:
11.8 mm

Inferred from: Spatial Coordinates [Annex 27]
Inferred from: Spatial Coordinates [Annex 28]

Inner Orbital Diameter:
11.8 mm

Concept Modifier: Derivation = Mean (R-00317, SRT)
Properties: Selection Status = Mean value chosen (121412, DCM)

Biometry Group

Lateral Ventricle width:
5.9 mm

Inferred from: Spatial Coordinates [Annex 29]
Inferred from: Spatial Coordinates [Annex 30]

Lateral Ventricle width:
5.9 mm

Concept Modifier: Derivation = Mean (R-00317, SRT)
Properties: Selection Status = Mean value chosen (121412, DCM)

Biometry Group

Outer Orbital Diameter:
10 mm

Inferred from: Spatial Coordinates [Annex 31]
Inferred from: Spatial Coordinates [Annex 32]

Outer Orbital Diameter:
43.5 mm

Inferred from: Spatial Coordinates [Annex 33]
Inferred from: Spatial Coordinates [Annex 34]

Outer Orbital Diameter:
26.8 mm

Concept Modifier: Derivation = Mean (R-00317, SRT)
Properties: Selection Status = Mean value chosen (121412, DCM)

Gestational Age:
122.2 d

Inferred from: Table of Values = OOD, Jeanty 1984 (C12013-12, 99PMSBLUS)

Fetal Heart

Observation Context: Fetus ID = "1"

Biometry Group

Aortic Root Diameter:
9 mm

Inferred from: Spatial Coordinates [Annex 35]
Inferred from: Spatial Coordinates [Annex 36]

Aortic Root Diameter:
9 mm

Concept Modifier: Derivation = Mean (R-00317, SRT)
Properties: Selection Status = Mean value chosen (121412, DCM)

Biometry Group

Interventricular Septum Thickness:
10.4 mm

Inferred from: Spatial Coordinates [Annex 37]
Inferred from: Spatial Coordinates [Annex 38]

Interventricular Septum Thickness:
10.4 mm

Concept Modifier: Derivation = Mean (R-00317, SRT)
Properties: Selection Status = Mean value chosen (121412, DCM)

Biometry Group

Left Atrium Dimension:
9.2 mm

Inferred from: Spatial Coordinates [Annex 39]
Inferred from: Spatial Coordinates [Annex 40]

Left Atrium Dimension:
9.2 mm

Concept Modifier: Derivation = Mean (R-00317, SRT)
Properties: Selection Status = Mean value chosen (121412, DCM)

Biometry Group

LV Outflow Tract Diameter:
8.1 mm

Inferred from: Spatial Coordinates [Annex 41]
Inferred from: Spatial Coordinates [Annex 42]

LV Outflow Tract Diameter:
8.1 mm

Concept Modifier: Derivation = Mean (R-00317, SRT)
Properties: Selection Status = Mean value chosen (121412, DCM)

Biometry Group

Main Pulmonary Artery Diameter:
10.2 mm

Inferred from: Spatial Coordinates [Annex 43]
Inferred from: Spatial Coordinates [Annex 44]

Main Pulmonary Artery Diameter:
10.2 mm

Concept Modifier: Derivation = Mean (R-00317, SRT)
Properties: Selection Status = Mean value chosen (121412, DCM)

Biometry Group

Right Ventricle Dimension:
24.6 mm

Inferred from: Spatial Coordinates [Annex 45]

Right Ventricle Dimension:
24.6 mm

Concept Modifier: Derivation = Mean (R-00317, SRT)
Properties: Selection Status = Mean value chosen (121412, DCM)

Biometry Group

Ratio of Aortic Root Diameter to Main PA Diameter:
0.9 1

Fetal Long Bones

Observation Context: Fetus ID = "1"

Biometry Group

Radius length:
16.3 mm

Inferred from: Spatial Coordinates [Annex 46]

Radius length:
16.3 mm

Concept Modifier: Derivation = Mean (R-00317, SRT)
Properties: Selection Status = Mean value chosen (121412, DCM)

Fetal Biometry Ratios

Observation Context: Fetus ID = "1"

Cephalic Index:
0.76 1

FL/AC:
0.23 1

FL/BPD:
0.76 1

HC/AC:
1.15 1

Findings

Concept Modifier: Finding Site = Embryonic Vascular Structure (T-F6800, SRT)
Observation Context: Fetus ID = "1"

Middle Cerebral Artery

End Diastolic Velocity:
44.8 mm/s

Inferred from: Spatial Coordinates [Annex 47]
Inferred from: Spatial Coordinates [Annex 48]
Inferred from: Spatial Coordinates [Annex 49]
Inferred from: Spatial Coordinates [Annex 50]
Properties: Selection Status = Most recent value chosen (121411, DCM)

Minimum Diastolic Velocity:
44.8 mm/s

Inferred from: Spatial Coordinates [Annex 51]
Inferred from: Spatial Coordinates [Annex 52]
Inferred from: Spatial Coordinates [Annex 53]
Inferred from: Spatial Coordinates [Annex 54]
Properties: Selection Status = Most recent value chosen (121411, DCM)

Peak Systolic Velocity:
230 mm/s

Inferred from: Spatial Coordinates [Annex 55]
Inferred from: Spatial Coordinates [Annex 56]
Inferred from: Spatial Coordinates [Annex 57]
Inferred from: Spatial Coordinates [Annex 58]
Properties: Selection Status = Most recent value chosen (121411, DCM)

Time averaged peak velocity:
142 mm/s

Inferred from: Spatial Coordinates [Annex 59]
Inferred from: Spatial Coordinates [Annex 60]
Properties: Selection Status = Most recent value chosen (121411, DCM)

Doppler Correction Angle:
0 deg

Inferred from: Spatial Coordinates [Annex 61]
Inferred from: Spatial Coordinates [Annex 62]
Properties: Selection Status = Most recent value chosen (121411, DCM)

Pulsatility Index:
1.304 1

Properties: Selection Status = Most recent value chosen (121411, DCM)

Resistivity Index:
0.805 1

Properties: Selection Status = Most recent value chosen (121411, DCM)

Systolic to Diastolic Velocity Ratio:
5.13 1

Properties: Selection Status = Most recent value chosen (121411, DCM)

Umbilical Artery

End Diastolic Velocity:
77.6 mm/s

Inferred from: Spatial Coordinates [Annex 63]
Inferred from: Spatial Coordinates [Annex 64]
Properties: Selection Status = Most recent value chosen (121411, DCM)

Minimum Diastolic Velocity:
77.6 mm/s

Inferred from: Spatial Coordinates [Annex 65]
Inferred from: Spatial Coordinates [Annex 66]
Properties: Selection Status = Most recent value chosen (121411, DCM)

Peak Systolic Velocity:
316 mm/s

Inferred from: Spatial Coordinates [Annex 67]
Inferred from: Spatial Coordinates [Annex 68]
Properties: Selection Status = Most recent value chosen (121411, DCM)

Time averaged peak velocity:
306 mm/s

Inferred from: Spatial Coordinates [Annex 69]
Properties: Selection Status = Most recent value chosen (121411, DCM)

Doppler Correction Angle:
0 deg

Inferred from: Spatial Coordinates [Annex 70]
Properties: Selection Status = Most recent value chosen (121411, DCM)

Pulsatility Index:
0.779 1

Properties: Selection Status = Most recent value chosen (121411, DCM)

Resistivity Index:
0.754 1

Properties: Selection Status = Most recent value chosen (121411, DCM)

Systolic to Diastolic Velocity Ratio:
4.07 1

Properties: Selection Status = Most recent value chosen (121411, DCM)

Middle Cerebral Artery Pulsatility Index

Middle Cerebral Artery Pulsatility Index:
1.304 1

Middle Cerebral Artery Resistivity Index

Middle Cerebral Artery Resistivity Index:
0.805 1

Umbilical Artery Pulsatility Index

Umbilical Artery Pulsatility Index:
0.779 1